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. 1995 Sep 30;311(7009):833–836. doi: 10.1136/bmj.311.7009.833

Decreasing HIV-1 seroprevalence in young adults in a rural Ugandan cohort.

D Mulder 1, A Nunn 1, A Kamali 1, J Kengeya-Kayondo 1
PMCID: PMC2550850  PMID: 7580488

Abstract

OBJECTIVE--To assess the trend in HIV-1 seroprevalence in an adult population in Uganda. DESIGN--An observational cohort study with four year follow up. SETTING--A cluster of 15 villages in rural Uganda. SUBJECTS--All residents of the 15 villages--about 10,000 people. MAIN OUTCOME MEASURE--Prevalence of HIV-1 infection as assessed by enzyme immunoassay. RESULTS--During the five year period the overall standardised seroprevalence of HIV-1 showed little change; 8.2% in 1990, 7.6% in 1994. Among males aged 13-24 years the prevalence decreased from 3.4% to 1.0% (P for trend < 0.001); among females of the same age the corresponding values were 9.9% and 7.3%. The decrease was greatest in males aged 20-24 years and females aged 13-19 years. CONCLUSION--This is the first report of a decline in HIV-1 prevalence among young adults in a general population in sub-Saharan Africa with high overall HIV-1 prevalence. It is too early to conclude that the epidemic in this population is in decline, but the results of this study should be reason for some cautious optimism and encourage the vigorous pursuit of AIDS control measures.

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Selected References

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  1. Batter V., Matela B., Nsuami M., Manzila T., Kamenga M., Behets F., Ryder R. W., Heyward W. L., Karon J. M., St Louis M. E. High HIV-1 incidence in young women masked by stable overall seroprevalence among childbearing women in Kinshasa, Zaïre: estimating incidence from serial seroprevalence data. AIDS. 1994 Jun;8(6):811–817. doi: 10.1097/00002030-199406000-00014. [DOI] [PubMed] [Google Scholar]
  2. Grosskurth H., Mosha F., Todd J., Mwijarubi E., Klokke A., Senkoro K., Mayaud P., Changalucha J., Nicoll A., ka-Gina G. Impact of improved treatment of sexually transmitted diseases on HIV infection in rural Tanzania: randomised controlled trial. Lancet. 1995 Aug 26;346(8974):530–536. doi: 10.1016/s0140-6736(95)91380-7. [DOI] [PubMed] [Google Scholar]
  3. Heyward W. L., Osmanov S., Saba J., Esparza J., Belsey E., Stoneburner R., Kaldor J., Smith P. G. Preparation for phase III HIV vaccine efficacy trials: methods for the determination of HIV incidence. AIDS. 1994 Sep;8(9):1285–1291. doi: 10.1097/00002030-199409000-00011. [DOI] [PubMed] [Google Scholar]
  4. Laga M., Alary M., Nzila N., Manoka A. T., Tuliza M., Behets F., Goeman J., St Louis M., Piot P. Condom promotion, sexually transmitted diseases treatment, and declining incidence of HIV-1 infection in female Zairian sex workers. Lancet. 1994 Jul 23;344(8917):246–248. doi: 10.1016/s0140-6736(94)93005-8. [DOI] [PubMed] [Google Scholar]
  5. Magazani K., Laleman G., Perriëns J. H., Kizonde K., Mukendi K., Mpungu M., Badibanga N., Piot P. Low and stable HIV seroprevalence in pregnant women in Shaba province, Zaire. J Acquir Immune Defic Syndr. 1993 Apr;6(4):419–423. [PubMed] [Google Scholar]
  6. Malamba S. S., Wagner H. U., Maude G., Okongo M., Nunn A. J., Kengeya-Kayondo J. F., Mulder D. W. Risk factors for HIV-1 infection in adults in a rural Ugandan community: a case-control study. AIDS. 1994 Feb;8(2):253–257. doi: 10.1097/00002030-199402000-00014. [DOI] [PubMed] [Google Scholar]
  7. Mulder D. W., Nunn A. J., Kamali A., Nakiyingi J., Wagner H. U., Kengeya-Kayondo J. F. Two-year HIV-1-associated mortality in a Ugandan rural population. Lancet. 1994 Apr 23;343(8904):1021–1023. doi: 10.1016/s0140-6736(94)90133-3. [DOI] [PubMed] [Google Scholar]
  8. Mulder D. W., Nunn A. J., Wagner H. U., Kamali A., Kengeya-Kayondo J. F. HIV-1 incidence and HIV-1-associated mortality in a rural Ugandan population cohort. AIDS. 1994 Jan;8(1):87–92. doi: 10.1097/00002030-199401000-00013. [DOI] [PubMed] [Google Scholar]
  9. Nunn A. J., Biryahwaho B., Downing R. G., Ojwiya A., Mulder D. W. Computer-assisted quality assurance in an HIV serology laboratory. Methods Inf Med. 1994 May;33(2):170–173. [PubMed] [Google Scholar]
  10. Nunn A. J., Biryahwaho B., Downing R. G., van der Groen G., Ojwiya A., Mulder D. W. Algorithms for detecting antibodies to HIV-1: results from a rural Ugandan cohort. AIDS. 1993 Aug;7(8):1057–1061. doi: 10.1097/00002030-199308000-00005. [DOI] [PubMed] [Google Scholar]
  11. Nunn A. J., Kengeya-Kayondo J. F., Malamba S. S., Seeley J. A., Mulder D. W. Risk factors for HIV-1 infection in adults in a rural Ugandan community: a population study. AIDS. 1994 Jan;8(1):81–86. doi: 10.1097/00002030-199401000-00012. [DOI] [PubMed] [Google Scholar]
  12. Nunn A. J., Wagner H. U., Kamali A., Kengeya-Kayondo J. F., Mulder D. W. Migration and HIV-1 seroprevalence in a rural Ugandan population. AIDS. 1995 May;9(5):503–506. [PubMed] [Google Scholar]
  13. Nzilambi N., De Cock K. M., Forthal D. N., Francis H., Ryder R. W., Malebe I., Getchell J., Laga M., Piot P., McCormick J. B. The prevalence of infection with human immunodeficiency virus over a 10-year period in rural Zaire. N Engl J Med. 1988 Feb 4;318(5):276–279. doi: 10.1056/NEJM198802043180503. [DOI] [PubMed] [Google Scholar]
  14. Seeley J., Wagner U., Mulemwa J., Kengeya-Kayondo J., Mulder D. The development of a community-based HIV/AIDS counselling service in a rural area in Uganda. AIDS Care. 1991;3(2):207–217. doi: 10.1080/09540129108253064. [DOI] [PubMed] [Google Scholar]
  15. Sokal D. C., Buzingo T., Nitunga N., Kadende P., Standaert B. Geographic and temporal stability of HIV seroprevalence among pregnant women in Bujumbura, Burundi. AIDS. 1993 Nov;7(11):1481–1484. doi: 10.1097/00002030-199311000-00012. [DOI] [PubMed] [Google Scholar]
  16. Wagner H. U., Kamali A., Nunn A. J., Kengeya-Kayondo J. F., Mulder D. W. General and HIV-1-associated morbidity in a rural Ugandan community. AIDS. 1993 Nov;7(11):1461–1467. doi: 10.1097/00002030-199311000-00009. [DOI] [PubMed] [Google Scholar]
  17. Wagner H. U., Van Dyck E., Roggen E., Nunn A. J., Kamali A., Schmid D. S., Dobbins J. G., Mulder D. W. Seroprevalence and incidence of sexually transmitted diseases in a rural Ugandan population. Int J STD AIDS. 1994 Sep-Oct;5(5):332–337. doi: 10.1177/095646249400500509. [DOI] [PubMed] [Google Scholar]
  18. Willerford D. M., Bwayo J. J., Hensel M., Emonyi W., Plummer F. A., Ngugi E. N., Nagelkerke N., Gallatin W. M., Kreiss J. Human immunodeficiency virus infection among high-risk seronegative prostitutes in Nairobi. J Infect Dis. 1993 Jun;167(6):1414–1417. doi: 10.1093/infdis/167.6.1414. [DOI] [PubMed] [Google Scholar]

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