ArticleAIDS (London, England)2015
Trends in HIV acquisition, risk factors and prevention policies among youth in Uganda, 1999-2011.
Article in AIDS (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Recent levels and trends in HIV incidence rates among adolescent girls and young women in ten high-prevalence African countries: a systematic review and meta-analysis.The Lancet. Global health · 2019Pooled it
- Evaluating the biomedical and behavioral drivers of HIV incidence decline in adolescent girls and young women in Uganda: A mathematical modeling study.PLoS medicine · 2026Article
- Individual and population-level risk factors for new HIV infections among adults in Eastern and Southern Africa.Nature communications · 2026Article
- The negative health spillover effects of universal primary education policy: Ethnographic evidence from Uganda.Global public health · 2023Article
- PROTOCOL: Causal mechanisms linking education with fertility, HIV, and child mortality: A systematic review.Campbell systematic reviews · 2022Article
- Trends and correlates of HIV prevalence among adolescents in South Africa: evidence from the 2008, 2012 and 2017 South African National HIV Prevalence, Incidence and Behaviour surveys.AIDS research and therapy · 2021Article
- Does schooling protect sexual health? The association between three measures of education and STIs among adolescents in Malawi.Population studies · 2020Article
- Correlates of HIV infection in adolescent girls and young women in Lesotho: results from a population-based survey.The lancet. HIV · 2019Article
- Narrating the Transition to Adulthood for Youth in Uganda: Leaving School, Mobility, Risky Occupations, and HIV.Health education & behavior : the official publication of the Society for Public Health Education · 2019Article
- Article
- Self-reported risky sexual practices among adolescents and young adults in Botswana.Southern African journal of HIV medicine · 2019Article
- Brief Report: Age-Disparate Relationships and HIV Prevalence Among Never Married Women in Rakai, Uganda.Journal of acquired immune deficiency syndromes (1999) · 2018Article
- Couple perspectives on unintended pregnancy in an area with high HIV prevalence: A qualitative analysis in Rakai, Uganda.Global public health · 2018Article
- "My mother told me that I should not": a qualitative study exploring the restrictions placed on adolescent girls living with HIV in Zambia.Journal of the International AIDS Society · 2017Article
- HIV Prevention Efforts and Incidence of HIV in Uganda.The New England journal of medicine · 2017Article
- Factors Driving the HIV Epidemic in Southern Africa.Current HIV/AIDS reports · 2016Review
- Re-focusing HIV prevention messages: a qualitative study in rural Uganda.AIDS research and therapy · 2016Article
- Addressing Structural and Environmental Factors for Adolescent Sexual and Reproductive Health in Low- and Middle-Income Countries.American journal of public health · 2015Review
- Implementation Research for the Prevention of Mother-to-Child HIV Transmission in Sub-Saharan Africa: Existing Evidence, Current Gaps, and New Opportunities.Current HIV/AIDS reports · 2015Review
- Rising School Enrollment and Declining HIV and Pregnancy Risk Among Adolescents in Rakai District, Uganda, 1994-2013.Global social welfare : research, policy & practice · 2015Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 2 countries.
Funding
Abstract
objectiveThe objective of this study is to understand how trends in HIV acquisition among youth can be influenced by change in HIV risk factors, social factors and prevention and treatment programmes.
designTrends in HIV incidence (per 1000 person-years), by sex and age group, were estimated using data from youth (15-24 years: n = 22,164) in the Rakai Community Cohort Study. Trends in HIV incidence were compared with trends in previously identified HIV risk factors, social factors and programmes.
methodsPoisson and linear regression were used to test for statistical significance and decomposition was used to calculate attribution of risk factors to HIV incidence.
resultsSubstantial declines between 1999 and 2011 occurred in sexual experience, multiple partners and sexual concurrency among adolescents and young adults. HIV acquisition declined substantially (86%, P = 0.006) among adolescent women (15-19 years) but not among men or young adult women. Changes in HIV incidence and risk behaviours coincided with increases in school enrolment, decline in adolescent marriage, availability of antiretroviral therapy (ART) and increases in male medical circumcision (MMC). Much of the decline in HIV incidence among adolescent women (71%) was attributable to reduced sexual experience; the decline in sexual experience was primarily attributable to increasing levels of school enrolment.
conclusionDramatic decreases in HIV incidence occurred among adolescent women in Rakai. Changes in school enrolment and sexual experience were primarily responsible for declining HIV acquisition over time among adolescent women. Given limited improvement among young men and young adult women, the need for effective HIV prevention for young people remains critical.
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