The Burden of HIV, Hepatitis B and Hepatitis C by Armed Conflict Setting : The Nigeria AIDS Indicator and Impact Survey, 2018

Copyright: © 2021 The Author(s)..

Background: Against a background of security challenges, Nigeria conducted recently the largest population-based HIV survey in the world to ascertain the burden of the HIV disease in the country.

Objective: We evaluated the main outcomes of the survey and the level of success using participation/response indicators.

Methods: The survey was conducted from July-December 2018 by over 6,000 field staff across Nigeria in six consecutive webs, using two-stage cluster sampling. We estimated the prevalence of HIV, hepatitis B and hepatitis C in the entire country and by conflict zone status. Adjusted odds ratios (OR) and 95% confidence intervals (CI) from survey logistic regression models were used to compare the likelihood of test positivity for the three infections between zones.

Findings: A total of 186,405 adults were interviewed from 97,250 households in 3,848 census enumeration areas. The overall HIV, hepatitis B and hepatitis C positivity rates were 1.55%, 7.63% and 1.73%, respectively. The prevalence of HIV, hepatitis B and C infection was significantly greater in conflict than non-conflict zones (HIV: 1.75% versus 1.0%; hepatitis B: 9.9% versus 7.3%; and hepatitis C: 3.2% versus 0.3%; p < 0.01 in all cases). Individuals living in conflict zones were about three times as likely to test positive for HIV (OR = 2.80, 95% CI = 2.08, 3.60) and nearly six times as likely to test positive for hepatitis C (OR = 5.90, 95% CI = 2.17, 16.67).

Conclusion: Large population-based surveys are feasible, even in armed conflict settings. The burden of HIV, hepatitis B and hepatitis C was significantly higher in areas of conflict in Nigeria, highlighting the need for reinforced public health control measures in these settings in order to attain UNAIDS' 95-95-95 targets of controlling the HIV epidemic in sub-Saharan Africa by 2030.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:87

Enthalten in:

Annals of global health - 87(2021), 1 vom: 25. Juni, Seite 53

Sprache:

Englisch

Beteiligte Personen:

Aliyu, Gambo G [VerfasserIn]
Aliyu, Sani H [VerfasserIn]
Ehoche, Akipu [VerfasserIn]
Dongarwar, Deepa [VerfasserIn]
Yusuf, Rafeek A [VerfasserIn]
Aliyu, Muktar H [VerfasserIn]
Salihu, Hamisu M [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Anmerkungen:

Date Completed 24.09.2021

Date Revised 24.09.2021

published: Electronic

Citation Status MEDLINE

doi:

10.5334/aogh.3226

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM327685557