Risk Factors for Recent HIV Infections among Adults in 14 Countries in Africa Identified by Population-Based HIV Impact Assessment Surveys, 2015-2019
Identifying persons who have newly acquired HIV infections is critical for characterizing the HIV epidemic direction. We analyzed pooled data from nationally representative Population-Based HIV Impact Assessment surveys conducted across 14 countries in Africa for recent infection risk factors. We included adults 15-49 years of age who had sex during the previous year and used a recent infection testing algorithm to distinguish recent from long-term infections. We collected risk factor information via participant interviews and assessed correlates of recent infection using multinomial logistic regression, incorporating each survey's complex sampling design. Compared with HIV-negative persons, persons with higher odds of recent HIV infection were women, were divorced/separated/widowed, had multiple recent sex partners, had a recent HIV-positive sex partner or one with unknown status, and lived in communities with higher HIV viremia prevalence. Prevention programs focusing on persons at higher risk for HIV and their sexual partners will contribute to reducing HIV incidence.
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E-Artikel |
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Erscheinungsjahr: |
2023 |
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Erschienen: |
2023 |
Enthalten in: |
Zur Gesamtaufnahme - volume:29 |
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Enthalten in: |
Emerging infectious diseases - 29(2023), 11 vom: 25. Nov., Seite 2325-2334 |
Sprache: |
Englisch |
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Date Completed 26.10.2023 Date Revised 02.12.2023 published: Print Citation Status MEDLINE |
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doi: |
10.3201/eid2911.230703 |
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funding: |
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PPN (Katalog-ID): |
NLM363698191 |
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520 | |a Identifying persons who have newly acquired HIV infections is critical for characterizing the HIV epidemic direction. We analyzed pooled data from nationally representative Population-Based HIV Impact Assessment surveys conducted across 14 countries in Africa for recent infection risk factors. We included adults 15-49 years of age who had sex during the previous year and used a recent infection testing algorithm to distinguish recent from long-term infections. We collected risk factor information via participant interviews and assessed correlates of recent infection using multinomial logistic regression, incorporating each survey's complex sampling design. Compared with HIV-negative persons, persons with higher odds of recent HIV infection were women, were divorced/separated/widowed, had multiple recent sex partners, had a recent HIV-positive sex partner or one with unknown status, and lived in communities with higher HIV viremia prevalence. Prevention programs focusing on persons at higher risk for HIV and their sexual partners will contribute to reducing HIV incidence | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, U.S. Gov't, P.H.S. | |
650 | 4 | |a Cameroon | |
650 | 4 | |a Côte d’Ivoire | |
650 | 4 | |a Eswatini | |
650 | 4 | |a Ethiopia | |
650 | 4 | |a HIV | |
650 | 4 | |a HIV/AIDS and other retroviruses | |
650 | 4 | |a Kenya | |
650 | 4 | |a Lesotho | |
650 | 4 | |a Malawi | |
650 | 4 | |a Namibia | |
650 | 4 | |a Nigeria | |
650 | 4 | |a PHIA | |
650 | 4 | |a Population-Based HIV Impact Assessment | |
650 | 4 | |a Rwanda | |
650 | 4 | |a Tanzania | |
650 | 4 | |a Uganda | |
650 | 4 | |a Zambia | |
650 | 4 | |a Zimbabwe | |
650 | 4 | |a cross-sectional studies | |
650 | 4 | |a sexually transmitted diseases | |
650 | 4 | |a sexually transmitted infections | |
650 | 4 | |a viruses | |
650 | 4 | |a zoonoses | |
700 | 1 | |a West, Christine A |e verfasserin |4 aut | |
700 | 1 | |a Patel, Hetal K |e verfasserin |4 aut | |
700 | 1 | |a Favaloro, Jennifer |e verfasserin |4 aut | |
700 | 1 | |a Asiimwe, Fred |e verfasserin |4 aut | |
700 | 1 | |a Ndagije, Felix |e verfasserin |4 aut | |
700 | 1 | |a Silver, Rachel |e verfasserin |4 aut | |
700 | 1 | |a Mugurungi, Owen |e verfasserin |4 aut | |
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700 | 1 | |a Williams, Daniel B |e verfasserin |4 aut | |
700 | 1 | |a Dzinotyiweyi, Edington |e verfasserin |4 aut | |
700 | 1 | |a Waruru, Anthony |e verfasserin |4 aut | |
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700 | 1 | |a Nyirenda, Rose |e verfasserin |4 aut | |
700 | 1 | |a Getaneh, Yimam |e verfasserin |4 aut | |
700 | 1 | |a Hailemariam, Ashenafi Haile |e verfasserin |4 aut | |
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700 | 1 | |a Parekh, Bharat S |e verfasserin |4 aut | |
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