HIV Decline Associated with Behavior Change in Eastern Zimbabwe-Reference-Cited by-同舟云学术

HIV Decline Associated with Behavior Change in Eastern Zimbabwe

Published:2006-02-03 Issue:5761 Volume:311 Page:664-666
ISSN:0036-8075
Container-title:Science
language:en
Short-container-title:Science

Author:

Gregson Simon¹²³,Garnett Geoffrey P.¹²³,Nyamukapa Constance A.¹²³,Hallett Timothy B.¹²³,Lewis James J. C.¹²³,Mason Peter R.¹²³,Chandiwana Stephen K.¹²³,Anderson Roy M.¹²³

Affiliation:

1. Department of Infectious Disease Epidemiology, Imperial College London, UK.

2. Biomedical Research and Training Institute, Harare, Zimbabwe.

3. Faculty of Health Sciences Research and Postgraduate Studies, University of Witwatersrand, Johannesburg, Republic of South Africa.

Abstract

Few sub-Saharan African countries have witnessed declines in HIV prevalence, and only Uganda has compelling evidence for a decline founded on sexual behavior change. We report a decline in HIV prevalence in eastern Zimbabwe between 1998 and 2003 associated with sexual behavior change in four distinct socioeconomic strata. HIV prevalence fell most steeply at young ages—by 23 and 49%, respectively, among men aged 17 to 29 years and women aged 15 to 24 years—and in more educated groups. Sexually experienced men and women reported reductions in casual sex of 49 and 22%, respectively, whereas recent cohorts reported delayed sexual debut. Selective AIDS-induced mortality contributed to the decline in HIV prevalence.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

Reference30 articles.

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