Targeting the hotspots: investigating spatial and demographic variations in HIV infection in small communities in South Africa.
Identifieur interne : 001515 ( PubMed/Checkpoint ); précédent : 001514; suivant : 001516Targeting the hotspots: investigating spatial and demographic variations in HIV infection in small communities in South Africa.
Auteurs : Handan Wand [Australie] ; Gita Ramjee [Afrique du Sud]Source :
- Journal of the International AIDS Society [ 1758-2652 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Infections à VIH.
- épidémiologie : Infections à VIH, République d'Afrique du Sud.
- Adolescent, Adulte, Femelle, Humains, Jeune adulte, Mâle, Partenaire sexuel, Population rurale, Prévalence.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : South Africa.
- epidemiology : HIV Infections.
- psychology : HIV Infections.
- Adolescent, Adult, Female, Humans, Male, Prevalence, Rural Population, Sexual Partners, Young Adult.
Abstract
In South Africa, the severity of the HIV/AIDS epidemic varies according to geographical location; hence, localized monitoring of the epidemic would enable more effective prevention strategies. Our objectives were to assess the core areas of HIV infection in KwaZulu-Natal, South Africa, using epidemiological data among sexually active women from localized communities.
DOI: 10.1186/1758-2652-13-41
PubMed: 20979651
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:20979651Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Targeting the hotspots: investigating spatial and demographic variations in HIV infection in small communities in South Africa.</title><author><name sortKey="Wand, Handan" sort="Wand, Handan" uniqKey="Wand H" first="Handan" last="Wand">Handan Wand</name><affiliation wicri:level="3"><nlm:affiliation>National Centre in HIV Epidemiology and Clinical Research, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>National Centre in HIV Epidemiology and Clinical Research, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Ramjee, Gita" sort="Ramjee, Gita" uniqKey="Ramjee G" first="Gita" last="Ramjee">Gita Ramjee</name><affiliation wicri:level="1"><nlm:affiliation>HIV Prevention Research Unit, Medical Research Council, Durban, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>HIV Prevention Research Unit, Medical Research Council, Durban</wicri:regionArea><wicri:noRegion>Durban</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20979651</idno><idno type="pmid">20979651</idno><idno type="doi">10.1186/1758-2652-13-41</idno><idno type="wicri:Area/PubMed/Corpus">000170</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000170</idno><idno type="wicri:Area/PubMed/Curation">000170</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000170</idno><idno type="wicri:Area/PubMed/Checkpoint">000170</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000170</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Targeting the hotspots: investigating spatial and demographic variations in HIV infection in small communities in South Africa.</title><author><name sortKey="Wand, Handan" sort="Wand, Handan" uniqKey="Wand H" first="Handan" last="Wand">Handan Wand</name><affiliation wicri:level="3"><nlm:affiliation>National Centre in HIV Epidemiology and Clinical Research, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>National Centre in HIV Epidemiology and Clinical Research, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Ramjee, Gita" sort="Ramjee, Gita" uniqKey="Ramjee G" first="Gita" last="Ramjee">Gita Ramjee</name><affiliation wicri:level="1"><nlm:affiliation>HIV Prevention Research Unit, Medical Research Council, Durban, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>HIV Prevention Research Unit, Medical Research Council, Durban</wicri:regionArea><wicri:noRegion>Durban</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of the International AIDS Society</title><idno type="eISSN">1758-2652</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (psychology)</term><term>Humans</term><term>Male</term><term>Prevalence</term><term>Rural Population</term><term>Sexual Partners</term><term>South Africa (epidemiology)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Femelle</term><term>Humains</term><term>Infections à VIH (psychologie)</term><term>Infections à VIH (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Partenaire sexuel</term><term>Population rurale</term><term>Prévalence</term><term>République d'Afrique du Sud (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à VIH</term><term>République d'Afrique du Sud</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Prevalence</term><term>Rural Population</term><term>Sexual Partners</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Partenaire sexuel</term><term>Population rurale</term><term>Prévalence</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Afrique du Sud</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In South Africa, the severity of the HIV/AIDS epidemic varies according to geographical location; hence, localized monitoring of the epidemic would enable more effective prevention strategies. Our objectives were to assess the core areas of HIV infection in KwaZulu-Natal, South Africa, using epidemiological data among sexually active women from localized communities.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20979651</PMID><DateCreated><Year>2010</Year><Month>11</Month><Day>12</Day></DateCreated><DateCompleted><Year>2011</Year><Month>03</Month><Day>09</Day></DateCompleted><DateRevised><Year>2017</Year><Month>07</Month><Day>18</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1758-2652</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><PubDate><Year>2010</Year><Month>Oct</Month><Day>27</Day></PubDate></JournalIssue><Title>Journal of the International AIDS Society</Title><ISOAbbreviation>J Int AIDS Soc</ISOAbbreviation></Journal><ArticleTitle>Targeting the hotspots: investigating spatial and demographic variations in HIV infection in small communities in South Africa.</ArticleTitle><Pagination><MedlinePgn>41</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1758-2652-13-41</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In South Africa, the severity of the HIV/AIDS epidemic varies according to geographical location; hence, localized monitoring of the epidemic would enable more effective prevention strategies. Our objectives were to assess the core areas of HIV infection in KwaZulu-Natal, South Africa, using epidemiological data among sexually active women from localized communities.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A total of 5753 women from urban, peri-rural and rural communities in KwaZulu-Natal were screened from 2002 to 2005. Each participant was geocoded using a global information system, based on residence at time of screening. The Spatial Scan Statistics programme was used to identify areas with disproportionate excesses in HIV prevalence and incidence.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">This study identified three hotspots with excessively high HIV prevalence rates of 56%, 51% and 39%. A total of 458 sexually active women (19% of all cases) were included in these hotspots, and had been exclusively recruited by the Botha's Hill (west of Durban) and Umkomaas (south of Durban) clinic sites. Most of these women were Christian and Zulu-speaking. They were also less likely to be married than women outside these areas (12% vs. 16%, p = 0.001) and more likely to have sex more than three times a week (27% vs. 20%, p < 0.001) and to have had more than three sexual partners (55% vs. 45%, p < 0.001). Diagnosis of genital herpes simplex virus type 2 was also more common in the hotspots. This study also identified areas of high HIV incidence, which were broadly consistent with those with high prevalence rates.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Geographic excesses of HIV infections at rates among the highest in the world were detected in certain rural communities of Durban, South Africa. The results reinforce the inference that risk of HIV infection is associated with definable geographical areas. Localized monitoring of the epidemic is therefore essential for more effective prevention strategies--and particularly urgent in a region such as KwaZulu-Natal, where the epidemic is particularly rampant.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y" EqualContrib="Y"><LastName>Wand</LastName><ForeName>Handan</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>National Centre in HIV Epidemiology and Clinical Research, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="Y"><LastName>Ramjee</LastName><ForeName>Gita</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>HIV Prevention Research Unit, Medical Research Council, Durban, South Africa.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>G0100137</GrantID><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant><Grant><GrantID>U01 AI048008</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2010</Year><Month>10</Month><Day>27</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>J Int AIDS Soc</MedlineTA><NlmUniqueID>101478566</NlmUniqueID><ISSNLinking>1758-2652</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Nat Rev Immunol. 2006 May;6(5):371-82</RefSource><PMID Version="1">16639430</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Prev Med. 2006 Feb;30(2 Suppl):S37-49</RefSource><PMID Version="1">16458789</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trials. 2009;10:99</RefSource><PMID Version="1">19860888</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Trop Med Hyg. 2007 Dec;77(6):1163-9</RefSource><PMID Version="1">18165541</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Health Geogr. 2006;5:15</RefSource><PMID Version="1">16608532</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2008 Jan 1;47(1):93-100</RefSource><PMID Version="1">17984760</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2007 Jul 21;370(9583):251-61</RefSource><PMID Version="1">17631387</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>MMWR Morb Mortal Wkly Rep. 2004 Sep 24;53 Suppl:144-51</RefSource><PMID Version="1">15714644</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Health Geogr. 2007;6:30</RefSource><PMID Version="1">17625009</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Med Trop (Mars). 1993 Oct-Dec;53(4):511-6</RefSource><PMID Version="1">8139440</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Soc Sci Med. 1993 May;36(10):1247-56</RefSource><PMID Version="1">8511609</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Trop Med Hyg. 2006 Feb;74(2):308-17</RefSource><PMID Version="1">16474089</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Health Geogr. 2003 Dec 19;2(1):9</RefSource><PMID Version="1">14687424</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Epidemiol. 2009 Aug;38(4):1008-16</RefSource><PMID Version="1">19261659</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012424" MajorTopicYN="N">Rural Population</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012747" MajorTopicYN="N">Sexual Partners</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013019" MajorTopicYN="N" Type="Geographic">South Africa</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC2984578</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>05</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>10</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>3</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20979651</ArticleId><ArticleId IdType="pii">1758-2652-13-41</ArticleId><ArticleId IdType="doi">10.1186/1758-2652-13-41</ArticleId><ArticleId IdType="pmc">PMC2984578</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Afrique du Sud</li><li>Australie</li></country><region><li>Nouvelle-Galles du Sud</li></region><settlement><li>Sydney</li></settlement></list><tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Wand, Handan" sort="Wand, Handan" uniqKey="Wand H" first="Handan" last="Wand">Handan Wand</name></region></country><country name="Afrique du Sud"><noRegion><name sortKey="Ramjee, Gita" sort="Ramjee, Gita" uniqKey="Ramjee G" first="Gita" last="Ramjee">Gita Ramjee</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/PubMed/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001515 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd -nk 001515 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= PubMed
|étape= Checkpoint
|type= RBID
|clé= pubmed:20979651
|texte= Targeting the hotspots: investigating spatial and demographic variations in HIV infection in small communities in South Africa.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/RBID.i -Sk "pubmed:20979651" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |