The prevalence and socio-economic determinants of HIV among teenagers aged 15–18 years who were participating in a mobile testing population based survey in 2013–2014 in Zambia
Identifieur interne : 000772 ( Pmc/Curation ); précédent : 000771; suivant : 000773The prevalence and socio-economic determinants of HIV among teenagers aged 15–18 years who were participating in a mobile testing population based survey in 2013–2014 in Zambia
Auteurs : Pascalina Chanda-Kapata [Zambie] ; Eveline Klinkenberg [Pays-Bas] ; Nicole Maddox [Zambie] ; William Ngosa [Zambie] ; Nathan Kapata [Zambie]Source :
- BMC Public Health [ 1471-2458 ] ; 2016.
Abstract
The objective of the study was to estimate the prevalence of HIV among teenagers in Zambia and determine whether age, sex, setting, educational level, marital and socioeconomic status were associated with being HIV positive.
A cross sectional population based survey of the prevalence of HIV among teenagers aged 15–18 years old who were also participants in a national Tuberculosis (TB) prevalence survey. Consenting teenagers were counselled and tested for HIV. The HIV prevalence was estimated using a logistic regression model. Associations of social demographic characteristics with HIV were determined using univariate and multivariate.
The study involved 6,395 teenagers aged 15–18 years where 2,532 declined HIV testing, 44 tested positive and 3,806 tested negative. The HIV prevalence was estimated to be 1.1 % (95 % CI 0.71-1.60); in females the HIV prevalence was 1.6 % (95 % CI 0.99-2.20) whereas in males it was 0.58 % (95 % CI 0.10-1.10). The prevalence of HIV was twice as high among the urban (1.90 %; 95 % CI 0.99-2.90) than the rural teenagers (0.89 %; 95 % CI 0.46-1.30), and being divorced or widowed was associated with higher risk of HIV regardless of residence. The risk of HIV was lower among students or those who were in school compared to those who were unemployed and not in school.
HIV prevalence among teenagers was lower than the overall national level prevalence. The patterns of HIV risk among the young population will require further monitoring in order to identify appropriate tools for intervention.
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DOI: 10.1186/s12889-016-3449-3
PubMed: 27527339
PubMed Central: 4986371
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Pascalina" uniqKey="Chanda Kapata P" first="Pascalina" last="Chanda-Kapata">Pascalina Chanda-Kapata</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Disease Surveillance, Control and Research, Ministry of Health, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>Department of Disease Surveillance, Control and Research, Ministry of Health, Lusaka</wicri:regionArea></affiliation></author><author><name sortKey="Klinkenberg, Eveline" sort="Klinkenberg, Eveline" uniqKey="Klinkenberg E" first="Eveline" last="Klinkenberg">Eveline Klinkenberg</name><affiliation wicri:level="1"><nlm:aff id="Aff2">KNCV Tuberculosis Foundation, The Hague, Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>KNCV Tuberculosis Foundation, The Hague</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Global Health, Amsterdam Institute for Global Health and Development, Academic Medical Centre, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Global Health, Amsterdam Institute for Global Health and Development, Academic Medical Centre, Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Maddox, Nicole" sort="Maddox, Nicole" uniqKey="Maddox N" first="Nicole" last="Maddox">Nicole Maddox</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Disease Surveillance, Control and Research, Ministry of Health, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>Department of Disease Surveillance, Control and Research, Ministry of Health, Lusaka</wicri:regionArea></affiliation></author><author><name sortKey="Ngosa, William" sort="Ngosa, William" uniqKey="Ngosa W" first="William" last="Ngosa">William Ngosa</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Disease Surveillance, Control and Research, Ministry of Health, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>Department of Disease Surveillance, Control and Research, Ministry of Health, Lusaka</wicri:regionArea></affiliation></author><author><name sortKey="Kapata, Nathan" sort="Kapata, Nathan" uniqKey="Kapata N" first="Nathan" last="Kapata">Nathan Kapata</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Epidemiology and Disease Control, Ministry of Community Development, Mother and Child Health, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>Department of Epidemiology and Disease Control, Ministry of Community Development, Mother and Child Health, Lusaka</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The objective of the study was to estimate the prevalence of HIV among teenagers in Zambia and determine whether age, sex, setting, educational level, marital and socioeconomic status were associated with being HIV positive.</p></sec><sec><title>Methods</title><p>A cross sectional population based survey of the prevalence of HIV among teenagers aged 15–18 years old who were also participants in a national Tuberculosis (TB) prevalence survey. Consenting teenagers were counselled and tested for HIV. The HIV prevalence was estimated using a logistic regression model. Associations of social demographic characteristics with HIV were determined using univariate and multivariate.</p></sec><sec><title>Results</title><p>The study involved 6,395 teenagers aged 15–18 years where 2,532 declined HIV testing, 44 tested positive and 3,806 tested negative. The HIV prevalence was estimated to be 1.1 % (95 % CI 0.71-1.60); in females the HIV prevalence was 1.6 % (95 % CI 0.99-2.20) whereas in males it was 0.58 % (95 % CI 0.10-1.10). The prevalence of HIV was twice as high among the urban (1.90 %; 95 % CI 0.99-2.90) than the rural teenagers (0.89 %; 95 % CI 0.46-1.30), and being divorced or widowed was associated with higher risk of HIV regardless of residence. The risk of HIV was lower among students or those who were in school compared to those who were unemployed and not in school.</p></sec><sec><title>Conclusion</title><p>HIV prevalence among teenagers was lower than the overall national level prevalence. The patterns of HIV risk among the young population will require further monitoring in order to identify appropriate tools for intervention.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Audureau, E" uniqKey="Audureau E">E Audureau</name></author><author><name sortKey="Kahn, J" uniqKey="Kahn J">J Kahn</name></author><author><name sortKey="Besson, Mh" uniqKey="Besson M">MH Besson</name></author><author><name sortKey="Saba, J" uniqKey="Saba J">J Saba</name></author><author><name sortKey="Ladner, J" uniqKey="Ladner J">J Ladner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kirby, D" uniqKey="Kirby D">D Kirby</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Doyle, A" uniqKey="Doyle A">A Doyle</name></author><author><name sortKey="Mavedzenge, S" uniqKey="Mavedzenge S">S Mavedzenge</name></author><author><name sortKey="Plummer, M" uniqKey="Plummer M">M Plummer</name></author><author><name sortKey="Ross, D" uniqKey="Ross D">D Ross</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Idele, P" uniqKey="Idele P">P Idele</name></author><author><name sortKey="Gillespie, A" uniqKey="Gillespie A">A Gillespie</name></author><author><name sortKey="Porth, T" uniqKey="Porth T">T Porth</name></author><author><name sortKey="Susuki, C" uniqKey="Susuki C">C Susuki</name></author><author><name sortKey="Mahy, M" uniqKey="Mahy M">M Mahy</name></author><author><name sortKey="Kasedde, S" uniqKey="Kasedde S">S Kasedde</name></author><author><name sortKey="Luo, C" uniqKey="Luo C">C Luo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Clark, S" uniqKey="Clark S">S Clark</name></author><author><name sortKey="Bruce, J" uniqKey="Bruce J">J Bruce</name></author><author><name sortKey="Dude, A" uniqKey="Dude A">A Dude</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Slaymaker, E" uniqKey="Slaymaker E">E Slaymaker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harrison, A" uniqKey="Harrison A">A Harrison</name></author><author><name sortKey="Cleland, J" uniqKey="Cleland J">J Cleland</name></author><author><name sortKey="Frohlich, J" uniqKey="Frohlich J">J Frohlich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kang, M" uniqKey="Kang M">M Kang</name></author><author><name sortKey="Dunbar, M" uniqKey="Dunbar M">M Dunbar</name></author><author><name sortKey="Laver, S" uniqKey="Laver S">S Laver</name></author><author><name sortKey="Padian, N" uniqKey="Padian N">N Padian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mensch, B" uniqKey="Mensch B">B Mensch</name></author><author><name sortKey="Hewett, P" uniqKey="Hewett P">P Hewett</name></author><author><name sortKey="Gregory, R" uniqKey="Gregory R">R Gregory</name></author><author><name sortKey="Helleringer, S" uniqKey="Helleringer S">S Helleringer</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Glynn, J" uniqKey="Glynn J">J Glynn</name></author><author><name sortKey="Carael, M" uniqKey="Carael M">M Caraël</name></author><author><name sortKey="Avert, B" uniqKey="Avert B">B Avert</name></author><author><name sortKey="Kahindo, M" uniqKey="Kahindo M">M Kahindo</name></author><author><name sortKey="Chege, J" uniqKey="Chege J">J Chege</name></author><author><name sortKey="Musonda, R" uniqKey="Musonda R">R Musonda</name></author><author><name sortKey="Kaona, F" uniqKey="Kaona F">F Kaona</name></author><author><name sortKey="Buve, A" uniqKey="Buve A">A Buvé</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lydie, N" uniqKey="Lydie N">N Lydie</name></author><author><name sortKey="Robinson, Nj" uniqKey="Robinson N">NJ Robinson</name></author><author><name sortKey="Ferry, B" uniqKey="Ferry B">B Ferry</name></author><author><name sortKey="Akam, E" uniqKey="Akam E">E Akam</name></author><author><name sortKey="De Loenzien, M" uniqKey="De Loenzien M">M De Loenzien</name></author><author><name sortKey="Zekeng, L" uniqKey="Zekeng L">L Zekeng</name></author><author><name sortKey="Abega, S" uniqKey="Abega S">S Abega</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27527339</article-id><article-id pub-id-type="pmc">4986371</article-id><article-id pub-id-type="publisher-id">3449</article-id><article-id pub-id-type="doi">10.1186/s12889-016-3449-3</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>The prevalence and socio-economic determinants of HIV among teenagers aged 15–18 years who were participating in a mobile testing population based survey in 2013–2014 in Zambia</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Chanda-Kapata</surname><given-names>Pascalina</given-names></name><address><email>pascykapata@gmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Klinkenberg</surname><given-names>Eveline</given-names></name><xref ref-type="aff" rid="Aff2">2</xref><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Maddox</surname><given-names>Nicole</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Ngosa</surname><given-names>William</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kapata</surname><given-names>Nathan</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><aff id="Aff1"><label>1</label>Department of Disease Surveillance, Control and Research, Ministry of Health, Lusaka, Zambia</aff><aff id="Aff2"><label>2</label>KNCV Tuberculosis Foundation, The Hague, Netherlands</aff><aff id="Aff3"><label>3</label>Department of Global Health, Amsterdam Institute for Global Health and Development, Academic Medical Centre, Amsterdam, The Netherlands</aff><aff id="Aff4"><label>4</label>Department of Epidemiology and Disease Control, Ministry of Community Development, Mother and Child Health, Lusaka, Zambia</aff></contrib-group><pub-date pub-type="epub"><day>15</day><month>8</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>15</day><month>8</month><year>2016</year></pub-date><pub-date pub-type="collection"><year>2016</year></pub-date><volume>16</volume><elocation-id>789</elocation-id><history><date date-type="received"><day>17</day><month>11</month><year>2015</year></date><date date-type="accepted"><day>5</day><month>8</month><year>2016</year></date></history><permissions><copyright-statement>© The Author(s). 2016</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>The objective of the study was to estimate the prevalence of HIV among teenagers in Zambia and determine whether age, sex, setting, educational level, marital and socioeconomic status were associated with being HIV positive.</p></sec><sec><title>Methods</title><p>A cross sectional population based survey of the prevalence of HIV among teenagers aged 15–18 years old who were also participants in a national Tuberculosis (TB) prevalence survey. Consenting teenagers were counselled and tested for HIV. The HIV prevalence was estimated using a logistic regression model. Associations of social demographic characteristics with HIV were determined using univariate and multivariate.</p></sec><sec><title>Results</title><p>The study involved 6,395 teenagers aged 15–18 years where 2,532 declined HIV testing, 44 tested positive and 3,806 tested negative. The HIV prevalence was estimated to be 1.1 % (95 % CI 0.71-1.60); in females the HIV prevalence was 1.6 % (95 % CI 0.99-2.20) whereas in males it was 0.58 % (95 % CI 0.10-1.10). The prevalence of HIV was twice as high among the urban (1.90 %; 95 % CI 0.99-2.90) than the rural teenagers (0.89 %; 95 % CI 0.46-1.30), and being divorced or widowed was associated with higher risk of HIV regardless of residence. The risk of HIV was lower among students or those who were in school compared to those who were unemployed and not in school.</p></sec><sec><title>Conclusion</title><p>HIV prevalence among teenagers was lower than the overall national level prevalence. The patterns of HIV risk among the young population will require further monitoring in order to identify appropriate tools for intervention.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Teenagers</kwd><kwd>HIV/AIDS</kwd><kwd>Population survey</kwd><kwd>Zambia</kwd><kwd>Infectious diseases</kwd><kwd>Youth</kwd><kwd>Adolescents</kwd><kwd>Mobile testing</kwd></kwd-group><funding-group><award-group><funding-source><institution>Government of The Republic of Zambia</institution></funding-source><award-id>Not applicable</award-id></award-group><award-group><funding-source><institution>The United States Government through USAID/CDC/TBCARE I</institution></funding-source><award-id>Not applicable</award-id></award-group></funding-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2016</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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