Le SIDA en Afrique subsaharienne (serveur d'exploration)

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Dramatic increase in HIV prevalence after scale-up of antiretroviral treatment.

Identifieur interne : 001347 ( PubMed/Curation ); précédent : 001346; suivant : 001348

Dramatic increase in HIV prevalence after scale-up of antiretroviral treatment.

Auteurs : Jaffer Zaidi [États-Unis] ; Erofili Grapsa ; Frank Tanser ; Marie-Louise Newell ; Till B Rnighausen

Source :

RBID : pubmed:23669155

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English descriptors

Abstract

To investigate HIV prevalence trends in a rural South African community after the scale-up of antiretroviral treatment (ART) in 2004.

DOI: 10.1097/QAD.0b013e328362e832
PubMed: 23669155

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pubmed:23669155

Le document en format XML

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<term>Epidemiological Monitoring</term>
<term>Female</term>
<term>HIV Infections (drug therapy)</term>
<term>HIV Infections (epidemiology)</term>
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<term>Infections à VIH (épidémiologie)</term>
<term>Jeune adulte</term>
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<term>HIV Infections</term>
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<div type="abstract" xml:lang="en">To investigate HIV prevalence trends in a rural South African community after the scale-up of antiretroviral treatment (ART) in 2004.</div>
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<Title>AIDS (London, England)</Title>
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<ArticleTitle>Dramatic increase in HIV prevalence after scale-up of antiretroviral treatment.</ArticleTitle>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To investigate HIV prevalence trends in a rural South African community after the scale-up of antiretroviral treatment (ART) in 2004.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We estimated adult HIV prevalence (ages 15-49 years) using data from a large, longitudinal, population-based HIV surveillance in rural KwaZulu-Natal, South Africa, over the period from 2004 (the year when the public-sector ART scale-up started) to 2011. We control for selection effects due to surveillance nonparticipation using multiple imputation. We further linked the surveillance data to patient records from the local HIV treatment program to estimate ART coverage.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">ART coverage of all HIV-infected people in this community increased from 0% in 2004 to 31% in 2011. Over the same observation period adult HIV prevalence increased steadily from 21 to 29%. The change in overall HIV prevalence is nearly completely explained by an increase of HIV-infected people receiving ART, and it is largely driven by increases in HIV prevalence in women and men older than 24 years.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The observed dramatic increase in adult HIV prevalence can most likely be explained by increased survival of HIV-infected people due to ART. Future studies should decompose HIV prevalence trends into HIV incidence and HIV-specific mortality changes to further improve the causal attribution of prevalence increases to treatment success rather than prevention failure.</AbstractText>
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