A comparison of South African national HIV incidence estimates: a critical appraisal of different methods
SOURCE: PLoS One
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2015
TITLE AUTHOR(S): T.Rehle, L.Johnson, T.Hallett, M.Mahy, A.Kim, H.Odido, D.Onoya, S.Jooste, O.Shisana, A.Puren, B.Parekh, J.Stover
KEYWORDS: HIV/AIDS, HIV/AIDS PREVALENCE
DEPARTMENT: Public Health, Societies and Belonging (HSC), Office of the CEO (ERM), Office of the CEO (OCEO), Office of the CEO (IL), Office of the CEO (BS), Office of the CEO (IA)
Print: HSRC Library: shelf number 8747
HANDLE: 20.500.11910/1847
URI: http://hdl.handle.net/20.500.11910/1847
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2015
TITLE AUTHOR(S): T.Rehle, L.Johnson, T.Hallett, M.Mahy, A.Kim, H.Odido, D.Onoya, S.Jooste, O.Shisana, A.Puren, B.Parekh, J.Stover
KEYWORDS: HIV/AIDS, HIV/AIDS PREVALENCE
DEPARTMENT: Public Health, Societies and Belonging (HSC), Office of the CEO (ERM), Office of the CEO (OCEO), Office of the CEO (IL), Office of the CEO (BS), Office of the CEO (IA)
Print: HSRC Library: shelf number 8747
HANDLE: 20.500.11910/1847
URI: http://hdl.handle.net/20.500.11910/1847
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
The interpretation of HIV prevalence trends is increasingly difficult as antiretroviral treatment programs expand. Reliable HIV incidence estimates are critical to monitoring transmission trends and guiding an effective national response to the epidemic. We used a range of methods to estimate HIV incidence in South Africa: (i) an incidence testing algorithm applying the Limiting-Antigen Avidity Assay (LAg-Avidity EIA) in combination with antiretroviral drug and HIV viral load testing; (ii) a modelling technique based on the synthetic cohort principle; and (iii) two dynamic mathematical models, the EPP/Spectrum model package and the Thembisa model. Overall, the different incidence estimation methods were in broad agreement on HIV incidence estimates among persons aged 15-49 years in 2012. The assay-based method produced slightly higher estimates of incidence, 1.72% (95% CI 1.38 - 2.06), compared with the mathematical models, 1.47%(95% CI 1.23 - 1.72) in Thembisa and 1.52% (95% CI 1.43 - 1.62) in EPP/Spectrum, and slightly lower estimates of incidence compared to the synthetic cohort, 1.9% (95% CI 0.8 - 3.1) over the period from 2008 to 2012. Among youth aged 15-24 years, a declining trend in HIV incidence was estimated by all three mathematical estimation methods.-
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