Evidence of HIV incidence reduction in young women, but not in adolescent girls, in KwaZulu-Natal, South Africa.

ART Cross-sectional surveys HIV Incidence Prevalence Recency tests

Journal

IJID regions
ISSN: 2772-7076
Titre abrégé: IJID Reg
Pays: England
ID NLM: 9918418183106676

Informations de publication

Date de publication:
Sep 2023
Historique:
received: 05 05 2023
revised: 07 07 2023
accepted: 10 07 2023
medline: 14 8 2023
pubmed: 14 8 2023
entrez: 14 8 2023
Statut: epublish

Résumé

We estimated changes in the HIV incidence from 2013-2018 in Eshowe/Mbongolwane, KwaZulu-Natal, South Africa where Médecins Sans Frontières is engaged in providing HIV testing and care since 2011. Using data from two cross-sectional household-based surveys conducted in 2013 and 2018, with consenting participants aged 15-59 years, we applied the incidence estimation frameworks of Mahiane et al and Kassanjee et al. In total, 5599 (62.4% women) and 3276 (65.9% women) individuals were included in 2013 and 2018, respectively. We found a mean incidence in women aged 20-29 years of 2.71 cases per 100 person-years (95% confidence interval [CI]: 1.23;4.19) in 2013 and 0.4 cases per 100 person-years (95% CI: 0.0;1.5) in 2018. The incidence in men aged 20-29 years was 1.91 cases per 100 person-years (95% CI: 0.87; 2.93) in 2013 and 0.53 cases per 100 person-years (95% CI: 0.0; 1.4) in 2018. The incidence decline among women aged 15-19 was -0.34 cases per 100 person-years (95% CI: -1.31;0.64). The lack of evidence of incidence decline among adolescent girls is noteworthy and disconcerting. Our findings suggest that large-scale surveys should seriously consider focusing their resources on the core group of women aged 15-19 years.

Identifiants

pubmed: 37577330
doi: 10.1016/j.ijregi.2023.07.004
pii: S2772-7076(23)00074-7
pmc: PMC10415685
doi:

Types de publication

Journal Article

Langues

eng

Pagination

111-117

Informations de copyright

© 2023 The Authors.

Déclaration de conflit d'intérêts

The authors have no competing interests to declare.

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Auteurs

Laurette Mhlanga (L)

DSI-NRF Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, Stellenbosch, South Africa.
NorthWestern University, Illinois, USA.

Alex Welte (A)

DSI-NRF Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, Stellenbosch, South Africa.

Eduard Grebe (E)

DSI-NRF Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, Stellenbosch, South Africa.
Vitalant Research Institute, San Fransico, USA.
University of California, San Francisco, USA.

Liesbet Ohler (L)

Médecins sans Frontières, Eshowe, South Africa.

Gilles Van Cutsem (G)

Médecins sans Frontières, Southern Africa Medical Unit, Cape Town, South Africa.
Centre for Infectious Disease Epidemiology and Research, University of Cape Town, South Africa.

Helena Huerga (H)

Interventional Epidemiology Department, Epicentre, Paris, France.

Nolwenn Conan (N)

Interventional Epidemiology Department, Epicentre, Paris, France.

Classifications MeSH