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
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页码:4 / 19
页数:16
相关论文
共 46 条
[11]   Socioeconomic Predictors of Transactional Sex in a Cohort of Adolescent Girls and Young Women in Malawi: A Longitudinal Analysis [J].
Gichane, Margaret W. ;
Moracco, Kathryn E. ;
Pettifor, Audrey E. ;
Zimmer, Catherine ;
Maman, Suzanne ;
Phanga, Twambilile ;
Nthani, Tiyamike ;
Rosenberg, Nora E. .
AIDS AND BEHAVIOR, 2020, 24 (12) :3376-3384
[12]   Trends in knowledge of HIV status and efficiency of HIV testing services in sub-Saharan Africa, 2000-20: a modelling study using survey and HIV testing programme data [J].
Giguere, Katia ;
Eaton, Jeffrey W. ;
Marsh, Kimberly ;
Johnson, Leigh F. ;
Johnson, Cheryl C. ;
Ehui, Eboi ;
Jahn, Andreas ;
Wanyeki, Ian ;
Mbofana, Francisco ;
Bakiono, Fidele ;
Mahy, Mary ;
Maheu-Giroux, Mathieu .
LANCET HIV, 2021, 8 (05) :e284-e293
[13]   Systematic review of strategies to increase men's HIV-testing in sub-Saharan Africa [J].
Hensen, Bernadette ;
Taoka, Sachiko ;
Lewis, James J. ;
Weiss, Helen A. ;
Hargreaves, James .
AIDS, 2014, 28 (14) :2133-2145
[14]   Setting the stage: host invasion by HIV [J].
Hladik, Florian ;
McElrath, M. Juliana .
NATURE REVIEWS IMMUNOLOGY, 2008, 8 (06) :447-457
[15]  
Howard AL, 2021, MMWR-MORBID MORTAL W, V70, P1629, DOI [10.15585/mmwr.mm7047a2, 10.15585/mmwr.mm7047a2externalicon]
[16]   'I will choose when to test, where I want to test': investigating young people's preferences for HIV self-testing in Malawi and Zimbabwe [J].
Indravudh, Pitchaya P. ;
Sibanda, Euphemia L. ;
d'Elbee, Marc ;
Kumwenda, Moses K. ;
Ringwald, Beate ;
Maringwa, Galven ;
Simwinga, Musonda ;
Nyirenda, Lot J. ;
Johnson, Cheryl C. ;
Hatzold, Karin ;
Terris-Prestholt, Fern ;
Taegtmeyer, Miriam .
AIDS, 2017, 31 :S203-S212
[17]  
John-Langba J., 2006, POPULATION ASS AM 20
[18]   Sexual Behavior and Vaginal Practices During Pregnancy and Postpartum: Implications for HIV Prevention Strategies [J].
Kinuthia, John ;
Richardson, Barbra A. ;
Drake, Alison L. ;
Matemo, Daniel ;
Unger, Jennifer A. ;
McClelland, Raymond S. ;
John-Stewart, Grace .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2017, 74 (02) :142-149
[19]   Uptake and correlates of HIV testing among men in Malawi: evidence from a national population based household survey [J].
Mandiwa, Chrispin ;
Namondwe, Bernadetta .
BMC HEALTH SERVICES RESEARCH, 2019, 19 (1)
[20]   Temporal shifts in HIV-related risk factors among cohorts of adolescent girls and young women enrolled in DREAMS programming: evidence from Kenya, Malawi and Zambia [J].
Mathur, Sanyukta ;
Heck, Craig J. ;
Patel, Sangram Kishor ;
Okal, Jerry ;
Chipeta, Effie ;
Mwapasa, Victor ;
Chimwaza, Wanangwa ;
Musheke, Maurice ;
Mahapatra, Bidhubhusan ;
Pulerwitz, Julie ;
Pilgrim, Nanlesta .
BMJ OPEN, 2022, 12 (02)