Status: Bibliographieeintrag
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| Online-Ressource |
Verfasst von: | Vandormael, Alain [VerfasserIn]  |
| Bärnighausen, Till [VerfasserIn]  |
Titel: | High percentage of undiagnosed HIV cases within a hyperendemic South African community |
Titelzusatz: | a population-based study |
Verf.angabe: | Alain Vandormael, Tulio de Oliveira, Frank Tanser, Till Bärnighausen, Joshua T. Herbeck |
Jahr des Originals: | 2017 |
Umfang: | 5 S. |
Fussnoten: | Published online first 24 November 2017 ; Gesehen am 27.09.2018 |
Titel Quelle: | Enthalten in: Journal of epidemiology and community health |
Jahr Quelle: | 2018 |
Band/Heft Quelle: | 72(2018), 2, S. 168-172 |
ISSN Quelle: | 1470-2738 |
Abstract: | Background Undiagnosed HIV infections could undermine efforts to reverse the global AIDS epidemic by 2030. In this study, we estimated the percentage of HIV-positive persons who remain undiagnosed within a hyperendemic South African community. Methods: The data come from a population-based surveillance system located in the Umkhanyakude district of the northern KwaZulu-Natal province, South Africa. We annually tested 38 661 adults for HIV between 2005 and 2016. Using the HIV-positive test results of 12 039 (31%) participants, we then back-calculated the incidence of infection and derived the number of undiagnosed cases from this result. Results: The percentage of undiagnosed HIV cases decreased from 29.3% in 2005 to 15.8% in 2011. During this period, however, approximately 50% of the participants refused to test for HIV, which lengthened the average time from infection to diagnosis. Consequently, the percentage of undiagnosed HIV cases reversed direction and steadily increased from 16.1% to 18.9% over the 2012-2016 period. Conclusions: Results from this hyperendemic South African setting show that the HIV testing rate is low, with long infection times, and an unsatisfactorily high percentage of undiagnosed cases. A high level of repeat HIV testing is needed to minimise the time from infection to diagnosis if the global AIDS epidemic is to be reversed within the next two decades. |
DOI: | doi:10.1136/jech-2017-209713 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Verlag: http://dx.doi.org/10.1136/jech-2017-209713 |
| Verlag: https://jech.bmj.com/content/72/2/168 |
| DOI: https://doi.org/10.1136/jech-2017-209713 |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 1581358652 |
Verknüpfungen: | → Zeitschrift |
High percentage of undiagnosed HIV cases within a hyperendemic South African community / Vandormael, Alain [VerfasserIn] (Online-Ressource)
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