e-Article
Risk Factors for Recent HIV Infections among Adults in 14 Countries in Africa Identified by Population-Based HIV Impact Assessment Surveys, 2015–2019
Document Type
article
Author
Dustin W. Currie; Christine A. West; Hetal K. Patel; Jennifer Favaloro; Fred Asiimwe; Felix Ndagije; Rachel Silver; Owen Mugurungi; Judith Shang; Clement B. Ndongmo; Daniel B. Williams; Edington Dzinotyiweyi; Anthony Waruru; Munyaradzi Pasipamire; Harriet Nuwagaba-Biribonwoha; Sindisiwe Dlamini; Natasha McLeod; Eugenie Kayirangwa; Gallican Rwibasira; Peter A. Minchella; Andrew F. Auld; Rose Nyirenda; Yimam Getaneh; Ashenafi Haile Hailemariam; Isabelle Tondoh-Koui; Natacha Kohemun; George S. Mgomella; Prosper Faustine Njau; Wilford L. Kirungi; Ibrahim Dalhatu; Kristen A. Stafford; Stephane M. Bodika; Faith Ussery; Stephen McCracken; Paul Stupp; Kristin Brown; Yen T. Duong; Bharat S. Parekh; Andrew C. Voetsch
Source
Emerging Infectious Diseases, Vol 29, Iss 11, Pp 2325-2334 (2023)
Subject
Language
English
ISSN
1080-6040
1080-6059
1080-6059
Abstract
Identifying persons who have newly acquired HIV infections is critical for characterizing the HIV epidemic direction. We analyzed pooled data from nationally representative Population-Based HIV Impact Assessment surveys conducted across 14 countries in Africa for recent infection risk factors. We included adults 15–49 years of age who had sex during the previous year and used a recent infection testing algorithm to distinguish recent from long-term infections. We collected risk factor information via participant interviews and assessed correlates of recent infection using multinomial logistic regression, incorporating each surveyʼs complex sampling design. Compared with HIV-negative persons, persons with higher odds of recent HIV infection were women, were divorced/separated/widowed, had multiple recent sex partners, had a recent HIV-positive sex partner or one with unknown status, and lived in communities with higher HIV viremia prevalence. Prevention programs focusing on persons at higher risk for HIV and their sexual partners will contribute to reducing HIV incidence.