Past and current status of adolescents living with HIV in South Africa, 2005–2017
Abstract Objectives This paper reports HIV prevalence, incidence, progress towards the UNAIDS (90-90-90) targets, and HIV drug resistance among adolescents living with HIV in South Africa. We conducted secondary analyses using data extracted from the South African national HIV prevalence surveys (20...
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | BMC Research Notes |
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| Online Access: | https://doi.org/10.1186/s13104-022-06006-2 |
| _version_ | 1797259535561261056 |
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| author | Inbarani Naidoo Sinovuyo Takatshana Ronel Sewpaul Sean Jooste Zhou Siyanai Goitseone Maseko Sizulu Moyo Khangelani Zuma Musawenkosi Mabaso Zungu Nompumelelo |
| author_facet | Inbarani Naidoo Sinovuyo Takatshana Ronel Sewpaul Sean Jooste Zhou Siyanai Goitseone Maseko Sizulu Moyo Khangelani Zuma Musawenkosi Mabaso Zungu Nompumelelo |
| author_sort | Inbarani Naidoo |
| collection | DOAJ |
| description | Abstract Objectives This paper reports HIV prevalence, incidence, progress towards the UNAIDS (90-90-90) targets, and HIV drug resistance among adolescents living with HIV in South Africa. We conducted secondary analyses using data extracted from the South African national HIV prevalence surveys (2005–2017). Analyses were stratified by sex and age (10–14 and 15–19-years), presenting weighted descriptive statistics, and realised totals. Results HIV prevalence increased from 3.0% in 2012 to 3.7% in 2017, translating to 360 582 (95% CI 302 021-419 144) HIV positive adolescents in 2017. Female adolescents bear a disproportionate HIV burden of 5.6% prevalence versus 0.7% for males. HIV incidence remained relatively stable. For the UNAIDS 90-90-90 targets, approximately 62.3% of adolescents knew their HIV status, 65.4% of whom were on antiretroviral therapy, and of these 78.1% on antiretroviral therapy had attained viral load suppression. There are knowledge gaps pertaining to the magnitude of perinatal infections and postnatal infections, and socio-behavioural risk factors for HIV transmission among adolescents in South Africa. There is still a need for focussed interventions targeting adolescent (1) gender disparities in HIV risk (2) screening for HIV, (3) sustained access and adherence to antiretroviral therapy and (3) retention in care to maintain viral load suppression. |
| first_indexed | 2024-04-24T23:10:58Z |
| format | Article |
| id | doaj.art-e5550f22cccd451aa57be8fed274b301 |
| institution | Directory Open Access Journal |
| issn | 1756-0500 |
| language | English |
| last_indexed | 2024-04-24T23:10:58Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj.art-e5550f22cccd451aa57be8fed274b3012024-03-17T12:13:28ZengBMCBMC Research Notes1756-05002022-04-011511610.1186/s13104-022-06006-2Past and current status of adolescents living with HIV in South Africa, 2005–2017Inbarani Naidoo0Sinovuyo Takatshana1Ronel Sewpaul2Sean Jooste3 Zhou Siyanai4Goitseone Maseko5Sizulu Moyo 6Khangelani Zuma7Musawenkosi Mabaso8Zungu Nompumelelo9Centre for Community Based Research, Human and Social Capabilities Division, Human Sciences Research CouncilHealth and Well-Being, Human and Social Capabilities Division, Human Sciences Research CouncilHealth and Well-Being, Human and Social Capabilities Division, Human Sciences Research CouncilHealth and Well-Being, Human and Social Capabilities Division, Human Sciences Research CouncilAIDS and Society Research Unit, Centre for Social Science Research, University of Cape TownHealth and Well-Being, Human and Social Capabilities Division, Human Sciences Research CouncilHealth and Well-Being, Human and Social Capabilities Division, Human Sciences Research CouncilHealth and Well-Being, Human and Social Capabilities Division, Human Sciences Research CouncilHealth and Well-Being, Human and Social Capabilities Division, Human Sciences Research CouncilHealth and Well-Being, Human and Social Capabilities Division, Human Sciences Research CouncilAbstract Objectives This paper reports HIV prevalence, incidence, progress towards the UNAIDS (90-90-90) targets, and HIV drug resistance among adolescents living with HIV in South Africa. We conducted secondary analyses using data extracted from the South African national HIV prevalence surveys (2005–2017). Analyses were stratified by sex and age (10–14 and 15–19-years), presenting weighted descriptive statistics, and realised totals. Results HIV prevalence increased from 3.0% in 2012 to 3.7% in 2017, translating to 360 582 (95% CI 302 021-419 144) HIV positive adolescents in 2017. Female adolescents bear a disproportionate HIV burden of 5.6% prevalence versus 0.7% for males. HIV incidence remained relatively stable. For the UNAIDS 90-90-90 targets, approximately 62.3% of adolescents knew their HIV status, 65.4% of whom were on antiretroviral therapy, and of these 78.1% on antiretroviral therapy had attained viral load suppression. There are knowledge gaps pertaining to the magnitude of perinatal infections and postnatal infections, and socio-behavioural risk factors for HIV transmission among adolescents in South Africa. There is still a need for focussed interventions targeting adolescent (1) gender disparities in HIV risk (2) screening for HIV, (3) sustained access and adherence to antiretroviral therapy and (3) retention in care to maintain viral load suppression.https://doi.org/10.1186/s13104-022-06006-2AdolescentsHIVGenderPerinatalUNAIDS (90-90-90) targetsSouth Africa |
| spellingShingle | Inbarani Naidoo Sinovuyo Takatshana Ronel Sewpaul Sean Jooste Zhou Siyanai Goitseone Maseko Sizulu Moyo Khangelani Zuma Musawenkosi Mabaso Zungu Nompumelelo Past and current status of adolescents living with HIV in South Africa, 2005–2017 BMC Research Notes Adolescents HIV Gender Perinatal UNAIDS (90-90-90) targets South Africa |
| title | Past and current status of adolescents living with HIV in South Africa, 2005–2017 |
| title_full | Past and current status of adolescents living with HIV in South Africa, 2005–2017 |
| title_fullStr | Past and current status of adolescents living with HIV in South Africa, 2005–2017 |
| title_full_unstemmed | Past and current status of adolescents living with HIV in South Africa, 2005–2017 |
| title_short | Past and current status of adolescents living with HIV in South Africa, 2005–2017 |
| title_sort | past and current status of adolescents living with hiv in south africa 2005 2017 |
| topic | Adolescents HIV Gender Perinatal UNAIDS (90-90-90) targets South Africa |
| url | https://doi.org/10.1186/s13104-022-06006-2 |
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