Short Communication: Prioritizing Communities for HIV Prevention in sub-Saharan Africa

被引:9
作者
Baernighausen, Till [1 ,2 ]
Tanser, Frank [1 ]
Hallett, Timothy [3 ]
Newell, Marie-Louise [1 ,3 ]
机构
[1] Univ KwaZulu Natal, Africa Ctr Hlth & Populat Studies, ZA-3935 Mtubatuba, Kwazulu Natal, South Africa
[2] Harvard Univ, Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA
[3] Univ London Imperial Coll Sci Technol & Med, Dept Infect Dis Epidemiol, London, England
基金
英国惠康基金;
关键词
SOUTH-AFRICA; POPULATION; PREVALENCE; INFECTION; MORTALITY; RISK;
D O I
10.1089/aid.2009.0236
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
HIV prevalence is the most commonly used measure to prioritize communities for HIV prevention. We show that data on two HIV infection stages (early vs. nonearly and late vs. nonlate) allow estimation of two better measures of prevention need: HIV incidence (for prevention of HIV acquisition) and expected probability of HIV transmission in unprotected sex acts between HIV-infected community members and susceptible individuals (for prevention of HIV transmission). The three ranking schemes-by prevalence, incidence, and transmission probability-lead to significantly different community rank orders. Disease stage information should be collected in HIV surveys.
引用
收藏
页码:401 / 405
页数:5
相关论文
共 23 条
[1]   Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: The ANRS 1265 trial [J].
Auvert, B ;
Taljaard, D ;
Lagarde, E ;
Sobngwi-Tambekou, J ;
Sitta, M ;
Puren, A .
PLOS MEDICINE, 2005, 2 (11) :1112-1122
[2]  
Bärnighausen T, 2007, AIDS, V21, pS29, DOI 10.1097/01.aids.0000300533.59483.95
[3]   Lack of a Decline in HIV Incidence in a Rural Community with High HIV Prevalence in South Africa, 2003-2007 [J].
Baernighausen, Till ;
Tanser, Frank ;
Newell, Marie-Louise .
AIDS RESEARCH AND HUMAN RETROVIRUSES, 2009, 25 (04) :405-409
[4]  
BARNIGHAUSEN T, EPIDEMIOLOG IN PRESS
[5]   Human resources for treating HIV/AIDS:: Needs, capacities, and gaps [J].
Barnighausen, Till ;
Bloom, David E. ;
Humair, Salal .
AIDS PATIENT CARE AND STDS, 2007, 21 (11) :799-812
[6]   HIV Incidence in Rural South Africa: Comparison of Estimates from Longitudinal Surveillance and Cross-Sectional cBED Assay Testing [J].
Barnighausen, Till ;
Wallrauch, Claudia ;
Welte, Alex ;
McWalter, Thomas A. ;
Mbizana, Nhlanhla ;
Viljoen, Johannes ;
Graham, Natalie ;
Tanser, Frank ;
Puren, Adrian ;
Newell, Marie-Louise .
PLOS ONE, 2008, 3 (11)
[7]   Heterosexual risk of HIV-1 infection per sexual act: systematic review and meta-analysis of observational studies [J].
Boily, Marie-Claude ;
Baggaley, Rebecca F. ;
Wang, Lei ;
Masse, Benoit ;
White, Richard G. ;
Hayes, Richard J. ;
Alary, Michel .
LANCET INFECTIOUS DISEASES, 2009, 9 (02) :118-129
[8]   HIV prevention for a threatened continent - Implementing positive prevention in Africa [J].
Bunnell, Rebecca ;
Mermin, Jonathan ;
De Cock, Kevin M. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 296 (07) :855-858
[9]  
*DEM HLTH SURV, 2009, HIV PREV QUICKST STA
[10]   Identifying deaths from AIDS in South Africa: an update [J].
Groenewald, P ;
Bradshaw, D ;
Dorrington, R ;
Bourne, D ;
Laubscher, R ;
Nannan, N .
AIDS, 2005, 19 (07) :744-745