Mapping of new HIV infections in Morocco and impact of select interventions
| Autor: | Laith J. Abu-Raddad, Aziza Bennani, Kamal Alami, Amina Latifi, Silva P. Kouyoumjian, Houssine El Rhilani, Amina El Kettani, Hiam Chemaitelly |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Microbiology (medical) Adolescent Sexual Behavior 030231 tropical medicine Human immunodeficiency virus (HIV) Psychological intervention HIV Infections medicine.disease_cause Men who have sex with men lcsh:Infectious and parasitic diseases Condoms Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Prevalence Humans Medicine lcsh:RC109-216 030212 general & internal medicine Young adult Epidemics Sex Workers business.industry Transmission (medicine) Incidence Incidence (epidemiology) General Medicine Middle Aged Confidence interval Morocco Sexual Partners Infectious Diseases Serodiscordant Female business Sentinel Surveillance Demography |
| Zdroj: | International Journal of Infectious Diseases, Vol 68, Iss, Pp 4-12 (2018) |
| ISSN: | 1201-9712 |
| Popis: | Objectives: The aim of this study was to assess HIV modes of exposure in Morocco at the national level and also for Souss-Massa-Drâa, the region most affected by HIV. Another aim was to assess the impact of different scenarios of select intervention packages. Methods: The Modes of Transmission Model was adapted and used, and was parameterized using quality bio-behavioral surveillance data among key populations, routine data sources, and literature reviews. Results: Nationally in 2013, the largest number of new infections occurred among clients of female sex workers (FSWs) (25%; 95% confidence interval (CI) 14–37%), followed by men who have sex with men (MSM) (22%; 95% CI 12–35%), HIV serodiscordant couples (22%; 95% CI 12–34%), FSWs (11%; 95% CI 6–18%), and people who inject drugs (5%; 95% CI 2–9%). A similar pattern of results was observed in Souss-Massa-Drâa, but the HIV incidence rate was four-fold that at the national level. Different scenarios of feasible intervention packages reduced HIV incidence by 8–44%. Conclusions: Commercial heterosexual sex networks continue as the leading driver of the epidemic, with half of HIV incidence. A quarter of new infections occurred among MSM, a third of which in Souss-Massa-Drâa. Feasible expanded coverage of interventions could lead to large reductions in incidence. Keywords: Mathematical model, Modes of transmission, Interventions, Morocco, Middle East and North Africa |
| Databáze: | OpenAIRE |
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