Incidence of HIV in Sub-Saharan Africa, 2000–2015: The Interplay Between Social Determinants and Behavioral Risk Factors.
HIV incidence in sub-Saharan Africa declined substantially between 2000 and 2015. In this analysis, we consider the relative associations of nine structural and individual determinants with this decline. A linear mixed effects model of logged HIV incidence rates versus determinants was used. The dat...
| Publicado en: | AIDS & Behavior Vol. 25; no. 2; pp. 145 - 155 |
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| Autores principales: | , , , , , , |
| Formato: | equations & formulas pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Nov2021 Supplement 2
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153185717&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153185717 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Nov2021 Supplement 2 vid: 25 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 153185717 153185717 153185717 10.1007/s10461-021-03279-9 153185717 ppf: 145 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Incidence of HIV in Sub-Saharan Africa, 2000–2015: The Interplay Between Social Determinants and Behavioral Risk Factors. aug: au: Jahagirdar, Deepa Walters, Magdalene Vongpradith, Avina Dai, Xiaochen Novotney, Amanda Kyu, Hmwe H. Wang, Haidong affil: Institute for Health Metrics and Evaluation, Seattle, WA, USA sug: subj: HIV Infections Epidemiology HIV Infections Trends HIV Infections Risk Factors Social Determinants of Health Risk Taking Behavior Risk Assessment Human Incidence Africa South of the Sahara Models, Statistical Health Knowledge Educational Status Anti-Retroviral Agents Therapeutic Use HIV Infections Drug Therapy Insurance Coverage Health Behavior Correlation Coefficient Health Services Accessibility Economic Status HIV Infections Descriptive Statistics ab: HIV incidence in sub-Saharan Africa declined substantially between 2000 and 2015. In this analysis, we consider the relative associations of nine structural and individual determinants with this decline. A linear mixed effects model of logged HIV incidence rates versus determinants was used. The data were from mathematical modelling as part of the 2019 Global Burden of Disease Study in 43 sub-Saharan African countries. We used forwards selection to determine a single final model of HIV incidence rate. The association of economic variables and HIV knowledge with incidence was found to be driven by education, while ART coverage had the largest impact on other determinants' coefficients. In the final model, education years per capita contributed the most to explaining variation in HIV incidence rates; a 1-year increase in mean education years was associated with a 0.39 (− 0.56; − 0.2, t = − 4.48 p < 0.01) % decline in incidence rate while a unit increase in ART coverage was associated with a 0.81 (− 1.34; − 0.28, t = − 3.01, p < 0.01) % decline in incidence rate. pubtype: Academic Journal doctype: equations & formulas pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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