Temporal trends in sexual behaviours and their impacts on HIV incidence among South African women: 2002-2016.

AIDS Care
Handan WandGita Ramjee

Abstract

South Africa has the highest number of HIV infected individuals in the world. The primary objective of the current study was to describe temporal changes in HIV incidence rates using the data from 9,948 women who enrolled in one of the six HIV prevention trials conducted in KwaZulu-Natal, South Africa. Characteristics of the study population were presented and compared across the four study periods: 2002-2004, 2005-2008, 2009-2011 and 2012-2016. HIV infection rates increased from 6.2 to 9.3 per 100 person-year over the 15 years. These rates were as high as 14 per 100 person-year among women younger than 20 years age. Being single/not cohabiting, using injectable contraceptives, having less than two children, and diagnosed with STI(s) were associated with increased risk of HIV infection. These four factors were associated with 71%, 75%, 80% and 88% of the HIV seroconversions in four study periods. As the research continues to find ways of controlling the spread of the infections, quantifying the temporal trends in risk factors and their population-level impacts on HIV infection may have significant implications. This information may assist in developing effective counselling and education programs by targeting the sexually activ...Continue Reading

References

Mar 6, 2009·International Journal of Epidemiology·Frank TanserMarie-Louise Newell
Jun 10, 2010·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Petra De KokerWim Delva
Feb 19, 2011·AIDS·Salim S Abdool KarimUNKNOWN HIV Prevention Trials Network (HPTN) 035 Study Team
Feb 5, 2015·The New England Journal of Medicine·Jeanne M MarrazzoUNKNOWN VOICE Study Team
Nov 1, 2005·African Journal of AIDS Research : AJAR·Charles Ogoye-Ndegwa
Feb 24, 2016·The New England Journal of Medicine·Jared M BaetenUNKNOWN MTN-020–ASPIRE Study Team
Feb 27, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jennifer E BalkusJared M Baeten
Mar 14, 2018·PloS One·Bhakti HansotiThomas C Quinn

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