Imperial College London
Alternate

ProfessorSimonGregson

Faculty of Medicine, School of Public Health

Professor in Demography and Behavioural Science
 
 
 
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Contact

 

+44 (0)20 7594 3279s.gregson

 
 
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Location

 

LG27Praed StreetSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Gregson:2021:10.1080/00324728.2021.1874043,
author = {Gregson, S and Nyamukapa, C},
doi = {10.1080/00324728.2021.1874043},
journal = {Population Studies: a journal of demography},
pages = {457--476},
title = {Did sexual behaviour differences between HIV infection and treatment groups offset the biological preventative effects of ART roll-out in Zimbabwe?},
url = {http://dx.doi.org/10.1080/00324728.2021.1874043},
volume = {75},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - HIV incidence declines have been slower than expected during the roll-out of antiretroviral treatment (ART) services in subSaharan African populations suffering generalised epidemics. Using data from a general population, open-cohort, HIV serosurvey (2004-2013), we found evidence for initial reductions in sexual activity and multiple sexual partnerships followed byincreases in the period of ART scale-up, in high HIV-prevalence areas in Manicaland, east Zimbabwe. Recent populationlevel increases in condom use were also recorded but reflected largely high use by the rapidly growing proportion of HIVinfected individuals on treatment. Sexual risk behaviour increased in susceptible uninfected individuals and in untreated – andtherefore more infectious – HIV-infected men, which may have slowed the decline in HIV incidence in this population.Intensified primary HIV prevention programmes, together with strengthened risk screening, referral and support servicesfollowing HIV testing, could help to maximise the impact of ‘test-and-treat’ programmes in reducing new infections.
AU  - Gregson,S
AU  - Nyamukapa,C
DO  - 10.1080/00324728.2021.1874043
EP  - 476
PY  - 2021///
SN  - 0032-4728
SP  - 457
TI  - Did sexual behaviour differences between HIV infection and treatment groups offset the biological preventative effects of ART roll-out in Zimbabwe?
T2  - Population Studies: a journal of demography
UR  - http://dx.doi.org/10.1080/00324728.2021.1874043
UR  - http://hdl.handle.net/10044/1/85801
VL  - 75
ER  -
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