Prevalence of HIV among those 15 and older in rural South Africa
Francesc Xavier Gómez-Olivé,Nicole Angotti,Brian Houle,Kerstin Klipstein-Grobusch,Chodziwadziwa W. Kabudula,Jane Menken,Jill Williams,Stephen Tollman,Samuel J. Clark +8 more
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TLDR
The high prevalence among older adults suggests likely HIV infection at older ages, and prevention activities need to expand to older adults to reduce new infections.Abstract:
A greater knowledge of the burden of HIV in rural areas of Southern Africa is needed, especially among older adults. We conducted a cross-sectional biomarker survey in the rural South African Agincourt Health and Socio-demographic Surveillance site in 2010-2011 and estimated HIV prevalence and risk factors. Using an age-sex stratified random sample of ages 15+, a total of 5037 (65.7%) of a possible 7662 individuals were located and 4362 (86.6%) consented to HIV testing. HIV prevalence was high (19.4%) and characterized by a large gender gap (10.6% for men and 23.9% for women). Rates peaked at 45.3% among men and 46.1% among women - both at ages 35-39. Compared with a similar study in the rural KwaZulu-Natal Province, South Africa, peak prevalence occurred at later ages, and HIV prevalence was higher among older adults - with rates above 15% for men and 10% for women through to age 70. High prevalence continues to characterize Southern Africa, and recent evidence confirms that older adults cannot be excluded from policy considerations. The high prevalence among older adults suggests likely HIV infection at older ages. Prevention activities need to expand to older adults to reduce new infections. Treatment will be complicated by increased risk of noncommunicable diseases and by increasing numbers of older people living with HIV.read more
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Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary health
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References
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South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?
Olive Shisana,Thomas Rehle,Leickness C. Simbayi,Khangelani Zuma,Sean Jooste,V. Pillay-van Wyk,N.M. Mbelle,J. Van Zyl,Warren Parker,Nompumelelo Zungu,S. Pezi,Sabssm Iii Implementation Team +11 more
TL;DR: The survey found that South Africas HIV epidemic has leveled off at a prevalence of 10.9 percent for people aged two years and older with 5.2 million people estimated to be living with HIV in 2008.
Journal ArticleDOI
Profile: Agincourt Health and Socio-demographic Surveillance System
Kathleen Kahn,Mark A. Collinson,F. Xavier Gómez-Olivé,Obed Mokoena,Rhian Twine,Paul Mee,Sulaimon Afolabi,Benjamin Clark,Chodziwadziwa W. Kabudula,Audrey Khosa,Simon Khoza,Mildred G Shabangu,Bernard Silaule,Jeffrey B Tibane,Ryan G. Wagner,Michel Garenne,Samuel J. Clark,Stephen Tollman +17 more
TL;DR: Efforts to enhance the research platform include using automated measurement techniques to estimate cause of death by verbal autopsy, full ‘reconciliation’ of in- and out-migrations, follow-up of migrants departing the study area, and optimizing public access to HDSS data are priorities.
Journal ArticleDOI
Continued very high prevalence of HIV infection in rural KwaZulu-Natal, South Africa: a population-based longitudinal study.
Tanya Welz,Victoria Hosegood,Shabbar Jaffar,Jörg Bätzing-Feigenbaum,Kobus Herbst,Marie-Louise Newell +5 more
TL;DR: The extremely high prevalence of HIV suggests an urgent need to allocate adequate resources for HIV prevention and treatment in rural areas and effective monitoring of the epidemic in Africa needs to include efforts to strengthen sentinel surveillance in rural Areas and strategies for the surveillance of migrants and mobile individuals.
Journal ArticleDOI
Chronic noncommunicable diseases and HIV-AIDS on a collision course: relevance for health care delivery, particularly in low-resource settings--insights from South Africa.
TL;DR: Pilot studies are required to test the feasibility of an integrated service that extends from health facilities into the community in a reciprocal manner based on the WHO Innovative Care for Chronic Conditions model of care, to provide the evidence that policy makers need to change the mode of health care delivery.
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