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{Rao:2022:10.1371/journal.pone.0273776,
author = {Rao, A and Moorhouse, L and Maswera, R and Dadirai, T and Mandizvidza, P and Nyamukapa, C and Nayagam, S and Gregson, S},
doi = {10.1371/journal.pone.0273776},
journal = {PLoS One},
pages = {1--19},
title = {Status of the HIV epidemic in Manicaland, east Zimbabwe prior to the outbreak of the COVID-19 pandemic},
url = {http://dx.doi.org/10.1371/journal.pone.0273776},
volume = {17},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundManicaland province in eastern Zimbabwe has a high incidence of HIV. Completion of the seventh round of the Manicaland Survey in 2018–2019 provided the opportunity to assess the state of the epidemic prior to the start of the COVID-19 pandemic. The study aims were to: a) estimate HIV seroprevalence and assess whether prevalence has declined since the last round of the survey (2012–2013), b) describe and analyse the socio-demographic and behavioural risk factors for HIV infection and c) describe the HIV treatment cascade.MethodsParticipants were administered individual questionnaires collecting data on socio-demographic characteristics, sexual relationships, HIV prevention methods and treatment access, and were tested for HIV. Descriptive analyses were followed by univariate and multivariate analyses of risk factors for HIV seropositvity using logistic regression modelling based on the proximate-determinants framework.ResultsHIV prevalence was 11.3% [95% CI; 10.6–12.0] and was higher in females than males up to 45–49 years. Since 2012–2013 HIV prevalence has significantly declined in 30–44 year-olds in males, and 20–44 year-olds in females. The HIV epidemic has aged since 2012–2013, with an increase in the mean age of HIV positive persons from 38 to 41 years. Socio-demographic determinants of HIV prevalence were church denomination in males, site-type, wealth-status, employment sector and alcohol use in females, and age and marital status in both sexes. Behavioural determinants associated with increased odds of HIV were a higher number of regular sexual partners (lifetime), non-regular sexual partners (lifetime) and condom use in both sexes, and early sexual debut and concomitant STIs in females; medical circumcision was protective in males. HIV status awareness among participants testing positive in our study was low at 66.2%. ART coverage amongst all participants testing positive for HIV in our study was 65.
AU  - Rao,A
AU  - Moorhouse,L
AU  - Maswera,R
AU  - Dadirai,T
AU  - Mandizvidza,P
AU  - Nyamukapa,C
AU  - Nayagam,S
AU  - Gregson,S
DO  - 10.1371/journal.pone.0273776
EP  - 19
PY  - 2022///
SN  - 1932-6203
SP  - 1
TI  - Status of the HIV epidemic in Manicaland, east Zimbabwe prior to the outbreak of the COVID-19 pandemic
T2  - PLoS One
UR  - http://dx.doi.org/10.1371/journal.pone.0273776
UR  - https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0273776
UR  - http://hdl.handle.net/10044/1/99868
VL  - 17
ER  -
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