Alinune N Kabaghe, Reno Stephens, Danielle Payne, Joe Theu, Misheck Luhanga, Davie Chalira, Melissa M Arons, Gabrielle O'Malley, Kerry A Thomson, Mtemwa Nyangulu, Rose Nyirenda, Pragna Patel, Nellie Wadonda-Kabondo
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引用次数: 0
摘要
马拉维对艾滋病毒感染状况的认知率为 88.3%,15-24 岁人群的认知率最低(76.2%)。我们有必要了解这一年龄段人群的 HIV 检测史和传播情况。我们分析了汇集的 HIV 监测数据,以描述 2019 年至 2022 年期间马拉维 251 个地点的 8389 名 15-24 岁 HIV 阳性者的检测史和 HIV 近期感染情况。大多数 15-24 岁 HIV 阳性者为女性;年龄在 23-24 岁之间;农村居民;在自愿咨询和检测中确诊。据报告,在 15-19 岁的青少年和男性中,分别有 43.5% 和 32.9% 的人之前未进行过艾滋病毒检测。总体而言,4.9%的艾滋病毒阳性诊断结果被归类为近期感染艾滋病毒,其中比例最高的人群是哺乳期妇女(8.2%)、在性传播感染诊所接受检测的人(9.0%)、之前在 6 个月内检测呈阴性的人(13.0%)和 17-18 岁人群(7.3%)。要控制艾滋病毒的流行,就需要针对青少年、年轻男性、孕妇和哺乳期妇女制定有针对性的创新型艾滋病毒预防和检测策略。
HIV Recent Infection and Past HIV Testing History Among Newly HIV-Diagnosed 15-24-Year-Olds in Malawi: An Analysis of 2019-2022 HIV Recent Infection Surveillance Data.
Awareness of HIV status in Malawi is 88.3% and lowest among 15-24-year-olds (76.2%). There is a need to understand HIV testing history and transmission in this age group. We analyzed pooled HIV surveillance data to describe testing history and HIV recent infection among 8,389 HIV-positive 15-24-year-olds from 251 sites in Malawi between 2019 and 2022. Most HIV-positive 15-24-year-olds were female; aged 23-24 years; rural residents; and diagnosed at voluntary counseling and testing. No prior HIV testing was reported in 43.5% and 32.9% of 15-19-year-olds and males, respectively. Overall, 4.9% of HIV-positive diagnoses were classified as recent HIV infections, with the highest proportions among breastfeeding women (8.2%); persons tested at sexually transmitted infection clinics (9.0%); persons with a prior negative test within 6 months (13.0%); and 17-18-year-olds (7.3%). Tailored and innovative HIV prevention and testing strategies for young adolescents, young males, and pregnant and breastfeeding women are needed for HIV epidemic control.
期刊介绍:
Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.