BibTex format
@article{Stevens:2024:10.1016/s2214-109x(24)00236-5,
author = {Stevens, O and Sabin, K and Anderson, RL and Garcia, SA and Willis, K and Rao, A and McIntyre, AF and Fearon, E and Grard, E and Stuart-Brown, A and Cowan, F and Degenhardt, L and Stannah, J and Zhao, J and Hakim, AJ and Rucinski, K and Sathane, I and Boothe, M and Atuhaire, L and Nyasulu, PS and Maheu-Giroux, M and Platt, L and Rice, B and Hladik, W and Baral, S and Mahy, M and Imai-Eaton, JW},
doi = {10.1016/s2214-109x(24)00236-5},
journal = {The Lancet Global Health},
pages = {e1400--e1412},
title = {Population size, HIV prevalence, and antiretroviral therapy coverage among key populations in sub-Saharan Africa: collation and synthesis of survey data, 2010–23},
url = {http://dx.doi.org/10.1016/s2214-109x(24)00236-5},
volume = {12},
year = {2024}
}
RIS format (EndNote, RefMan)
TY - JOUR
AB - BackgroundKey population HIV programmes in sub-Saharan Africa require epidemiological information to ensure equitable and universal access to effective services. We aimed to consolidate and harmonise survey data among female sex workers, men who have sex with men, people who inject drugs, and transgender people to estimate key population size, HIV prevalence, and antiretroviral therapy (ART) coverage for countries in mainland sub-Saharan Africa.MethodsKey population size estimates, HIV prevalence, and ART coverage data from 39 sub-Saharan Africa countries between 2010 and 2023 were collated from existing databases and verified against source documents. We used Bayesian mixed-effects spatial regression to model urban key population size estimates as a proportion of the gender-matched, year-matched, and area-matched population aged 15–49 years. We modelled subnational key population HIV prevalence and ART coverage with age-matched, gender-matched, year-matched, and province-matched total population estimates as predictors.FindingsWe extracted 2065 key population size data points, 1183 HIV prevalence data points, and 259 ART coverage data points. Across national urban populations, a median of 1·65% (IQR 1·35–1·91) of adult cisgender women were female sex workers, 0·89% (0·77–0·95) were men who have sex with men, 0·32% (0·31–0·34) were men who injected drugs, and 0·10% (0·06–0·12) were women who were transgender. HIV prevalence among key populations was, on average, four to six times higher than matched total population prevalence, and ART coverage was correlated with, but lower than, the total population ART coverage with wide heterogeneity in relative ART coverage across studies. Across sub-Saharan Africa, key populations were estimated as comprising 1·2% (95% credible interval 0·9–1·6) of the total population aged 15–49 ye
AU - Stevens,O
AU - Sabin,K
AU - Anderson,RL
AU - Garcia,SA
AU - Willis,K
AU - Rao,A
AU - McIntyre,AF
AU - Fearon,E
AU - Grard,E
AU - Stuart-Brown,A
AU - Cowan,F
AU - Degenhardt,L
AU - Stannah,J
AU - Zhao,J
AU - Hakim,AJ
AU - Rucinski,K
AU - Sathane,I
AU - Boothe,M
AU - Atuhaire,L
AU - Nyasulu,PS
AU - Maheu-Giroux,M
AU - Platt,L
AU - Rice,B
AU - Hladik,W
AU - Baral,S
AU - Mahy,M
AU - Imai-Eaton,JW
DO - 10.1016/s2214-109x(24)00236-5
EP - 1412
PY - 2024///
SN - 2214-109X
SP - 1400
TI - Population size, HIV prevalence, and antiretroviral therapy coverage among key populations in sub-Saharan Africa: collation and synthesis of survey data, 2010–23
T2 - The Lancet Global Health
UR - http://dx.doi.org/10.1016/s2214-109x(24)00236-5
UR - http://hdl.handle.net/10044/1/114159
VL - 12
ER -