ArticleGlobal health, epidemiology and genomics2016
The development of a localised HIV epidemic and the associated excess mortality burden in a rural area of South Africa.
Article in Global health, epidemiology and genomics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- A Systematic Review of Technology-Assisted HIV Testing Interventions.Current HIV/AIDS reports · 2020Pooled it
- The role of household composition in social isolation and anxiety: evidence from adults in South Africa during the COVID-19 pandemic.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Episodic memory trajectories of older adults with and without HIV: A longitudinal population-based study in rural South Africa.PLOS global public health · 2026Article
- Quality of Caregiver-Adolescent Relationship on HIV, Herpes Simplex Virus Type-2, and on Pregnancy Among Young Women in South Africa Enrolled in HIV Prevention Trials Network 068.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Excess mortality associated with HIV: Survey estimates from the PHIA project.Demographic research · 2024Article
- From "Secret" to "Sensitive Issue": Shifting Ideas About HIV Disclosure Among Middle-Aged and Older Rural South Africans in the Era of Antiretroviral Treatment.Journal of aging and health · 2022Article
- Grandchild Caregiving and Cognitive Health Among Grandparents in Rural South Africa.Journal of aging and health · 2021Article
- Throwing the bones to diagnose HIV: Views of rural South African traditional healers on undertaking HIV counselling and testing.AIDS care · 2021Article
- Age-Period-Cohort Analysis of HIV Mortality in China: Data from the Global Burden of Disease Study 2016.Scientific reports · 2020Article
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Authors and funding
9 authors at 3 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The human immunodeficiency virus (HIV) epidemic in South Africa rapidly developed into a major pandemic. Here we analyse the development of the epidemic in a rural area of the country. The data used were collected between 1992 and 2013 in a longitudinal population survey, the Agincourt Health and Demographic Surveillance Study, in the northeast of the country. Throughout the period of study mortality rates were similar in all villages, suggesting that there were multiple index cases evenly spread geographically. These were likely to have been returning migrant workers. For those aged below 39 years the HIV mortality rate was higher for women, above this age it was higher for men. This indicates the protective effect of greater access to HIV testing and treatment among older women. The recent convergence of mortality rates for Mozambicans and South Africans indicates that the former refugee population are being assimilated into the host community. More than 60% of the deaths occurring in this community between 1992 and 2013 could be attributed directly or indirectly to HIV. Recently there has been an increasing level of non-HIV mortality which has important implications for local healthcare provision. This study demonstrates how evidence from longitudinal analyses can support healthcare planning.
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