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Article ; Online: HIV Recent Infection and Past HIV Testing History Among Newly HIV-Diagnosed 15-24-Year-Olds in Malawi: An Analysis of 2019-2022 HIV Recent Infection Surveillance Data.

Kabaghe, Alinune N / Stephens, Reno / Payne, Danielle / Theu, Joe / Luhanga, Misheck / Chalira, Davie / Arons, Melissa M / O'Malley, Gabrielle / Thomson, Kerry A / Nyangulu, Mtemwa / Nyirenda, Rose / Patel, Pragna / Wadonda-Kabondo, Nellie

AIDS education and prevention : official publication of the International Society for AIDS Education

2023  Volume 35, Page(s) 4–19

Abstract: Awareness of HIV status in Malawi is 88.3% and lowest among 15-24-year-olds (76.2%). There is a need to understand HIV testing history and transmission in this age group. We analyzed pooled HIV surveillance data to describe testing history and HIV recent ...

Abstract Awareness of HIV status in Malawi is 88.3% and lowest among 15-24-year-olds (76.2%). There is a need to understand HIV testing history and transmission in this age group. We analyzed pooled HIV surveillance data to describe testing history and HIV recent infection among 8,389 HIV-positive 15-24-year-olds from 251 sites in Malawi between 2019 and 2022. Most HIV-positive 15-24-year-olds were female; aged 23-24 years; rural residents; and diagnosed at voluntary counseling and testing. No prior HIV testing was reported in 43.5% and 32.9% of 15-19-year-olds and males, respectively. Overall, 4.9% of HIV-positive diagnoses were classified as recent HIV infections, with the highest proportions among breastfeeding women (8.2%); persons tested at sexually transmitted infection clinics (9.0%); persons with a prior negative test within 6 months (13.0%); and 17-18-year-olds (7.3%). Tailored and innovative HIV prevention and testing strategies for young adolescents, young males, and pregnant and breastfeeding women are needed for HIV epidemic control.
MeSH term(s) Male ; Pregnancy ; Adolescent ; Female ; Humans ; HIV Infections/prevention & control ; Malawi/epidemiology ; HIV Testing ; Counseling ; Acquired Immunodeficiency Syndrome
Language English
Publishing date 2023-07-05
Publishing country United States
Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID 1075448-9
ISSN 1943-2755 ; 0899-9546
ISSN (online) 1943-2755
ISSN 0899-9546
DOI 10.1521/aeap.2023.35.suppA.4
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