Evidence map›Paper›PMID 34134720›Full record

ArticleReproductive health2021

HIV trends and disparities by gender and urban-rural residence among adolescents in sub-Saharan Africa.

Réka Maulide Cane, Dessalegn Y Melesse, Nkomba Kayeyi, Adom Manu, Yohannes Dibaba Wado, Aluisio Barros, Ties Boerma

Abstract read
In one paragraph

Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Réka Maulide CaneWomen's and Children's Health Program, Instituto Nacional de Saúde, Ministério da Saúde, Maputo, Mozambique. rica.cane@gmail.com.ORCID http://orcid.org/0000-0001-8209-4976
Dessalegn Y MelesseInstitute for Global Public Health, University of Manitoba, Winnipeg, Canada.
Nkomba KayeyiPopulation Council, Lusaka, Zambia.
Adom ManuDepartment of Population, Family & Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana.
Yohannes Dibaba WadoAfrican Population and Health Research Centre, Nairobi, Kenya.
Aluisio BarrosFederal University of Pelotas, Pelotas, Brazil.
Ties BoermaInstitute for Global Public Health, University of Manitoba, Winnipeg, Canada.

Funding

Bill and Melinda Gates Foundation OPP1148933
6 · The paper itself

Abstract

backgroundIn sub-Saharan Africa HIV transmission is a major challenge in adolescents, especially among girls and those living in urban settings. Major international efforts have aimed at reducing sexual transmission of HIV. This analysis aims to assess the trends in HIV prevalence by gender in adolescents, as well as urban-rural disparities.

methodsHIV prevalence data at ages 15-19 years were obtained for 31 countries with a national survey since 2010 and for 23 countries with one survey circa 2005 and a recent survey circa 2015. Country medians and average annual rates of changes were used to summarize the trends for two subregions in sub-Saharan Africa, Eastern and Southern Africa and West and Central Africa, which largely correspond with higher and lower HIV prevalence countries. Data on HIV incidence at ages 15-24 and prevalence at 5-9 and 10-14 years were reviewed from 11 recent national surveys. Trends in urban-rural disparities in HIV prevalence and selected indicators of sexual and HIV testing behaviours were assessed for females and males 15-24 years, using the same surveys.

resultsHIV prevalence among girls 15-19 years declined in eastern and Southern Africa from 5.7 to 2.6% during 2005-2015 (country median), corresponding with an average annual rate of reduction of 6.5% per year. Among boys, the median HIV prevalence declined from 2.1 to 1.2%. Changes were also observed in West and Central Africa where median HIV prevalence among girls decreased from 0.7 to 0.4% (average annual rate of reduction 5.9%), but not for boys (0.3%). Girl-boy differences at 10-14 years were small with a country median HIV of 1.0% and 1.3%, respectively. Urban females and males 15-24 had at least 1.5 times higher HIV prevalence than their rural counterparts in both subregions, and since the urban-rural declines were similar, the gaps persisted during 2005-2015.

conclusionsHIV prevalence among adolescents declined in almost all countries during the last decade, in both urban and rural settings. The urban-rural gap persisted and HIV transmission to girls, but not boys, is still a major challenge in Eastern and Southern African countries.

Indexed as

Rural PopulationUrban PopulationAdolescentAfrica, SouthernAfrica South of the SaharaFemaleHIV InfectionsHumansIncidenceMalePopulation SurveillancePrevalenceResidence CharacteristicsSex DistributionYoung AdultAdolescentsDisparitiesGenderHIV prevalenceSub-Saharan AfricaTrendsUrban–rural

Identifiers

PMID34134720
PMCPMC8210344

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.