HIV decline associated with behavior change in eastern Zimbabwe.


Gregson, S; Garnett, GP; Nyamukapa, CA; Hallett, TB; Lewis, JJ; Mason, PR; Chandiwana, SK; Anderson, RM; (2006) HIV decline associated with behavior change in eastern Zimbabwe. Science (New York, NY), 311 (5761). pp. 664-6. ISSN 0036-8075 DOI: https://doi.org/10.1126/science.1121054

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Abstract

Few sub-Saharan African countries have witnessed declines in HIV prevalence, and only Uganda has compelling evidence for a decline founded on sexual behavior change. We report a decline in HIV prevalence in eastern Zimbabwe between 1998 and 2003 associated with sexual behavior change in four distinct socioeconomic strata. HIV prevalence fell most steeply at young ages-by 23 and 49%, respectively, among men aged 17 to 29 years and women aged 15 to 24 years-and in more educated groups. Sexually experienced men and women reported reductions in casual sex of 49 and 22%, respectively, whereas recent cohorts reported delayed sexual debut. Selective AIDS-induced mortality contributed to the decline in HIV prevalence.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Centre for Evaluation
Tropical Epidemiology Group
PubMed ID: 16456081
Web of Science ID: 235257400049
URI: http://researchonline.lshtm.ac.uk/id/eprint/10864

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