Forecasting the effect of HIV-targeted interventions on the age distribution of people with HIV in Kenya.
AIDS
; 38(9): 1375-1385, 2024 07 15.
Article
in En
| MEDLINE
| ID: mdl-38537051
ABSTRACT
OBJECTIVES:
To provide accurate forecasts of the age distribution of people with HIV (PWH) in Kenya from 2025 to 2040.DESIGN:
Development of a compartmental model of HIV in Kenya, calibrated to historical estimates of HIV epidemiology.METHODS:
We forecasted changes in population size and age distribution of new HIV infections and PWH under the status quo and under scale-up of HIV services.RESULTS:
Without scale-up, new HIV infections were forecasted to fall from 34â000 (28â000-41â000) in 2,025 to 29â000 (15â000-57â000) in 2,040; the percentage of new infections occurring among persons over 30 increased from 33% (20-50%) to 40% (24-62%). The median age of PWH increased from 39âyears (38-40) in 2025 to 43 years (39-46) in 2040, and the percentage of PWH over age 50 increased from 26% (23-29%) to 34% (26-43%). Under the full intervention scenario, new infections were forecasted to fall to 6,000 (3,000-12â000) in 2,040. The percentage of new infections occurring in people over age 30 increased to 52% (34-71%) in 2,040, and there was an additional shift in the age structure of PWH [forecasted median age of 46 (43-48) and 40% (33-47%) over age 50].CONCLUSION:
PWH in Kenya are forecasted to age over the next 15âyears; improvements to the HIV care continuum are expected to contribute to the growing proportion of older PWH.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
HIV Infections
/
Forecasting
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Middle aged
Country/Region as subject:
Africa
Language:
En
Journal:
AIDS
Journal subject:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Year:
2024
Document type:
Article
Country of publication:
Reino Unido