HIV molecular transmission networks among students in Guangxi: unraveling the dynamics of student-driven HIV epidemic

In Guangxi, the number of newly diagnosed HIV-1 infections among students is continuously increasing, highlighting the need for a detailed understanding of local transmission dynamics, particularly focusing on key drivers of transmission. We recruited individuals newly diagnosed with HIV-1 in Nannin...

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Main Authors: Xianwu Pang, Jie Ma, Qin He, Kailing Tang, Jinghua Huang, Ningye Fang, Haomin Xie, Guanghua Lan, Shujia Liang
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Emerging Microbes and Infections
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Online Access:https://www.tandfonline.com/doi/10.1080/22221751.2025.2459142
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author Xianwu Pang
Jie Ma
Qin He
Kailing Tang
Jinghua Huang
Ningye Fang
Haomin Xie
Guanghua Lan
Shujia Liang
author_facet Xianwu Pang
Jie Ma
Qin He
Kailing Tang
Jinghua Huang
Ningye Fang
Haomin Xie
Guanghua Lan
Shujia Liang
author_sort Xianwu Pang
collection DOAJ
description In Guangxi, the number of newly diagnosed HIV-1 infections among students is continuously increasing, highlighting the need for a detailed understanding of local transmission dynamics, particularly focusing on key drivers of transmission. We recruited individuals newly diagnosed with HIV-1 in Nanning, Guangxi, and amplified and sequenced the HIV-1 pol gene to construct a molecular network. Bayesian phylogenetic analysis was utilized to identify migration events, and multivariable logistic regression was employed to analyze factors influencing clustering and high linkage. The predominant subtype among students was CRF07_BC (58.5%), followed by CRF01_AE (17.4%) and CRF55_01B (13.5%). Transmission network analysis identified a significant clustering rate of 64.3% among students, primarily within large clusters. The strongest transmission relationships were observed between students and MSM aged 25–39, as well as nonstudent youths. These migration events primarily occurred from MSM aged 25–39 to students and nonstudent youths for CRF01_AE, CRF07_BC, and CRF55_01B. Qingxiu was the main emigration region for for CRF01_AE, CRF07_BC, while Xixiangtang for CRF55_01B. Link with nonstudent youths (AOR = 5.11) and MSM aged 25–39 (AOR = 8.82) were significant factors contributing to the high linkage among students. Long-term infection was a key factor in super spreaders. These findings emphasize the critical role of MSM aged 25–39 in HIV-1 transmission among local youths, particularly regarding long-term infected individuals. The study advocates for targeted HIV-1 screening and intervention strategies for youths to strengthen early detection and treatment, thereby mitigating further transmission within this high-risk group.
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spelling doaj-art-07c1f69b430b4eea8a2e02c14d6c17032025-08-20T02:30:13ZengTaylor & Francis GroupEmerging Microbes and Infections2222-17512025-12-0114110.1080/22221751.2025.2459142HIV molecular transmission networks among students in Guangxi: unraveling the dynamics of student-driven HIV epidemicXianwu Pang0Jie Ma1Qin He2Kailing Tang3Jinghua Huang4Ningye Fang5Haomin Xie6Guanghua Lan7Shujia Liang8Guangxi Key Laboratory of Major Infectious Disease Prevention Control and Biosafety Emergency Response, Guangxi Center for Disease Control and Prevention, Nanning, Guangxi, ChinaGuangxi Key Laboratory of Major Infectious Disease Prevention Control and Biosafety Emergency Response, Guangxi Center for Disease Control and Prevention, Nanning, Guangxi, ChinaGuangxi Key Laboratory of Major Infectious Disease Prevention Control and Biosafety Emergency Response, Guangxi Center for Disease Control and Prevention, Nanning, Guangxi, ChinaGuangxi Key Laboratory of Major Infectious Disease Prevention Control and Biosafety Emergency Response, Guangxi Center for Disease Control and Prevention, Nanning, Guangxi, ChinaGuangxi Key Laboratory of Major Infectious Disease Prevention Control and Biosafety Emergency Response, Guangxi Center for Disease Control and Prevention, Nanning, Guangxi, ChinaGuangxi Key Laboratory of Major Infectious Disease Prevention Control and Biosafety Emergency Response, Guangxi Center for Disease Control and Prevention, Nanning, Guangxi, ChinaGuangxi Key Laboratory of Major Infectious Disease Prevention Control and Biosafety Emergency Response, Guangxi Center for Disease Control and Prevention, Nanning, Guangxi, ChinaGuangxi Key Laboratory of Major Infectious Disease Prevention Control and Biosafety Emergency Response, Guangxi Center for Disease Control and Prevention, Nanning, Guangxi, ChinaGuangxi Key Laboratory of Major Infectious Disease Prevention Control and Biosafety Emergency Response, Guangxi Center for Disease Control and Prevention, Nanning, Guangxi, ChinaIn Guangxi, the number of newly diagnosed HIV-1 infections among students is continuously increasing, highlighting the need for a detailed understanding of local transmission dynamics, particularly focusing on key drivers of transmission. We recruited individuals newly diagnosed with HIV-1 in Nanning, Guangxi, and amplified and sequenced the HIV-1 pol gene to construct a molecular network. Bayesian phylogenetic analysis was utilized to identify migration events, and multivariable logistic regression was employed to analyze factors influencing clustering and high linkage. The predominant subtype among students was CRF07_BC (58.5%), followed by CRF01_AE (17.4%) and CRF55_01B (13.5%). Transmission network analysis identified a significant clustering rate of 64.3% among students, primarily within large clusters. The strongest transmission relationships were observed between students and MSM aged 25–39, as well as nonstudent youths. These migration events primarily occurred from MSM aged 25–39 to students and nonstudent youths for CRF01_AE, CRF07_BC, and CRF55_01B. Qingxiu was the main emigration region for for CRF01_AE, CRF07_BC, while Xixiangtang for CRF55_01B. Link with nonstudent youths (AOR = 5.11) and MSM aged 25–39 (AOR = 8.82) were significant factors contributing to the high linkage among students. Long-term infection was a key factor in super spreaders. These findings emphasize the critical role of MSM aged 25–39 in HIV-1 transmission among local youths, particularly regarding long-term infected individuals. The study advocates for targeted HIV-1 screening and intervention strategies for youths to strengthen early detection and treatment, thereby mitigating further transmission within this high-risk group.https://www.tandfonline.com/doi/10.1080/22221751.2025.2459142HIV-1studentyouthtransmission networksphylogenetic
spellingShingle Xianwu Pang
Jie Ma
Qin He
Kailing Tang
Jinghua Huang
Ningye Fang
Haomin Xie
Guanghua Lan
Shujia Liang
HIV molecular transmission networks among students in Guangxi: unraveling the dynamics of student-driven HIV epidemic
Emerging Microbes and Infections
HIV-1
student
youth
transmission networks
phylogenetic
title HIV molecular transmission networks among students in Guangxi: unraveling the dynamics of student-driven HIV epidemic
title_full HIV molecular transmission networks among students in Guangxi: unraveling the dynamics of student-driven HIV epidemic
title_fullStr HIV molecular transmission networks among students in Guangxi: unraveling the dynamics of student-driven HIV epidemic
title_full_unstemmed HIV molecular transmission networks among students in Guangxi: unraveling the dynamics of student-driven HIV epidemic
title_short HIV molecular transmission networks among students in Guangxi: unraveling the dynamics of student-driven HIV epidemic
title_sort hiv molecular transmission networks among students in guangxi unraveling the dynamics of student driven hiv epidemic
topic HIV-1
student
youth
transmission networks
phylogenetic
url https://www.tandfonline.com/doi/10.1080/22221751.2025.2459142
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