Association between severe drought and HIV prevention and care behaviors in Lesotho: A population-based survey 2016-2017

A previous analysis of the impact of drought in Africa on HIV demonstrated an 11% greater prevalence in HIV-endemic rural areas attributable to local rainfall shocks. The Lesotho Population-Based HIV Impact Assessment (LePHIA) was conducted after the severe drought of 2014-2016, allowing for reevalu...

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Veröffentlicht in:	PLoS medicine 2019-01, Vol.16 (1), p.e1002727-e1002727
Hauptverfasser:	Low, Andrea J, Frederix, Koen, McCracken, Stephen, Manyau, Salome, Gummerson, Elizabeth, Radin, Elizabeth, Davia, Stefania, Longwe, Herbert, Ahmed, Nahima, Parekh, Bharat, Findley, Sally, Schwitters, Amee
Format:	Artikel
Sprache:	eng
Schlagworte:	Acquired immune deficiency syndrome Adolescent Adult Age Factors Aggression AIDS Antiretroviral agents Biology and Life Sciences Disaster management Disease prevention Disease transmission Distribution Drought Droughts Droughts - statistics & numerical data Earth Sciences Ecology and Environmental Sciences Environmental aspects Environmental hazards Environmental impact Environmental risk Female Females Geography Girls Health risks HIV HIV infections HIV Infections - epidemiology HIV Infections - prevention & control HIV tests Households Human immunodeficiency virus Humans Hydrologic data Infections Lesotho - epidemiology Male Medical climatology Medical research Medicine and Health Sciences Metropolitan areas Middle Aged Migration Natural disasters People and Places Polls & surveys Precipitation Precipitation (Meteorology) Prevalence Rain Rainfall Risk taking Rural areas Sex Factors Sexual assault Sexual behavior Sexually transmitted disease prevention Shock Statistical analysis Surveys and Questionnaires Unsafe Sex - statistics & numerical data Violence Women Womens health Young Adult Youth
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Zusammenfassung:	A previous analysis of the impact of drought in Africa on HIV demonstrated an 11% greater prevalence in HIV-endemic rural areas attributable to local rainfall shocks. The Lesotho Population-Based HIV Impact Assessment (LePHIA) was conducted after the severe drought of 2014-2016, allowing for reevaluation of this relationship in a setting of expanded antiretroviral coverage. LePHIA selected a nationally representative sample between November 2016 and May 2017. All adults aged 15-59 years in randomly selected households were invited to complete an interview and HIV testing, with one woman per household eligible to answer questions on their experience of sexual violence. Deviations in rainfall for May 2014-June 2016 were estimated using precipitation data from Climate Hazards Group InfraRed Precipitation with Station Data (CHIRPS), with drought defined as
ISSN:	1549-1676 1549-1277 1549-1676
DOI:	10.1371/journal.pmed.1002727