Examining the evidence on the causal effect of HAART on transmission of HIV using the Bradford Hill criteria

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dc.contributor.authorNosyk, B.
dc.contributor.authorAudoin, B.
dc.contributor.authorBeyrer, C.
dc.contributor.authorCahn, Pedro
dc.contributor.authorGranich, R.
dc.contributor.authorHavlir, D.
dc.contributor.authorKatabira, E.
dc.contributor.authorLange, J.
dc.contributor.authorLima, V. D.
dc.contributor.authorPatterson, T.
dc.contributor.authorStrathdee, S. A.
dc.contributor.authorWilliams, B.
dc.contributor.authorMontaner, Julio
dc.date.accessioned2024-05-23T15:24:12Z
dc.date.available2024-05-23T15:24:12Z
dc.date.issued2013
dc.description.abstractIn recent years, evidence has accumulated regarding the ability of HAART to prevent HIV transmission. Early supportive evidence was derived from observational, ecological and population-based studies. More recently, a randomized clinical trial showed that immediate use of HAART led to a 96% decrease in HIV transmission events within HIV serodiscordant heterosexual couples. However, the generalizability of the effect of HAART, and the population-level impact on HIV transmission continues to generate substantial debate. We, therefore, conducted a review of the evidence regarding the preventive effect of HAART on HIV transmission within the context of the Bradford Hill criteria for causality. Taken together, we find the accumulated evidence supporting HIV treatment as prevention meets each of the Bradford Hill criteria for causality. We conclude that the opportunity cost of inaction while waiting for additional evidence on the generalizability of effect in other risk groups is too high. Efforts should be redoubled to mobilize the financial capital and political will to optimize implementation of HIV Treatment as Prevention strategies on a wide scale.
dc.identifier.citationNosyk, B., Audoin, B., Beyrer, C., Cahn, P., Granich, R., Havlir, D., ... & Montaner, J. (2013). Examining the evidence on the causal effect of HAART on transmission of HIV using the Bradford Hill criteria. AIDS.
dc.identifier.otherDOI: 10.1097/QAD.0b013e32835f1d68
dc.identifier.urihttps://repositorio.huesped.org.ar/handle/123456789/1062
dc.relation.ispartofseriesAIDS
dc.subjectHAART impact
dc.subjectHIV transmission
dc.subjectEpidemiological evidence
dc.titleExamining the evidence on the causal effect of HAART on transmission of HIV using the Bradford Hill criteria

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