Lancet HivPub Date : 2026-05-01DOI: 10.1016/S2352-3018(26)00080-9
{"title":"Correction to Lancet HIV 2025; 12: e701-11.","authors":"","doi":"10.1016/S2352-3018(26)00080-9","DOIUrl":"https://doi.org/10.1016/S2352-3018(26)00080-9","url":null,"abstract":"","PeriodicalId":48725,"journal":{"name":"Lancet Hiv","volume":"13 5","pages":"e296"},"PeriodicalIF":13.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet HivPub Date : 2026-05-01DOI: 10.1016/S2352-3018(26)00036-6
Esteban Martínez, Maya Watanabe, Risa Hoffman, Markella V Zanni, Anton Pozniak, Saate S Shakil, Sara McCallum, Sarah M Chu, Suman Srinivasa, Carlos D Malvestutto, Carl J Fichtenbaum, Gerald S Bloomfield, Craig A Sponseller, Alex B Lu, Michael T Lu, Judith A Aberg, Judith S Currier, Pamela S Douglas, Heather J Ribaudo, Steven K Grinspoon
{"title":"Incidence, risk factors, and cardiovascular impact of hypertension in people with HIV: a secondary analysis of the REPRIEVE trial.","authors":"Esteban Martínez, Maya Watanabe, Risa Hoffman, Markella V Zanni, Anton Pozniak, Saate S Shakil, Sara McCallum, Sarah M Chu, Suman Srinivasa, Carlos D Malvestutto, Carl J Fichtenbaum, Gerald S Bloomfield, Craig A Sponseller, Alex B Lu, Michael T Lu, Judith A Aberg, Judith S Currier, Pamela S Douglas, Heather J Ribaudo, Steven K Grinspoon","doi":"10.1016/S2352-3018(26)00036-6","DOIUrl":"https://doi.org/10.1016/S2352-3018(26)00036-6","url":null,"abstract":"<p><strong>Background: </strong>People living with HIV have an increased risk of cardiovascular disease, but data on the development and consequences of hypertension remain limited. Using data from REPRIEVE, a global randomised trial of pitavastatin for primary cardiovascular prevention among people with HIV, we evaluated whether pitavastatin reduces the incidence of hypertension among participants without hypertension at baseline and whether incident hypertension is associated with subsequent major adverse cardiovascular events (MACE).</p><p><strong>Methods: </strong>We conducted a prespecified secondary analysis of participants without evidence of hypertension at REPRIEVE entry (baseline). REPRIEVE (NCT02344290) was a global, randomised, double-blind, placebo-controlled trial that enrolled adults with HIV aged 40-75 years at low-to-moderate atherosclerotic cardiovascular risk, receiving stable antiretroviral therapy. The primary outcome in this secondary analysis was incident hypertension based on clinical diagnosis according to standard criteria. Included participants were those without hypertension at baseline; excluded were those with documented hypertension, antihypertensive treatment use, systolic blood pressure of 140 mm Hg or higher, or diastolic blood pressure of 90 mm Hg or higher. The association between incident hypertension and a secondary outcome of MACE was evaluated in a time-updated analysis. Analyses used both Cox and Fine-Gray proportional hazards models and Poisson regression.</p><p><strong>Findings: </strong>Of 7769 participants enrolled in REPRIEVE, 4989 (64%) without hypertension at baseline were included (2496 assigned to pitavastatin and 2493 to placebo) in this secondary analysis. The median age was 49 years (IQR 45-54); 1464 (29%) were women and 3525 (71%) men; and the median systolic and diastolic blood pressures at baseline were 102 mm Hg and 76 mm Hg, respectively. Over a median follow-up of 5·0 years (IQR 4·4-5·8), 668 (13%) participants developed hypertension. Participants randomly assigned to pitavastatin showed a modestly lower incidence of hypertension (24·7 per 1000 person-years vs 29·6 per 1000 person-years), corresponding to a 17% relative risk reduction (cause-specific hazard ratio [HR] 0·83, 95% CI 0·71-0·97; p=0·017). Risk factors of incident hypertension included old age, high BMI, metabolic syndrome, reduced estimated glomerular filtration rate (eGFR), and Black race in high-income regions. Among participants with incident hypertension, 581 (87%) initiated antihypertensive therapy. Of 213 who initiated antihypertensive therapy after diagnosis of hypertension, 159 (74·6%) were controlled 4 years after diagnosis. Incident hypertension was associated with a higher risk of MACE during follow-up (subdistribution HR 2·16, 95% CI 1·32-3·52) in modelling adjusted for baseline cardiovascular risk score.</p><p><strong>Interpretation: </strong>These findings suggest additional cardiovascular benefits of pitavastat","PeriodicalId":48725,"journal":{"name":"Lancet Hiv","volume":"13 5","pages":"e327-e337"},"PeriodicalIF":13.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet HivPub Date : 2026-05-01DOI: 10.1016/S2352-3018(26)00081-0
The Lancet Hiv
{"title":"The intersection of HIV and non-communicable diseases.","authors":"The Lancet Hiv","doi":"10.1016/S2352-3018(26)00081-0","DOIUrl":"https://doi.org/10.1016/S2352-3018(26)00081-0","url":null,"abstract":"","PeriodicalId":48725,"journal":{"name":"Lancet Hiv","volume":"13 5","pages":"e287"},"PeriodicalIF":13.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet HivPub Date : 2026-04-27DOI: 10.1016/S2352-3018(26)00010-X
Denton Callander, Teddy Cook, Jason Asselin, David J Templeton, Arun Menon, Clara Tuck Meng Soo, Charlotte Bell, Christopher K Fairley, Mark Stoové, Margaret Hellard, Vincent Cornelisse, Rebecca Guy, Basil Dononvan
{"title":"Trends in incidence of HIV and other sexually transmissible infections among transgender people in Australia: a retrospective 10-year national clinical cohort study.","authors":"Denton Callander, Teddy Cook, Jason Asselin, David J Templeton, Arun Menon, Clara Tuck Meng Soo, Charlotte Bell, Christopher K Fairley, Mark Stoové, Margaret Hellard, Vincent Cornelisse, Rebecca Guy, Basil Dononvan","doi":"10.1016/S2352-3018(26)00010-X","DOIUrl":"https://doi.org/10.1016/S2352-3018(26)00010-X","url":null,"abstract":"<p><strong>Background: </strong>In Australia, transgender people have largely been excluded from public health surveillance for HIV and other sexually transmissible infections (STIs). We aimed to provide a comprehensive overview of HIV and STIs among transgender people in Australia, including to investigate trends over time and risk factors.</p><p><strong>Methods: </strong>A retrospective clinical cohort study was conducted using 10 years of health record data (between Jan 1, 2014, and Dec 31, 2023) from 87 health services across Australia. A primary transgender cohort and two comparative cisgender cohorts (gay and bisexual men, and heterosexual people) were established. Incidence was estimated using repeat testing, with the year fitted as an independent variable in Poisson regression while controlling for sociodemographic and behavioural characteristics.</p><p><strong>Findings: </strong>The primary cohort comprised 7284 transgender people (4672 transgender women, 2213 transgender men, and 399 non-binary people); the comparative cisgender cohorts comprised 152 144 gay and bisexual men and 394 332 heterosexual people. Among transgender people, HIV incidence decreased by 93·9%, from 1·19 per 100 person-years to 0·07 per 100 person-years (incidence rate ratio [IRR] per year 0·72 [95% CI 0·66-0·79]). For transgender people, HIV incidence was highest among women (0·37 per 100 person-years) and lowest among men (0·20 per 100 person-years; IRR 0·54 [95% CI 0·29-0·99]). Transgender people overall had an HIV incidence comparable with cisgender gay and bisexual men (0·33 per 100 person-years and 0·29 per 100 person-years, respectively; adjusted IRR 0·87 [95% CI 0·70-1·08]), whereas HIV incidence was lower among cisgender heterosexual people (0·003 per 100 person-years; 0·01 [0·01-0·01]). Incidences of other STIs were generally stable among transgender people over time (33·73 per 100 person-years for chlamydia, 30·18 per 100 person-years for gonorrhoea, and 2·67 per 100 person-years for syphilis), with some distinctions by anatomical site. Among transgender people, HIV pre-exposure prophylaxis was negatively associated with incident HIV (adjusted IRR 0·40 [95% CI 0·19-0·88]) but positively associated with other STIs (1·38 [1·31-1·46]).</p><p><strong>Interpretation: </strong>HIV incidence declined among transgender people in Australia, whereas other STIs were stable. To build on this success, HIV and STI policies, guidelines, interventions, and funding in Australia should more actively support transgender populations.</p><p><strong>Funding: </strong>Australian Department of Health & Aged Care and UNSW Health Systems Research.</p>","PeriodicalId":48725,"journal":{"name":"Lancet Hiv","volume":" ","pages":""},"PeriodicalIF":13.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet HivPub Date : 2026-04-23DOI: 10.1016/s2352-3018(26)00099-8
Ed Holt
{"title":"Russia's internet blackout affects HIV services.","authors":"Ed Holt","doi":"10.1016/s2352-3018(26)00099-8","DOIUrl":"https://doi.org/10.1016/s2352-3018(26)00099-8","url":null,"abstract":"","PeriodicalId":48725,"journal":{"name":"Lancet Hiv","volume":"66 1","pages":""},"PeriodicalIF":16.1,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147751281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet HivPub Date : 2026-04-13DOI: 10.1016/s2352-3018(26)00077-9
Danielle Giovenco, Millicent Atujuna, Don Operario, Linda-Gail Bekker
{"title":"Ending HIV requires research in and with South Africa","authors":"Danielle Giovenco, Millicent Atujuna, Don Operario, Linda-Gail Bekker","doi":"10.1016/s2352-3018(26)00077-9","DOIUrl":"https://doi.org/10.1016/s2352-3018(26)00077-9","url":null,"abstract":"","PeriodicalId":48725,"journal":{"name":"Lancet Hiv","volume":"9 1","pages":""},"PeriodicalIF":16.1,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147681107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet HivPub Date : 2026-04-08DOI: 10.1016/s2352-3018(26)00034-2
Laura K Beres,Sheree R Schwartz,Ronald Olum,Lillian M Shipp,Natalie Vlahakis,Michael E Herce,Daniel K Were,Stefan Baral,Chama Mulubwa,Chanda Mwamba,Maurice Musheke,Chris Beyrer,Elvin H Geng
{"title":"Targeted universalism for long-acting PrEP: an urgent need to avoid risk targeting and build population-level impact.","authors":"Laura K Beres,Sheree R Schwartz,Ronald Olum,Lillian M Shipp,Natalie Vlahakis,Michael E Herce,Daniel K Were,Stefan Baral,Chama Mulubwa,Chanda Mwamba,Maurice Musheke,Chris Beyrer,Elvin H Geng","doi":"10.1016/s2352-3018(26)00034-2","DOIUrl":"https://doi.org/10.1016/s2352-3018(26)00034-2","url":null,"abstract":"New long-acting HIV prevention product choices, including lenacapavir, cabotegravir, and investigational monthly oral MK‑8527, usher in promise for ending HIV as a public health threat. Decisions taken at a product's launch determine who will access it and shape its population-level impact. We argue that targeted universalism should be used to organise the roll‑out of pre-exposure prophylaxis (PrEP) choices. Targeted universalism means setting the goal of universal access for anyone who wants effective prevention and then tailoring functional supports, such as convenient delivery points and improved provider capacity for supportive interactions, to: 1) guide distribution of limited supply, and 2) help groups facing the steepest barriers to engage with prevention on an equal footing. As a policy framework, targeted universalism thus seeks to avoid mistakes that have restricted the population-level impact of oral PrEP by eliminating epidemiologically driven risk targeting, reckoning with the social resistance associated with stigmatised interventions and populations, and facilitating equitable coverage through systems strengthening.","PeriodicalId":48725,"journal":{"name":"Lancet Hiv","volume":"11 1","pages":""},"PeriodicalIF":16.1,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lancet HivPub Date : 2026-04-07DOI: 10.1016/s2352-3018(25)00333-9
Romain Palich, Jean-Jacques Parienti
{"title":"The caveats of short-cycle antiretroviral therapy in adolescents living with HIV","authors":"Romain Palich, Jean-Jacques Parienti","doi":"10.1016/s2352-3018(25)00333-9","DOIUrl":"https://doi.org/10.1016/s2352-3018(25)00333-9","url":null,"abstract":"","PeriodicalId":48725,"journal":{"name":"Lancet Hiv","volume":"23 1","pages":""},"PeriodicalIF":16.1,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147642186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}