ﻻ يوجد ملخص باللغة العربية
Background: We estimated the potential number of newly diagnosed HIV infections among adolescent girls and young women (AGYW) using a venue-based approach to HIV testing at sex work hotspots. Methods: We used hotspot enumeration and cross-sectional bio-behavioural survey data from the 2015 Transitions Study of AGYW aged 14-24 years who frequented hotspots in Mombasa, Kenya. We compared the HIV cascade among AGYW who sell sex (YSW, N=408) versus those who do not (NSW, N=891); and triangulated the potential (100% test acceptance and accuracy) and feasible (accounting for test acceptance and sensitivity) number of AGYW that could be newly diagnosed via hotspot-based HIV rapid testing in Mombasa. We identified the profile of AGYW recently tested for HIV (in the past year) using multivariable logistic regression. Results: N=37/365 (10.1%) YSW and N=30/828 (3.6%) NSW were living with HIV, of whom 27.0% (N=10/37) and 30.0% (N=9/30) were diagnosed and aware (p=0.79). Rapid test acceptance was 89.3% and sensitivity was 80.4%. Hotspot enumeration estimated 15,635 (range: 12,172-19,097) AGYW in hotspots in Mombasa. The potential and feasible number of new diagnosis were 627 (310-1,081), and 450 (223-776), respectively. Thus, hotspot-based testing could feasibly reduce the undiagnosed fraction from 71.6% to 20.2%. The profile of AGYW who recently tested was similar among YSW and NSW. YSW were two-fold more likely to report a recent HIV test after adjusting for other determinants [odds ratio (95% CI): 2.1 (1.6-3.1)]. Conclusion: Reaching AGYW via hotspot-based HIV testing could fill gaps left by traditional, clinic-based HIV prevention and testing services.
Longitudinal cohorts to determine the incidence of HIV infection are logistically challenging, so researchers have sought alternative strategies. Recency test methods use biomarker profiles of HIV-infected subjects in a cross-sectional sample to infe
HIV-1C is the most prevalent subtype of HIV-1 and accounts for over half of HIV-1 infections worldwide. Host genetic influence of HIV infection has been previously studied in HIV-1B, but little attention has been paid to the more prevalent subtype C.
Frequently, empirical studies are plagued with missing data. When the data are missing not at random, the parameter of interest is not identifiable in general. Without additional assumptions, we can derive bounds of the parameters of interest, which,
Infection by many viruses begins with fusion of viral and cellular lipid membranes, followed by entry of viral contents into the target cell and ultimately, after many biochemical steps, integration of viral DNA into that of the host cell. The early
Fluid intelligence (Gf) has been defined as the ability to reason and solve previously unseen problems. Links to Gf have been found in magnetic resonance imaging (MRI) sequences such as functional MRI and diffusion tensor imaging. As part of the Adol