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Spatial distribution and determinants of HIV prevalence among adults in urban Ethiopia : Findings from the Ethiopia Population-based HIV Impact Assessment Survey (2017–2018)

Gelibo, Terefe ; Lulseged, Sileshi ; Eshetu, Frehywot ; Abdella, Saro ; Melaku, Zenebe ; Ajiboye, Solape ; Demissie, Minilik LU orcid ; Solmo, Chelsea ; Ahmed, Jelaludin and Getaneh, Yimam , et al. (2022) In PLoS ONE 17. p.1-15
Abstract

The design and evaluation of national HIV programs often rely on aggregated national data, which may obscure localized HIV epidemics. In Ethiopia, even though the national adult HIV prevalence has decreased, little information is available about local areas and subpopulations. To inform HIV prevention efforts for specific populations, we identified geographic locations and drivers of HIV transmission. We used data from adults aged 15–64 years who participated in the Ethiopian Population-based HIV Impact Assessment survey (October 2017–April 2018). Location-related information for the survey clusters was obtained from the 2007 Ethiopia population census. Spatial autocorrelation of HIV prevalence data were analyzed via a Global Moran’s I... (More)

The design and evaluation of national HIV programs often rely on aggregated national data, which may obscure localized HIV epidemics. In Ethiopia, even though the national adult HIV prevalence has decreased, little information is available about local areas and subpopulations. To inform HIV prevention efforts for specific populations, we identified geographic locations and drivers of HIV transmission. We used data from adults aged 15–64 years who participated in the Ethiopian Population-based HIV Impact Assessment survey (October 2017–April 2018). Location-related information for the survey clusters was obtained from the 2007 Ethiopia population census. Spatial autocorrelation of HIV prevalence data were analyzed via a Global Moran’s I test. Geographically weighted regression analysis was used to show the relationship of covariates. The finding indicated that uncircumcised men in certain hotspot towns and divorced or widowed individuals in hotspot woredas/towns might have contributed to the average increase in HIV prevalence in the hotspot areas. Hotspot analysis findings indicated that, localized, context-specific intervention efforts tailored to at-risk populations, such as divorced or widowed women or uncircumcised men, could decrease HIV transmission and prevalence in urban Ethiopia.

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publishing date
type
Contribution to journal
publication status
published
subject
in
PLoS ONE
volume
17
article number
e0271221
pages
1 - 15
publisher
Public Library of Science (PLoS)
external identifiers
  • scopus:85134427037
  • pmid:35819961
ISSN
1932-6203
DOI
10.1371/journal.pone.0271221
language
English
LU publication?
no
additional info
Funding Information: We conducted Ethiopia Population-based HIV Impact Assessment Survey through an agreement between Ethiopian Public Health Institute (EPHI), Centers for Disease Control and Prevention (CDC), and ICAP-Columbia University (ICAP-CU). We would like to extend our thanks to the leadership at the Ministry of Health, EPHI, the Regional Health Bureaus, sub-regional CDC units, and ICAP-CU for their administrative support in organizing and conducting the survey. Our thanks also go to the field coordinators, supervisors, and data collectors for their dedicated work and to all study participants for providing the necessary information. Publisher Copyright: This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
id
3e4b50d2-7cff-49a7-a1f3-9c05d96da478
date added to LUP
2022-08-26 08:31:44
date last changed
2024-04-18 02:10:43
@article{3e4b50d2-7cff-49a7-a1f3-9c05d96da478,
  abstract     = {{<p>The design and evaluation of national HIV programs often rely on aggregated national data, which may obscure localized HIV epidemics. In Ethiopia, even though the national adult HIV prevalence has decreased, little information is available about local areas and subpopulations. To inform HIV prevention efforts for specific populations, we identified geographic locations and drivers of HIV transmission. We used data from adults aged 15–64 years who participated in the Ethiopian Population-based HIV Impact Assessment survey (October 2017–April 2018). Location-related information for the survey clusters was obtained from the 2007 Ethiopia population census. Spatial autocorrelation of HIV prevalence data were analyzed via a Global Moran’s I test. Geographically weighted regression analysis was used to show the relationship of covariates. The finding indicated that uncircumcised men in certain hotspot towns and divorced or widowed individuals in hotspot woredas/towns might have contributed to the average increase in HIV prevalence in the hotspot areas. Hotspot analysis findings indicated that, localized, context-specific intervention efforts tailored to at-risk populations, such as divorced or widowed women or uncircumcised men, could decrease HIV transmission and prevalence in urban Ethiopia.</p>}},
  author       = {{Gelibo, Terefe and Lulseged, Sileshi and Eshetu, Frehywot and Abdella, Saro and Melaku, Zenebe and Ajiboye, Solape and Demissie, Minilik and Solmo, Chelsea and Ahmed, Jelaludin and Getaneh, Yimam and Kaydos-Daniels, Susan C. and Abate, Ebba}},
  issn         = {{1932-6203}},
  language     = {{eng}},
  pages        = {{1--15}},
  publisher    = {{Public Library of Science (PLoS)}},
  series       = {{PLoS ONE}},
  title        = {{Spatial distribution and determinants of HIV prevalence among adults in urban Ethiopia : Findings from the Ethiopia Population-based HIV Impact Assessment Survey (2017–2018)}},
  url          = {{http://dx.doi.org/10.1371/journal.pone.0271221}},
  doi          = {{10.1371/journal.pone.0271221}},
  volume       = {{17}},
  year         = {{2022}},
}