Identifying the Factors Associated With Spatial Clustering of Incident HIV Infection Cases in High-Prevalence Regions: Quantitative Geospatial Study
This study reveals that besides HIV prevalence, urbanization-related factors (population density and proximity to urban area) and transportation accessibility drive incident HIV clustering in Liangshan Yi Autonomous Prefecture. Paradoxically, higher ART coverage was associated with increased transmission, suggesting the need for integrated prevention strategies beyond ART expansion. Furthermore, the township-level geospatial approach provides a valuable model for pinpointing transmission hot spots and tailoring interventions in high-burden regions globally.
Authors
- Y Y Wang (ORCID: https://orcid.org/0000-0002-2911-148X)
- Chunnong Jike
- Dan Yuan (ORCID: https://orcid.org/0000-0002-9074-8770)
- Shu Liang (ORCID: https://orcid.org/0000-0002-0331-246X)
- Yiping Li (ORCID: https://orcid.org/0000-0002-6158-5108)
- Peng Guan (ORCID: https://orcid.org/0000-0003-0190-7301)
- Mengjie Han (ORCID: https://orcid.org/0000-0001-6552-4137)
- Fengshun Yuan (ORCID: https://orcid.org/0000-0002-0123-2028)
- Maogang Shen
- Huanyi Cheng
- Hong Yang (ORCID: https://orcid.org/0000-0003-1251-4917)
- Qiyu Zhu (ORCID: https://orcid.org/0000-0002-2904-7019)
- Zhongfu Liu (ORCID: https://orcid.org/0000-0002-8608-6209)
- Chengdong Xu (ORCID: https://orcid.org/0000-0002-9266-7309)
- Hong Mai
- Jiang Yan (ORCID: https://orcid.org/0000-0002-6790-1474)
- Cong Jin (ORCID: https://orcid.org/0000-0002-2344-6561)
- Yu Gang
- Jing Liu (ORCID: https://orcid.org/0000-0003-3182-3387)
- Wang Ju
- Lin Xiao
- Jing Hong
- Lin He
- M. Mao (ORCID: https://orcid.org/0009-0005-4041-0068)
Institutions
- Chinese Academy of Sciences (CN)
- Xiangshan County First People's Hospital (CN)
- Institute of Geographic Sciences and Natural Resources Research (CN)
- Sichuan Center for Disease Control and Prevention (CN)
- China Medical University (CN)
Publication Details
- Journal
- JMIR Public Health and Surveillance
- Published
- 2025-09-16
- DOI
- https://doi.org/10.2196/75291
- Citations
- 1
- Primary Topic
- HIV, Drug Use, Sexual Risk
- Type
- article
- Field-Weighted Citation Impact
- 1.35