HIV RECENT INFECTION AND PAST HIV TESTING HISTORY AMONG NEWLY HIV-DIAGNOSED 15-24-YEAR-OLDS IN MALAWI: AN ANALYSIS OF 2019-2022 HIV RECENT INFECTION SURVEILLANCE DATA

被引:0
作者
Kabaghe, Alinune N. [1 ]
Stephens, Reno [1 ]
Payne, Danielle [1 ]
Theu, Joe [2 ]
Luhanga, Misheck [1 ]
Chalira, Davie [2 ]
Arons, Melissa M. [3 ]
O'Malley, Gabrielle [4 ]
Thomson, Kerry A. [4 ]
Nyangulu, Mtemwa [1 ]
Nyirenda, Rose [5 ]
Patel, Pragna [3 ]
Wadonda-Kabondo, Nellie [1 ]
机构
[1] US Ctr Dis Control & Prevent, Lilongwe, Malawi
[2] Univ Washington, Int Training & Educ Ctr Hlth I TECH, Lilongwe, Malawi
[3] US Ctr Dis Control & Prevent, Atlanta, GA USA
[4] Univ Washington, Int Training & Educ Ctr Hlth I TECH, Seattle, WA 98195 USA
[5] Minist Hlth, Lilongwe, Malawi
关键词
recent HIV infection; adolescents; HIV testing and awareness; new HIV infections; SEXUAL-BEHAVIOR; ALCOHOL-USE; RISK; STRATEGIES; COMMUNITY; WOMEN; MEN;
D O I
10.1521/aeap.2023.35.suppA.4
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Awareness of HIV status in Malawi is 88.3% and lowest among 15- 24- year-olds (76.2%). There is a need to understand HIV testing history and transmission in this age group. We analyzed pooled HIV surveillance data to describe testing history and HIV recent infection among 8,389 HIV- positive 15-24-year-olds from 251 sites in Malawi between 2019 and 2022. Most HIV- positive 15-24-year-olds were female; aged 23- 24 years; rural residents; and diagnosed at voluntary counseling and testing. No prior HIV testing was reported in 43.5% and 32.9% of 15- 19- year-olds and males, respectively. Overall, 4.9% of HIV-positive diagnoses were classified as recent HIV infections, with the highest proportions among breastfeeding women (8.2%); persons tested at sexually transmitted infection clinics (9.0%); persons with a prior negative test within 6 months (13.0%); and 17-18-year-olds (7.3%). Tailored and innovative HIV prevention and testing strategies for young adolescents, young males, and pregnant and breastfeeding women are needed for HIV epidemic control.
引用
收藏
页码:4 / 19
页数:16
相关论文
共 46 条
[1]   Performance of a novel rapid test for recent HIV infection among newly-diagnosed pregnant adolescent girls and young women in four high-HIV-prevalence districts-Malawi, 2017-2018 [J].
Agyemang, Elfriede A. ;
Kim, Andrea A. ;
Dobbs, Trudy ;
Zungu, Innocent ;
Payne, Danielle ;
Maher, Andrew D. ;
Curran, Kathryn ;
Kim, Evelyn ;
Kwalira, Hastings ;
Limula, Henry ;
Adhikari, Amitabh ;
Welty, Susie ;
Kandulu, James ;
Nyirenda, Rose ;
Auld, Andrew F. ;
Rutherford, George W. ;
Parekh, Bharat S. .
PLOS ONE, 2022, 17 (02)
[2]   Increasing knowledge of HIV status in a country with high HIV testing coverage: Results from the Botswana Combination Prevention Project [J].
Alwano, Mary Grace ;
Bachanas, Pamela ;
Block, Lisa ;
Roland, Michelle ;
Sento, Baraedi ;
Behel, Stephanie ;
Lebelonyane, Refeletswe ;
Wirth, Kathleen ;
Ussery, Faith ;
Bapati, William ;
Motswere-Chirwa, Catherine ;
Abrams, William ;
Ussery, Gene ;
Miller, James A. ;
Bile, Ebi ;
Fonjungo, Peter ;
Kgwadu, Agisanag ;
Holme, Molly Pretorius ;
Del Castillo, Lisetta ;
Gaolathe, Tendani ;
Leme, Kelebemang ;
Majingo, Nokuthula ;
Lockman, Shahin ;
Makhema, Joseph ;
Bock, Naomi ;
Moore, Janet .
PLOS ONE, 2019, 14 (11)
[3]  
[Anonymous], 2017, LANCET HIV, V4, pE189, DOI 10.1016/S2352-3018(17)30076-0
[4]   Risk of Human Immunodeficiency Virus Acquisition Among High-Risk Heterosexuals With Nonviral Sexually Transmitted Infections: A Systematic Review and Meta-Analysis [J].
Barker, Erin K. ;
Malekinejad, Mohsen ;
Merai, Rikita ;
Lyles, Cynthia M. ;
Sipe, Theresa Ann ;
DeLuca, Julia B. ;
Ridpath, Alison D. ;
Gift, Thomas L. ;
Tailor, Amrita ;
Kahn, James G. .
SEXUALLY TRANSMITTED DISEASES, 2022, 49 (06) :383-397
[5]  
Chamie G, 2021, LANCET HIV, V8, pe225, DOI 10.1016/S2352-3018(21)00023-0
[6]   Developing national strategies for reaching men with HIV testing services in Tanzania: results from the male catch-up plan [J].
Conserve, Donaldson F. ;
Issango, Jumanne ;
Kilale, Andrew M. ;
Njau, Bernard ;
Nhigula, Patrick ;
Memiah, Peter ;
Mbita, Gaspar ;
Choko, Augustine T. ;
Hamilton, Akeen ;
King, Gary .
BMC HEALTH SERVICES RESEARCH, 2019, 19 (1)
[7]   'Men usually say that HIV testing is for women': gender dynamics and perceptions of HIV testing in Lesotho [J].
DiCarlo, Abby L. ;
Mantell, Joanne E. ;
Remien, Robert H. ;
Zerbe, Allison ;
Morris, Danielle ;
Pitt, Blanche ;
Abrams, Elaine J. ;
El-Sadr, Wafaa M. .
CULTURE HEALTH & SEXUALITY, 2014, 16 (08) :867-882
[8]   Incident HIV during Pregnancy and Postpartum and Risk of Mother-to-Child HIV Transmission: A Systematic Review and Meta-Analysis [J].
Drake, Alison L. ;
Wagner, Anjuli ;
Richardson, Barbra ;
John-Stewart, Grace .
PLOS MEDICINE, 2014, 11 (02)
[9]   After their wives have delivered, a lot of men like going out: Perceptions of HIV transmission risk and support for HIV prevention methods during breastfeeding in sub-Saharan Africa [J].
Flax, Valerie L. ;
Hawley, Imogen ;
Ryan, Julia ;
Chitukuta, Miria ;
Mathebula, Florence ;
Nakalega, Rita ;
Seyama, Linly ;
Taulo, Frank ;
van der Straten, Ariane .
MATERNAL AND CHILD NUTRITION, 2021, 17 (02)
[10]  
Franco-Paredes C, 2017, LANCET HIV, V4, pE101, DOI 10.1016/S2352-3018(17)30018-8