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Mapping HIV prevalence in sub-Saharan Africa between 2000 and 2017.
Dwyer-Lindgren, Laura; Cork, Michael A; Sligar, Amber; Steuben, Krista M; Wilson, Kate F; Provost, Naomi R; Mayala, Benjamin K; VanderHeide, John D; Collison, Michael L; Hall, Jason B; Biehl, Molly H; Carter, Austin; Frank, Tahvi; Douwes-Schultz, Dirk; Burstein, Roy; Casey, Daniel C; Deshpande, Aniruddha; Earl, Lucas; El Bcheraoui, Charbel; Farag, Tamer H; Henry, Nathaniel J; Kinyoki, Damaris; Marczak, Laurie B; Nixon, Molly R; Osgood-Zimmerman, Aaron; Pigott, David; Reiner, Robert C; Ross, Jennifer M; Schaeffer, Lauren E; Smith, David L; Davis Weaver, Nicole; Wiens, Kirsten E; Eaton, Jeffrey W; Justman, Jessica E; Opio, Alex; Sartorius, Benn; Tanser, Frank; Wabiri, Njeri; Piot, Peter; Murray, Christopher J L; Hay, Simon I.
Affiliation
  • Dwyer-Lindgren L; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Cork MA; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Sligar A; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Steuben KM; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Wilson KF; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Provost NR; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Mayala BK; DHS program, ICF International, Rockville, MD, USA.
  • VanderHeide JD; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Collison ML; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Hall JB; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Biehl MH; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Carter A; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Frank T; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Douwes-Schultz D; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Burstein R; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Casey DC; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Deshpande A; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Earl L; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • El Bcheraoui C; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Farag TH; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Henry NJ; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Kinyoki D; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Marczak LB; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Nixon MR; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Osgood-Zimmerman A; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Pigott D; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Reiner RC; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Ross JM; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Schaeffer LE; Department of Global Health, University of Washington, Seattle, WA, USA.
  • Smith DL; Department of Medicine, University of Washington, Seattle, WA, USA.
  • Davis Weaver N; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Wiens KE; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Eaton JW; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Justman JE; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Opio A; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Sartorius B; Department of Infectious Disease Epidemiology, Imperial College London, London, UK.
  • Tanser F; ICAP, Mailman School of Public Health, Columbia University, New York, NY, USA.
  • Wabiri N; Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
  • Piot P; Medireal Investment Uganda, Entebbe, Uganda.
  • Murray CJL; Public Health Medicine, School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
  • Hay SI; School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
Nature ; 570(7760): 189-193, 2019 06.
Article in En | MEDLINE | ID: mdl-31092927
ABSTRACT
HIV/AIDS is a leading cause of disease burden in sub-Saharan Africa. Existing evidence has demonstrated that there is substantial local variation in the prevalence of HIV; however, subnational variation has not been investigated at a high spatial resolution across the continent. Here we explore within-country variation at a 5 × 5-km resolution in sub-Saharan Africa by estimating the prevalence of HIV among adults (aged 15-49 years) and the corresponding number of people living with HIV from 2000 to 2017. Our analysis reveals substantial within-country variation in the prevalence of HIV throughout sub-Saharan Africa and local differences in both the direction and rate of change in HIV prevalence between 2000 and 2017, highlighting the degree to which important local differences are masked when examining trends at the country level. These fine-scale estimates of HIV prevalence across space and time provide an important tool for precisely targeting the interventions that are necessary to bringing HIV infections under control in sub-Saharan Africa.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: HIV Infections / Geographic Mapping Type of study: Prevalence_studies / Risk_factors_studies Limits: Adolescent / Adult / Female / Humans / Male / Middle aged Country/Region as subject: Africa Language: En Journal: Nature Year: 2019 Type: Article Affiliation country: United States
Fulltext
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PubMed Links
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: HIV Infections / Geographic Mapping Type of study: Prevalence_studies / Risk_factors_studies Limits: Adolescent / Adult / Female / Humans / Male / Middle aged Country/Region as subject: Africa Language: En Journal: Nature Year: 2019 Type: Article Affiliation country: United States