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Drought, HIV Testing, and HIV Transmission Risk Behaviors: A Population-Based Study in 10 High HIV Prevalence Countries in Sub-Saharan Africa

descriptionPublicationkeyboard_double_arrow_right Article 06 Sep 2022 United States Publisher:Springer Science and Business Media LLCJournal:AIDS and Behavior, volume 27, pages 855-863 (issn: 1090-7165, eissn: 1573-3254,

Authors: Adrienne Epstein; Jason M. Nagata; Kyle T. Ganson; Denis Nash; Parya Saberi; Alexander C. Tsai; Edwin D. Charlebois; +1 Authors

doi: 10.1007/s10461-022-03820-4

pmid: 36066761

Drought, HIV Testing, and HIV Transmission Risk Behaviors: A Population-Based Study in 10 High HIV Prevalence Countries in Sub-Saharan Africa

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Abstract

Droughts are associated with poor health outcomes and disruption of public health programming. Data on the association between drought and HIV testing and transmission risk behaviors are limited. We combined data from Demographic and Health Surveys from 10 high HIV prevalence sub-Saharan African countries with a high-resolution measure of drought. We estimated the association between drought and recent HIV testing, report of condomless sex, and number of sexual partners in the last year. Respondents exposed to drought were less likely to have an HIV test and more likely to have condomless sex, although effect sizes were small. We found evidence for effect modification by sex and age for the association between drought and HIV testing, such that the negative association between drought and HIV testing was strongest among men (marginal risk ratio [mRR] 0.92, 95% CI 0.89-0.95) and adolescents (mRR 0.90, 95% CI 0.86-0.93). Drought may hinder HIV testing programs in countries with high HIV prevalence.

Country

United States

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Keywords

Male, Social Work, Adolescent, Sexual Behavior, condom use, HIV Infections, drought, HIV Testing, Risk-Taking, Health Sciences, Behavioral and Social Science, Prevalence, Climate change, Humans, Africa South of the Sahara, Pediatric, Public health, Prevention, HIV, HIV testing, Droughts, Infectious Diseases, Good Health and Well Being, Africa, Public Health and Health Services, HIV/AIDS, Sexually Transmitted Infections, Public Health, Infection, 2.4 Surveillance and distribution

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	citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	13
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	influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	Average
	impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.	Top 10%