Document detail
ID

doi:10.1186/s12916-022-02639-z...

Author
Haeuser, Emily Serfes, Audrey L. Cork, Michael A. Yang, Mingyou Abbastabar, Hedayat Abhilash, E. S. Adabi, Maryam Adebayo, Oladimeji M. Adekanmbi, Victor Adeyinka, Daniel Adedayo Afzal, Saira Ahinkorah, Bright Opoku Ahmadi, Keivan Ahmed, Muktar Beshir Akalu, Yonas Akinyemi, Rufus Olusola Akunna, Chisom Joyqueenet Alahdab, Fares Alanezi, Fahad Mashhour Alanzi, Turki M. Alene, Kefyalew Addis Alhassan, Robert Kaba Alipour, Vahid Almasi-Hashiani, Amir Alvis-Guzman, Nelson Ameyaw, Edward Kwabena Amini, Saeed Amugsi, Dickson A. Ancuceanu, Robert Anvari, Davood Appiah, Seth Christopher Yaw Arabloo, Jalal Aremu, Olatunde Asemahagn, Mulusew A. Jafarabadi, Mohammad Asghari Awedew, Atalel Fentahun Quintanilla, Beatriz Paulina Ayala Ayanore, Martin Amogre Aynalem, Yared Asmare Azari, Samad Azene, Zelalem Nigussie Darshan, B. B. Babalola, Tesleem Kayode Baig, Atif Amin Banach, Maciej Bärnighausen, Till Winfried Bell, Arielle Wilder Bhagavathula, Akshaya Srikanth Bhardwaj, Nikha Bhardwaj, Pankaj Bhattacharyya, Krittika Bijani, Ali Bitew, Zebenay Workneh Bohlouli, Somayeh Bolarinwa, Obasanjo Afolabi Boloor, Archith Bozicevic, Ivana Butt, Zahid A. Cárdenas, Rosario Carvalho, Felix Charan, Jaykaran Chattu, Vijay Kumar Chowdhury, Mohiuddin Ahsanul Kabir Chu, Dinh-Toi Cowden, Richard G. Dahlawi, Saad M. A. Damiani, Giovanni Darteh, Eugene Kofuor Maafo Darwesh, Aso Mohammad Neves, José Weaver, Nicole Davis Leo, Diego Neve, Jan-Walter Deribe, Kebede Deuba, Keshab Dharmaratne, Samath Dianatinasab, Mostafa Diaz, Daniel Didarloo, Alireza Djalalinia, Shirin Dorostkar, Fariba Dubljanin, Eleonora Duko, Bereket Tantawi, Maha El-Jaafary, Shaimaa I. Eshrati, Babak Eskandarieh, Sharareh Eyawo, Oghenowede Ezeonwumelu, Ifeanyi Jude Ezzikouri, Sayeh Farzadfar, Farshad Fattahi, Nazir Fauk, Nelsensius Klau Fernandes, Eduarda Filip, Irina Fischer, Florian Foigt, Nataliya A. Foroutan, Masoud Fukumoto, Takeshi Gad, Mohamed M. Gaidhane, Abhay Motiramji Gebregiorgis, Birhan Gebresillassie Gebremedhin, Ketema Bizuwork Getacher, Lemma Ghadiri, Keyghobad Ghashghaee, Ahmad Golechha, Mahaveer Gubari, Mohammed Ibrahim Mohialdeen Gugnani, Harish Chander Guimarães, Rafael Alves Haider, Mohammad Rifat Haj-Mirzaian, Arvin Hamidi, Samer Hashi, Abdiwahab Hassanipour, Soheil Hassankhani, Hadi Hayat, Khezar Herteliu, Claudiu Ho, Hung Chak Holla, Ramesh Hosseini, Mostafa Hosseinzadeh, Mehdi Hwang, Bing-Fang Ibitoye, Segun Emmanuel Ilesanmi, Olayinka Stephen Ilic, Irena M. Ilic, Milena D. Islam, Rakibul M. Iwu, Chidozie C. D. Jakovljevic, Mihajlo Jha, Ravi Prakash Ji, John S. Johnson, Kimberly B. Joseph, Nitin Joshua, Vasna Joukar, Farahnaz Jozwiak, Jacek Jerzy Kalankesh, Leila R. Kalhor, Rohollah Kamyari, Naser Kanchan, Tanuj Matin, Behzad Karami Karimi, Salah Eddin Kayode, Gbenga A. Karyani, Ali Kazemi Keramati, Maryam Khan, Ejaz Ahmad Khan, Gulfaraz Khan, Md Nuruzzaman Khatab, Khaled Khubchandani, Jagdish Kim, Yun Jin Kisa, Adnan Kisa, Sezer Kopec, Jacek A. Kosen, Soewarta Laxminarayana, Sindhura Lakshmi Koulmane Koyanagi, Ai Krishan, Kewal Defo, Barthelemy Kuate Kugbey, Nuworza Kulkarni, Vaman Kumar, Manasi Kumar, Nithin Kusuma, Dian Vecchia, Carlo Lal, Dharmesh Kumar Landires, Iván Larson, Heidi Jane Lasrado, Savita Lee, Paul H. Li, Shanshan Liu, Xuefeng Maleki, Afshin Malik, Preeti Mansournia, Mohammad Ali Martins-Melo, Francisco Rogerlândio Mendoza, Walter Menezes, Ritesh G. Mengesha, Endalkachew Worku Meretoja, Tuomo J. Mestrovic, Tomislav Mirica, Andreea Moazen, Babak Mohamad, Osama Mohammad, Yousef Mohammadian-Hafshejani, Abdollah Mohammadpourhodki, Reza Mohammed, Salahuddin Mohammed, Shafiu Mokdad, Ali H. Moradi, Masoud Moraga, Paula Mubarik, Sumaira Mulu, Getaneh Baye B. Mwanri, Lillian Nagarajan, Ahamarshan Jayaraman Naimzada, Mukhammad David Naveed, Muhammad Nazari, Javad Ndejjo, Rawlance Negoi, Ionut Ngalesoni, Frida N. Nguefack-Tsague, Georges Ngunjiri, Josephine W. Nguyen, Cuong Tat Nguyen, Huong Lan Thi Nnaji, Chukwudi A. Noubiap, Jean Jacques Nuñez-Samudio, Virginia Nwatah, Vincent Ebuka Oancea, Bogdan Odukoya, Oluwakemi Ololade Olagunju, Andrew T. Olakunde, Babayemi Oluwaseun Olusanya, Bolajoko Olubukunola Olusanya, Jacob Olusegun Bali, Ahmed Omar Onwujekwe, Obinna E. Orisakwe, Orish Ebere Otstavnov, Nikita Otstavnov, Stanislav S. Owolabi, Mayowa O. Mahesh, P. A. Padubidri, Jagadish Rao Pana, Adrian Pandey, Ashok Pandi-Perumal, Seithikurippu R. Kan, Fatemeh Pashazadeh Patton, George C. Pawar, Shrikant Peprah, Emmanuel K. Postma, Maarten J. Preotescu, Liliana Syed, Zahiruddin Quazi Rabiee, Navid Radfar, Amir Rafiei, Alireza Rahim, Fakher Rahimi-Movaghar, Vafa Rahmani, Amir Masoud Ramezanzadeh, Kiana Rana, Juwel Ranabhat, Chhabi Lal Rao, Sowmya J. Rawaf, David Laith Rawaf, Salman Rawassizadeh, Reza Regassa, Lemma Demissie Rezaei, Nima Rezapour, Aziz Riaz, Mavra A. Ribeiro, Ana Isabel Ross, Jennifer M. Rubagotti, Enrico Rumisha, Susan Fred Rwegerera, Godfrey M. Moghaddam, Sahar Saeedi Sagar, Rajesh Sahiledengle, Biniyam Sahu, Maitreyi Salem, Marwa Rashad Kafil, Hossein Samadi Samy, Abdallah M. Sartorius, Benn Sathian, Brijesh Seidu, Abdul-Aziz Shaheen, Amira A. Shaikh, Masood Ali Shamsizadeh, Morteza Shiferaw, Wondimeneh Shibabaw Shin, Jae Il Shrestha, Roman Singh, Jasvinder A. Skryabin, Valentin Yurievich Skryabina, Anna Aleksandrovna Soltani, Shahin Sufiyan, Mu’awiyyah Babale Tabuchi, Takahiro Tadesse, Eyayou Girma Taveira, Nuno Tesfay, Fisaha Haile Thapar, Rekha Tovani-Palone, Marcos Roberto Tsegaye, Gebiyaw Wudie Umeokonkwo, Chukwuma David Unnikrishnan, Bhaskaran Villafañe, Jorge Hugo Violante, Francesco S. Vo, Bay Vu, Giang Thu Wado, Yohannes Dibaba Waheed, Yasir Wamai, Richard G. Wang, Yanzhong Ward, Paul Wickramasinghe, Nuwan Darshana Wilson, Katherine Yaya, Sanni Yip, Paul Yonemoto, Naohiro Yu, Chuanhua Zastrozhin, Mikhail Sergeevich Zhang, Yunquan Zhang, Zhi-Jiang Hay, Simon I. Dwyer-Lindgren, Laura on behalf of Local Burden of Disease sub-Saharan Africa HIV Prevalence Collaborators
Langue
en
Editor

BioMed Central

Category

Medicine & Public Health

Year

2022

listing date

12/21/2022

Keywords
hiv mapping africa geostatistics spatial statistics hiv prevalence demographics sex-specific 2018 ages districts prevalence age ssa hiv
Metrics

Abstract

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 one or more sex and age group.

Conclusions As the HIV epidemic persists and evolves in SSA, geographic and demographic shifts in prevention and treatment efforts are necessary.

These estimates offer epidemiologically informative detail to better guide more targeted interventions, vital for combating HIV in SSA.

Haeuser, Emily,Serfes, Audrey L.,Cork, Michael A.,Yang, Mingyou,Abbastabar, Hedayat,Abhilash, E. S.,Adabi, Maryam,Adebayo, Oladimeji M.,Adekanmbi, Victor,Adeyinka, Daniel Adedayo,Afzal, Saira,Ahinkorah, Bright Opoku,Ahmadi, Keivan,Ahmed, Muktar Beshir,Akalu, Yonas,Akinyemi, Rufus Olusola,Akunna, Chisom Joyqueenet,Alahdab, Fares,Alanezi, Fahad Mashhour,Alanzi, Turki M.,Alene, Kefyalew Addis,Alhassan, Robert Kaba,Alipour, Vahid,Almasi-Hashiani, Amir,Alvis-Guzman, Nelson,Ameyaw, Edward Kwabena,Amini, Saeed,Amugsi, Dickson A.,Ancuceanu, Robert,Anvari, Davood,Appiah, Seth Christopher Yaw,Arabloo, Jalal,Aremu, Olatunde,Asemahagn, Mulusew A.,Jafarabadi, Mohammad Asghari,Awedew, Atalel Fentahun,Quintanilla, Beatriz Paulina Ayala,Ayanore, Martin Amogre,Aynalem, Yared Asmare,Azari, Samad,Azene, Zelalem Nigussie,Darshan, B. B.,Babalola, Tesleem Kayode,Baig, Atif Amin,Banach, Maciej,Bärnighausen, Till Winfried,Bell, Arielle Wilder,Bhagavathula, Akshaya Srikanth,Bhardwaj, Nikha,Bhardwaj, Pankaj,Bhattacharyya, Krittika,Bijani, Ali,Bitew, Zebenay Workneh,Bohlouli, Somayeh,Bolarinwa, Obasanjo Afolabi,Boloor, Archith,Bozicevic, Ivana,Butt, Zahid A.,Cárdenas, Rosario,Carvalho, Felix,Charan, Jaykaran,Chattu, Vijay Kumar,Chowdhury, Mohiuddin Ahsanul Kabir,Chu, Dinh-Toi,Cowden, Richard G.,Dahlawi, Saad M. A.,Damiani, Giovanni,Darteh, Eugene Kofuor Maafo,Darwesh, Aso Mohammad,Neves, José,Weaver, Nicole Davis,Leo, Diego,Neve, Jan-Walter,Deribe, Kebede,Deuba, Keshab,Dharmaratne, Samath,Dianatinasab, Mostafa,Diaz, Daniel,Didarloo, Alireza,Djalalinia, Shirin,Dorostkar, Fariba,Dubljanin, Eleonora,Duko, Bereket,Tantawi, Maha,El-Jaafary, Shaimaa I.,Eshrati, Babak,Eskandarieh, Sharareh,Eyawo, Oghenowede,Ezeonwumelu, Ifeanyi Jude,Ezzikouri, Sayeh,Farzadfar, Farshad,Fattahi, Nazir,Fauk, Nelsensius Klau,Fernandes, Eduarda,Filip, Irina,Fischer, Florian,Foigt, Nataliya A.,Foroutan, Masoud,Fukumoto, Takeshi,Gad, Mohamed M.,Gaidhane, Abhay Motiramji,Gebregiorgis, Birhan Gebresillassie,Gebremedhin, Ketema Bizuwork,Getacher, Lemma,Ghadiri, Keyghobad,Ghashghaee, Ahmad,Golechha, Mahaveer,Gubari, Mohammed Ibrahim Mohialdeen,Gugnani, Harish Chander,Guimarães, Rafael Alves,Haider, Mohammad Rifat,Haj-Mirzaian, Arvin,Hamidi, Samer,Hashi, Abdiwahab,Hassanipour, Soheil,Hassankhani, Hadi,Hayat, Khezar,Herteliu, Claudiu,Ho, Hung Chak,Holla, Ramesh,Hosseini, Mostafa,Hosseinzadeh, Mehdi,Hwang, Bing-Fang,Ibitoye, Segun Emmanuel,Ilesanmi, Olayinka Stephen,Ilic, Irena M.,Ilic, Milena D.,Islam, Rakibul M.,Iwu, Chidozie C. D.,Jakovljevic, Mihajlo,Jha, Ravi Prakash,Ji, John S.,Johnson, Kimberly B.,Joseph, Nitin,Joshua, Vasna,Joukar, Farahnaz,Jozwiak, Jacek Jerzy,Kalankesh, Leila R.,Kalhor, Rohollah,Kamyari, Naser,Kanchan, Tanuj,Matin, Behzad Karami,Karimi, Salah Eddin,Kayode, Gbenga A.,Karyani, Ali Kazemi,Keramati, Maryam,Khan, Ejaz Ahmad,Khan, Gulfaraz,Khan, Md Nuruzzaman,Khatab, Khaled,Khubchandani, Jagdish,Kim, Yun Jin,Kisa, Adnan,Kisa, Sezer,Kopec, Jacek A.,Kosen, Soewarta,Laxminarayana, Sindhura Lakshmi Koulmane,Koyanagi, Ai,Krishan, Kewal,Defo, Barthelemy Kuate,Kugbey, Nuworza,Kulkarni, Vaman,Kumar, Manasi,Kumar, Nithin,Kusuma, Dian,Vecchia, Carlo,Lal, Dharmesh Kumar,Landires, Iván,Larson, Heidi Jane,Lasrado, Savita,Lee, Paul H.,Li, Shanshan,Liu, Xuefeng,Maleki, Afshin,Malik, Preeti,Mansournia, Mohammad Ali,Martins-Melo, Francisco Rogerlândio,Mendoza, Walter,Menezes, Ritesh G.,Mengesha, Endalkachew Worku,Meretoja, Tuomo J.,Mestrovic, Tomislav,Mirica, Andreea,Moazen, Babak,Mohamad, Osama,Mohammad, Yousef,Mohammadian-Hafshejani, Abdollah,Mohammadpourhodki, Reza,Mohammed, Salahuddin,Mohammed, Shafiu,Mokdad, Ali H.,Moradi, Masoud,Moraga, Paula,Mubarik, Sumaira,Mulu, Getaneh Baye B.,Mwanri, Lillian,Nagarajan, Ahamarshan Jayaraman,Naimzada, Mukhammad David,Naveed, Muhammad,Nazari, Javad,Ndejjo, Rawlance,Negoi, Ionut,Ngalesoni, Frida N.,Nguefack-Tsague, Georges,Ngunjiri, Josephine W.,Nguyen, Cuong Tat,Nguyen, Huong Lan Thi,Nnaji, Chukwudi A.,Noubiap, Jean Jacques,Nuñez-Samudio, Virginia,Nwatah, Vincent Ebuka,Oancea, Bogdan,Odukoya, Oluwakemi Ololade,Olagunju, Andrew T.,Olakunde, Babayemi Oluwaseun,Olusanya, Bolajoko Olubukunola,Olusanya, Jacob Olusegun,Bali, Ahmed Omar,Onwujekwe, Obinna E.,Orisakwe, Orish Ebere,Otstavnov, Nikita,Otstavnov, Stanislav S.,Owolabi, Mayowa O.,Mahesh, P. A.,Padubidri, Jagadish Rao,Pana, Adrian,Pandey, Ashok,Pandi-Perumal, Seithikurippu R.,Kan, Fatemeh Pashazadeh,Patton, George C.,Pawar, Shrikant,Peprah, Emmanuel K.,Postma, Maarten J.,Preotescu, Liliana,Syed, Zahiruddin Quazi,Rabiee, Navid,Radfar, Amir,Rafiei, Alireza,Rahim, Fakher,Rahimi-Movaghar, Vafa,Rahmani, Amir Masoud,Ramezanzadeh, Kiana,Rana, Juwel,Ranabhat, Chhabi Lal,Rao, Sowmya J.,Rawaf, David Laith,Rawaf, Salman,Rawassizadeh, Reza,Regassa, Lemma Demissie,Rezaei, Nima,Rezapour, Aziz,Riaz, Mavra A.,Ribeiro, Ana Isabel,Ross, Jennifer M.,Rubagotti, Enrico,Rumisha, Susan Fred,Rwegerera, Godfrey M.,Moghaddam, Sahar Saeedi,Sagar, Rajesh,Sahiledengle, Biniyam,Sahu, Maitreyi,Salem, Marwa Rashad,Kafil, Hossein Samadi,Samy, Abdallah M.,Sartorius, Benn,Sathian, Brijesh,Seidu, Abdul-Aziz,Shaheen, Amira A.,Shaikh, Masood Ali,Shamsizadeh, Morteza,Shiferaw, Wondimeneh Shibabaw,Shin, Jae Il,Shrestha, Roman,Singh, Jasvinder A.,Skryabin, Valentin Yurievich,Skryabina, Anna Aleksandrovna,Soltani, Shahin,Sufiyan, Mu’awiyyah Babale,Tabuchi, Takahiro,Tadesse, Eyayou Girma,Taveira, Nuno,Tesfay, Fisaha Haile,Thapar, Rekha,Tovani-Palone, Marcos Roberto,Tsegaye, Gebiyaw Wudie,Umeokonkwo, Chukwuma David,Unnikrishnan, Bhaskaran,Villafañe, Jorge Hugo,Violante, Francesco S.,Vo, Bay,Vu, Giang Thu,Wado, Yohannes Dibaba,Waheed, Yasir,Wamai, Richard G.,Wang, Yanzhong,Ward, Paul,Wickramasinghe, Nuwan Darshana,Wilson, Katherine,Yaya, Sanni,Yip, Paul,Yonemoto, Naohiro,Yu, Chuanhua,Zastrozhin, Mikhail Sergeevich,Zhang, Yunquan,Zhang, Zhi-Jiang,Hay, Simon I.,Dwyer-Lindgren, Laura,on behalf of Local Burden of Disease sub-Saharan Africa HIV Prevalence Collaborators, 2022, Mapping age- and sex-specific HIV prevalence in adults in sub-Saharan Africa, 2000–2018, BioMed Central

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