Drought, HIV Testing, and HIV Transmission Risk Behaviors: A Population-Based Study in 10 High HIV Prevalence Countries in Sub-Saharan Africa
Abstract Droughts are associated with poor health outcomes and disruption of public health programming. Data on the association between drought and HIV testing and transmission risk behaviors are limited. We combined data from Demographic and Health Surveys from 10 high HIV prevalence sub-Saharan African countries with a high-resolution measure of drought. We estimated the association between drought and recent HIV testing, report of condomless sex, and number of sexual partners in the last year. Respondents exposed to drought were less likely to have an HIV test and more likely to have condomless sex, although effect sizes were small. We found evidence for effect modification by sex and age for the association between drought and HIV testing, such that the negative association between drought and HIV testing was strongest among men (marginal risk ratio [mRR] 0.92, 95% CI 0.89–0.95) and adolescents (mRR 0.90, 95% CI 0.86–0.93). Drought may hinder HIV testing programs in countries with high HIV prevalence..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:27 |
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| Enthalten in: |
Aids and behavior - 27(2022), 3 vom: 06. Sept., Seite 855-863 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Epstein, Adrienne [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Anmerkungen: |
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| doi: |
10.1007/s10461-022-03820-4 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
OLC2134070587 |
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| 520 | |a Abstract Droughts are associated with poor health outcomes and disruption of public health programming. Data on the association between drought and HIV testing and transmission risk behaviors are limited. We combined data from Demographic and Health Surveys from 10 high HIV prevalence sub-Saharan African countries with a high-resolution measure of drought. We estimated the association between drought and recent HIV testing, report of condomless sex, and number of sexual partners in the last year. Respondents exposed to drought were less likely to have an HIV test and more likely to have condomless sex, although effect sizes were small. We found evidence for effect modification by sex and age for the association between drought and HIV testing, such that the negative association between drought and HIV testing was strongest among men (marginal risk ratio [mRR] 0.92, 95% CI 0.89–0.95) and adolescents (mRR 0.90, 95% CI 0.86–0.93). Drought may hinder HIV testing programs in countries with high HIV prevalence. | ||
| 650 | 4 | |a Climate change | |
| 650 | 4 | |a drought | |
| 650 | 4 | |a HIV | |
| 650 | 4 | |a HIV testing | |
| 650 | 4 | |a condom use | |
| 650 | 4 | |a Africa | |
| 700 | 1 | |a Nagata, Jason M. |4 aut | |
| 700 | 1 | |a Ganson, Kyle T. |4 aut | |
| 700 | 1 | |a Nash, Denis |4 aut | |
| 700 | 1 | |a Saberi, Parya |4 aut | |
| 700 | 1 | |a Tsai, Alexander C. |4 aut | |
| 700 | 1 | |a Charlebois, Edwin D. |4 aut | |
| 700 | 1 | |a Weiser, Sheri D. |4 aut | |
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