Central Data Catalog

Citation Information

Type Journal Article - SAMJ: South African Medical Journal
Title The case for expanding the definition of'key populations' to include high-risk groups in the general population to improve targeted HIV prevention efforts
Author(s)
Volume 105
Issue 8
Publication (Day/Month/Year) 2015
Page numbers 664-669
URL http://www.scielo.org.za/scielo.php?pid=S0256-95742015000800019&script=sci_arttext
Abstract
BACKGROUND: Two additional key populations within the general population in South Africa (SA) that are at risk of HIV infection are black African women aged 20 - 34 years and black African men aged 25 - 49 years.
OBJECTIVE: To investigate the social determinants of HIV serostatus for these two high-risk populations.
METHODS: Data from the 2012 South African National HIV Prevalence, Incidence, and Behaviour Survey were analysed for black African women aged 20 - 34 years and black African men aged 25 - 49 years.
RESULTS: Of the 6.4 million people living with HIV in SA in 2012, 1.8 million (28%) were black women aged 20 - 34 years and 1.9 million (30%) black men aged 25 - 49 years. In 2012, they constituted 58% of the total HIV-positive population and 48% of the newly infected population. Low socioeconomic status (SES) was strongly associated (p<0.001) with being HIV-positive among black women aged 20 - 34 years, and was marginally significant among black men aged 25 - 49 years (p<0.1).
CONCLUSION: Low SES is a critical social determinant for HIV infection among the high-risk groups of black African women aged 20 -34 years and black African men aged 25 - 49 years. Targeted interventions for these key populations should prioritise socioeconomic empowerment, access to formal housing and services, access to higher education, and broad economic transformation.

Related studies

»