Evidence map›Paper›PMID 34906170›Full record

ArticleAIDS research and therapy2021

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.

Musawenkosi Mabaso, Goitseone Maseko, Ronel Sewpaul, Inbarani Naidoo, Sean Jooste, Sinovuyo Takatshana, Tarylee Reddy, Khangelani Zuma, Nompumelelo Zungu

Abstract read
In one paragraph

Article in AIDS research and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

30 citing papers in PubMed, 1 synthesis or guideline 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

9 authors.

Musawenkosi MabasoHuman and Social Capabilities Research Division, Human Sciences Research Council, Pretoria, South Africa. mmabaso@hsrc.ac.za.
Goitseone MasekoHuman and Social Capabilities Research Division, Human Sciences Research Council, Pretoria, South Africa.
Ronel SewpaulHuman and Social Capabilities Research Division, Human Sciences Research Council, Pretoria, South Africa.
Inbarani NaidooHuman and Social Capabilities Research Division, Human Sciences Research Council, Pretoria, South Africa.
Sean JoosteHuman and Social Capabilities Research Division, Human Sciences Research Council, Pretoria, South Africa.
Sinovuyo TakatshanaHuman and Social Capabilities Research Division, Human Sciences Research Council, Pretoria, South Africa.
Tarylee ReddyBiostatistics Unit, South African Medical Research Council, Durban, South Africa.
Khangelani ZumaHuman and Social Capabilities Research Division, Human Sciences Research Council, Pretoria, South Africa.
Nompumelelo ZunguHuman and Social Capabilities Research Division, Human Sciences Research Council, Pretoria, South Africa.

Funding

PEPFAR NU2GGH001629
6 · The paper itself

Abstract

backgroundAdolescents are at increased risk of HIV infection compared to other age groups. There is an urgent need for strategic information that will inform programmes to reduce risk and vulnerability to HIV and reverse the pattern of increasing HIV infection as they transition to adulthood. This paper analysed trends and factors associated with HIV prevalence among adolescents in South Africa using the national HIV population-based household surveys conducted in 2008, 2012 and 2017.

methodsAll three surveys used a multistage cross-sectional design. A trend analysis was conducted to assess the differences in HIV prevalence and covariates overtime using P-trend Chi-squared statistic. Univariate and multivariate logistic regression models were used to determine factors associated with HIV prevalence.

resultsOverall there was a significant increase in HIV prevalence among adolescents aged 12-19 years from 3.0% (n = 2892) in 2008 to 3.2% (n = 4829) in 2012 and 4.1% (n = 3937) in 2017 (p = 0.031). The odds of being HIV positive among adolescents aged 12-19 years was significantly higher among females [AOR = 2.24; 95% CI (1.73-2.91); p < 0.001] than males, those residing in KwaZulu-Natal province [AOR = 2.01; 95% CI (1.-3.99); p = 0.027] than Northern Cape, and those who did not attend an educational institution and were unemployed [AOR = 2.66; 95% CI (1.91-3.67); p < 0.001] compared to those attending an educational institution. The odds were significantly lower among Whites [AOR = 0.29; 95% CI (0.09-0.93); p = 0.037], Coloureds [AOR = 0.21; 95% CI (0.11-0.37); p ≤ 0.001] and Indian/Asian [AOR = 0.08; 95% CI (0.02-0.34); p = 0.001] population groups than Black Africans.

conclusionThe observed increasing trend and gender disparities in HIV prevalence suggests an urgent need for age appropriate and gender specific HIV interventions tailored and targeted at identified drivers of HIV infection among adolescents.

Indexed as

HIV InfectionsAdolescentAdultBlack PeopleCross-Sectional StudiesFemaleHumansIncidenceMalePrevalenceSouth AfricaAdolescentsRisk factorsSouth AfricaTrends in HIV prevalence

Identifiers

PMID34906170
PMCPMC8670218

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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.