Publication Date:
2006-02-04
Description:
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.〈br /〉〈span class="detail_caption"〉Notes: 〈/span〉Gregson, Simon -- Garnett, Geoffrey P -- Nyamukapa, Constance A -- Hallett, Timothy B -- Lewis, James J C -- Mason, Peter R -- Chandiwana, Stephen K -- Anderson, Roy M -- Wellcome Trust/United Kingdom -- New York, N.Y. -- Science. 2006 Feb 3;311(5761):664-6.〈br /〉〈span class="detail_caption"〉Author address: 〈/span〉Department of Infectious Disease Epidemiology, Imperial College London, UK. Sajgregson@aol.com〈br /〉〈span class="detail_caption"〉Record origin:〈/span〉 〈a href="http://www.ncbi.nlm.nih.gov/pubmed/16456081" target="_blank"〉PubMed〈/a〉
Keywords:
Adolescent
;
Adult
;
Age Factors
;
Cohort Studies
;
Condoms
;
*Disease Outbreaks/prevention & control
;
Emigration and Immigration
;
Female
;
HIV Infections/*epidemiology/mortality/prevention & control/transmission
;
Humans
;
Incidence
;
Longitudinal Studies
;
Male
;
Prevalence
;
Risk-Taking
;
*Sexual Behavior
;
Socioeconomic Factors
;
Zimbabwe/epidemiology
Print ISSN:
0036-8075
Electronic ISSN:
1095-9203
Topics:
Biology
,
Chemistry and Pharmacology
,
Computer Science
,
Medicine
,
Natural Sciences in General
,
Physics
