Community-based HIV prevalence in KwaZulu-Natal, South Africa: results of a cross-sectional household survey

The Lancet. HIV
Ayesha B M KharsanyQuarraisha Abdool Karim

Abstract

In high HIV burden settings, maximising the coverage of prevention strategies is crucial to achieving epidemic control. However, little is known about the reach and effect of these strategies in some communities. We did a cross-sectional community survey in the adjacent Greater Edendale and Vulindlela areas in the uMgungundlovu district, KwaZulu-Natal, South Africa. Using a multistage cluster sampling method, we randomly selected enumeration areas, households, and individuals. One household member (aged 15-49 years) selected at random was invited for survey participation. After obtaining consent, questionnaires were administered to obtain sociodemographic, psychosocial, and behavioural information, and exposure to HIV prevention and treatment programmes. Clinical samples were collected for laboratory measurements. Statistical analyses were done accounting for multilevel sampling and weighted to represent the population. A multivariable logistic regression model assessed factors associated with HIV infection. Between June 11, 2014, and June 22, 2015, we enrolled 9812 individuals. The population-weighted HIV prevalence was 36·3% (95% CI 34·8-37·8, 3969 of 9812); 44·1% (42·3-45·9, 2955 of 6265) in women and 28·0% (25·9-30·1, 1014 ...Continue Reading

Citations

Nov 16, 2018·AIDS Research and Human Retroviruses·Benjamin ChimukangaraTulio de Oliveira
Jun 27, 2020·Journal of the International AIDS Society·Ann GottertSanyukta Mathur
Nov 2, 2019·JAMA Network Open·Ayesha B M KharsanyQuarraisha Abdool Karim
May 31, 2019·Journal of the International AIDS Society·Salim S Abdool KarimBrent L Williams
Jan 19, 2022·International Journal of STD & AIDS·Neema R MoshaMark Urassa

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