Risk Factors for Recent HIV Infections among Adults in 14 Countries in Africa Identified by Population-Based HIV Impact Assessment Surveys, 2015–2019

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Currie, Dustin W. ; West, Christine A. ; Patel, Hetal K. ; Favaloro, Jennifer ; Asiimwe, Fred ; Ndagije, Felix ; Silver, Rachel ; Mugurungi, Owen ; Shang, Judith ; Ndongmo, Clement B. ; Williams, Daniel B. ; Dzinotyiweyi, Edington ; Waruru, Anthony ; Pasipamire, Munyaradzi ; Nuwagaba-Biribonwoha, Harriet ; Dlamini, Sindisiwe ; McLeod, Natasha ; Kayirangwa, Eugenie ; Rwibasira, Gallican ; Minchella, Peter A. ; Auld, Andrew F. ; Nyirenda, Rose ; Getaneh, Yimam ; Hailemariam, Ashenafi Haile ; Tondoh-Koui, Isabelle ; Kohemun, Natacha ; Mgomella, George S. ; Njau, Prosper Faustine ; Kirungi, Wilford L. ; Dalhatu, Ibrahim ; Stafford, Kristen A. ; Bodika, Stephane M. ; Ussery, Faith ; McCracken, Stephen ; Stupp, Paul ; Brown, Kristin ; Duong, Yen T. ; Parekh, Bharat S. ; Voetsch, Andrew C.
• Description:
  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.
• Subjects:
  Data Collection Female HIV Infections Humans Male Risk Factors Sexual Partners
• Keywords:
  Cameroon Cross-sectional Studies Côte D’Ivoire Eswatini Ethiopia HIV HIV/AIDS And Other Retroviruses Kenya Lesotho Malawi Namibia Nigeria PHIA Population-Based HIV Impact Assessment Rwanda Sexually Transmitted Diseases Sexually Transmitted Infections Tanzania Uganda Viruses Zambia Zimbabwe Zoonoses

  More +
• Source:
  Emerg Infect Dis. 2023; 29(11):2325-2334
• Pubmed ID:
  37877591
• Pubmed Central ID:
  PMC10617335
• Document Type:
  Journal Article
• Funding:
  PEPFAR/PEPFARUnited States/ ; U2G GH001226/GH/CGH CDC HHSUnited States/
• Place as Subject:
  Africa
• Volume:
  29
• Issue:
  11
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:13626f19ff68a832620f4e21e7d6120c6ce625f31a9906ba5a184cd8eea60388
• Download URL:
  https://stacks.cdc.gov/view/cdc/135973/cdc_135973_DS1.pdf
• File Type:
  [PDF - 788.63 KB ]