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Mapping age- and sex-specific HIV prevalence in adults in sub-Saharan Africa, 2000–2018

Title: Mapping age- and sex-specific HIV prevalence in adults in sub-Saharan Africa, 2000–2018
Authors: Haeuser, E; Serfes, AL; Cork, MA; Yang, M; Abbastabar, H; Abhilash, ES; Adabi, M; Adebayo, OM; Adekanmbi, V; Adeyinka, DA; Afzal, S; Ahinkorah, BO; Ahmadi, K; Ahmed, MB; Akalu, Y; Akinyemi, RO; Akunna, CJ; Alahdab, F; Alanezi, FM; Alanzi, TM; Alene, KA; Alhassan, RK; Alipour, V; Almasi-Hashiani, A; Alvis-Guzman, N; Ameyaw, EK; Amini, S; Amugsi, DA; Ancuceanu, R; Anvari, D; Appiah, SCY; Arabloo, J; Aremu, O; Asemahagn, MA; Jafarabadi, MA; Awedew, AF; Quintanilla, BPA; Ayanore, MA; Aynalem, YA; Azari, S; Azene, ZN; Darshan, BB; Babalola, TK; Baig, AA; Banach, M; Bärnighausen, TW; Bell, AW; Bhagavathula, AS; Bhardwaj, N; Bhardwaj, P; Bhattacharyya, K; Bijani, A; Bitew, ZW; Bohlouli, S; Bolarinwa, OA; Boloor, A; Bozicevic, I; Butt, ZA; Cárdenas, R; Carvalho, F; Charan, J; Chattu, VK; Chowdhury, MAK; Chu, D-T; Cowden, RG; Dahlawi, SMA; Damiani, G; Darteh, EKM; Darwesh, AM; das Neves, J; Weaver, ND; De Leo, D; De Neve, J-W; Deribe, K; Deuba, K; Dharmaratne, S; Dianatinasab, M; Diaz, D; Didarloo, A; Djalalinia, S; Dorostkar, F; Dubljanin, E; Duko, B; El Tantawi, M; El-Jaafary, SI; Eshrati, B; Eskandarieh, S; Eyawo, O; Ezeonwumelu, IJ; Ezzikouri, S; Farzadfar, F; Fattahi, N; Fauk, NK; Fernandes, E; Filip, I; Fischer, F; Foigt, NA; Foroutan, M; Fukumoto, T; Gad, MM; Gaidhane, AM; Gebregiorgis, BG; Gebremedhin, KB; Getacher, L; Ghadiri, K; Ghashghaee, A; Golechha, M; Gubari, MIM; Gugnani, HC; Guimarães, RA; Haider, MR; Haj-Mirzaian, A; Hamidi, S; Hashi, A; Hassanipour, S; Hassankhani, H; Hayat, K; Herteliu, C; Ho, HC; Holla, R; Hosseini, M; Hosseinzadeh, M; Hwang, B-F; Ibitoye, SE; Ilesanmi, OS; Ilic, IM; Ilic, MD; Islam, RM; Iwu, CCD; Jakovljevic, M; Jha, RP; Ji, JS; Johnson, KB; Joseph, N; Joshua, V; Joukar, F; Jozwiak, JJ; Kalankesh, LR; Kalhor, R; Kamyari, N; Kanchan, T; Matin, BK; Karimi, SE; Kayode, GA; Karyani, AK; Keramati, M; Khan, EA; Khan, G; Khan, MN; Khatab, K; Khubchandani, J; Kim, YJ; Kisa, A; Kisa, S; Kopec, JA; Kosen, S; Laxminarayana, SLK; Koyanagi, A; Krishan, K; Defo, BK; Kugbey, N; Kulkarni, V; Kumar, M; Kumar, N; Kusuma, D; La Vecchia, C; Lal, DK; Landires, I; Larson, HJ; Lasrado, S; Lee, PH; Li, S; Liu, X; Maleki, A; Malik, P; Mansournia, MA; Martins-Melo, FR; Mendoza, W; Menezes, RG; Mengesha, EW; Meretoja, TJ; Mestrovic, T; Mirica, A; Moazen, B; Mohamad, O; Mohammad, Y; Mohammadian-Hafshejani, A; Mohammadpourhodki, R; Mohammed, S; Mokdad, AH; Moradi, M; Moraga, P; Mubarik, S; Mulu, GBB; Mwanri, L; Nagarajan, AJ; Naimzada, MD; Naveed, M; Nazari, J; Ndejjo, R; Negoi, I; Ngalesoni, FN; Nguefack-Tsague, G; Ngunjiri, JW; Nguyen, CT; Nguyen, HLT; Nnaji, CA; Noubiap, JJ; Nuñez-Samudio, V; Nwatah, VE; Oancea, B; Odukoya, OO; Olagunju, AT; Olakunde, BO; Olusanya, BO; Olusanya, JO; Bali, AO; Onwujekwe, OE; Orisakwe, OE; Otstavnov, N; Otstavnov, SS; Owolabi, MO; Mahesh, PA; Padubidri, JR; Pana, A; Pandey, A; Pandi-Perumal, SR; Kan, FP; Patton, GC; Pawar, S; Peprah, EK; Postma, MJ; Preotescu, L; Syed, ZQ; Rabiee, N; Radfar, A; Rafiei, A; Rahim, F; Rahimi-Movaghar, V; Rahmani, AM; Ramezanzadeh, K; Rana, J; Ranabhat, CL; Rao, SJ; Rawaf, DL; Rawaf, S; Rawassizadeh, R; Regassa, LD; Rezaei, N; Rezapour, A; Riaz, MA; Ribeiro, AI; Ross, JM; Rubagotti, E; Rumisha, SF; Rwegerera, GM; Moghaddam, SS; Sagar, R; Sahiledengle, B; Sahu, M; Salem, MR; Kafil, HS; Samy, AM; Sartorius, B; Sathian, B; Seidu, A-A; Shaheen, AA; Shaikh, MA; Shamsizadeh, M; Shiferaw, WS; Shin, JI; Shrestha, R; Singh, JA; Skryabin, VY; Skryabina, AA; Soltani, S; Sufiyan, MB; Tabuchi, T; Tadesse, EG; Taveira, N; Tesfay, FH; Thapar, R; Tovani-Palone, MR; Tsegaye, GW; Umeokonkwo, CD; Unnikrishnan, B; Villafañe, JH; Violante, FS; Vo, B; Vu, GT; Wado, YD; Waheed, Y; Wamai, RG; Wang, Y; Ward, P; Wickramasinghe, ND; Wilson, K; Yaya, S; Yip, P; Yonemoto, N; Yu, C; Zastrozhin, MS; Zhang, Y; Zhang, Z-J; Hay, SI; Dwyer-Lindgren, L
Contributors: Instituto de Saúde Pública da Universidade do Porto
Publisher Information: BMC
Publication Year: 2022
Collection: Repositório Aberto da Universidade do Porto
Subject Terms: Africa; Demographics; Geostatistics; HIV; HIV prevalence; Mapping; Spatial statistics
Description: Background: Human immunodeficiency virus and acquired immune deficiency syndrome (HIV/AIDS) is still among the leading causes of disease burden and mortality in sub-Saharan Africa (SSA), and the world is not on track to meet targets set for ending the epidemic by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the United Nations Sustainable Development Goals (SDGs). Precise HIV burden information is critical for effective geographic and epidemiological targeting of prevention and treatment interventions. Age- and sex-specific HIV prevalence estimates are widely available at the national level, and region-wide local estimates were recently published for adults overall. We add further dimensionality to previous analyses by estimating HIV prevalence at local scales, stratified into sex-specific 5-year age groups for adults ages 15–59 years across SSA. Methods: We analyzed data from 91 seroprevalence surveys and sentinel surveillance among antenatal care clinic (ANC) attendees using model-based geostatistical methods to produce estimates of HIV prevalence across 43 countries in SSA, from years 2000 to 2018, at a 5 × 5-km resolution and presented among second administrative level (typically districts or counties) units. Results: We found substantial variation in HIV prevalence across localities, ages, and sexes that have been masked in earlier analyses. Within-country variation in prevalence in 2018 was a median 3.5 times greater across ages and sexes, compared to for all adults combined. We note large within-district prevalence differences between age groups: for men, 50% of districts displayed at least a 14-fold difference between age groups with the highest and lowest prevalence, and at least a 9-fold difference for women. Prevalence trends also varied over time; between 2000 and 2018, 70% of all districts saw a reduction in prevalence greater than five percentage points in at least one sex and age group. Meanwhile, over 30% of all districts saw at least a five percentage point prevalence increase in ...
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: info:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP/04378/2020/PT; info:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB/04378/2020/PT; info:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB/50006/2020/PT; info:eu-repo/grantAgreement/FCT/CEEC IND 2018/CEECIND/02386/2018/CP1538/CT0001/PT; BMC Med. 2022 Dec 19;20(1):488. doi:10.1186/s12916-022-02639-z.; https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-022-02639-z; https://hdl.handle.net/10216/151587
DOI: 10.1186/s12916-022-02639-z
Availability: https://hdl.handle.net/10216/151587; https://doi.org/10.1186/s12916-022-02639-z
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.C7F765DA
Database: BASE