scholarly journals HIV and Fertility Decline in North-Central Namibia 1980-2004

2008 ◽  
pp. 7-32
Author(s):  
Riikka Shemeikka ◽  
Veijo Notkola ◽  
Jan Kuhanen ◽  
Harri Siiskonen
Keyword(s):  
Hiv Infection ◽  
Demographic And Health Surveys ◽  
Demographic Structure ◽  
North Central ◽  
Population Growth Rates ◽  
Hiv Epidemic ◽  
Premarital Fertility ◽  
The Impact ◽  
Evangelical Lutheran ◽  
Future Population

The aim of this study was to estimate the development of fertility and the impact of HIV on this development in North-Central Namibia from 1980 to 2004. The main sources of data consisted of parish registers for eight Evangelical Lutheran congregations, the 1992 and 2000 Namibia Demographic and Health Surveys and the 1991 and 2001 population censuses. Developments in fertility were studied using the total fertility rate (TFR), age-speci? c fertility rates (ASFR), and standardized fertility distributions. The results show that fertility declined from 5.0 in 1980-89 to 4.1 in 1990-99 and to 3.5 in 2000-04. Among women in the 25-29 age group and older, fertility declined, while fertility among adolescents increased. Both age at ? rst marriage and premarital fertility increased during the study period. During the 1990s, HIV infection explained 25-29% of the decline in total fertility. If mortality continues to increase as a result of the HIV epidemic while fertility continues to decline, both because of HIV infection and for other societal reasons, the implications for future population growth rates and the countrys demographic structure are pronounced.

scholarly journals Fertility in Namibia. Changes in fertility levels in North-Central Namibia 1960-2001, including an assessment of the impact of HIV

2006 ◽  
Vol 42 ◽  
Author(s):  
Riikka Shemeikka
Keyword(s):  
General Population ◽  
Fertility Decline ◽  
Ratio Method ◽  
Demographic And Health Surveys ◽  
Study Region ◽  
North Central ◽  
War Of Independence ◽  
Hiv Epidemic ◽  
The Impact ◽  
Parish Registers

The aim of this study was to estimate the development of fertility in North-Central Namibia, former Ovamboland, from 1960 to 2001. Special attention was given to the onset of fertility decline and to the impact of the HIV epidemic on fertility. An additional aim was to introduce parish registers as a source of data for fertility research in Africa. Data used consisted of parish registers from Evangelical Lutheran congregations, the 1991 and 2001 Population and Housing Censuses, the 1992 and 2000 Namibia Demographic and Health Surveys, and the HIV sentinel surveillances of 1992-2004. Both period and cohort fertility were analysed. The P/F ratio method was used when analysing census data. The impact of HIV infection on fertility was estimated indirectly by comparing the fertility histories of women who died at an age of less than 50 years with the fertility of other women. The impact of the HIV epidemic on fertility was assessed both among infected women and in the general population. Fertility in the study population began to decline in 1980. The decline was rapid during the 1980s, levelled off in the early 1990s at the end of war of independence and then continued to decline until the end of the study period. According to parish registers, total fertility was 6.4 in the 1960s and 6.5 in the 1970s, and declined to 5.1 in the 1980s and 4.2 in the 1990s. Adjustment of these total fertility rates to correspond to levels of fertility based on data from the 1991 and 2001 censuses resulted in total fertility declining from 7.6 in 1960-79 to 6.0 in 1980-89, and to 4.9 in 1990-99. The decline was associated with increased age at first marriage, declining marital fertility and increasing premarital fertility. Fertility among adolescents increased, whereas the fertility of women in all other age groups declined. During the 1980s, the war of independence contributed to declining fertility through spousal separation and delayed marriages. Contraception has been employed in the study region since the 1980s, but in the early 1990s, use of contraceptives was still so limited that fertility was higher in North-Central Namibia than in other regions of the country. In the 1990s, fertility decline was largely a result of the increased prevalence of contraception. HIV prevalence among pregnant women increased from 4% in 1992 to 25% in 2001. In 2001, total fertility among HIV-infected women (3.7) was lower than that among other women (4.8), resulting in total fertility of 4.4 among the general population in 2001. The HIV epidemic explained more than a quarter of the decline in total fertility at population level during most of the 1990s. The HIV epidemic also reduced the number of children born by reducing the number of potential mothers. In the future, HIV will have an extensive influence on both the size and age structure of the Namibian population. Although HIV influences demographic development through both fertility and mortality, the effect through changes in fertility will be smaller than the effect through mortality. In the study region, as in some other regions of southern Africa, a new type of demographic transition is under way, one in which population growth stagnates or even reverses because of the combined effects of declining fertility and increasing mortality, both of which are consequences of the HIV pandemic.

scholarly journals Analysis Mortality in Patients with HIV-infection on Example of a Region with a High Prevalence of Infection

2018 ◽  
Vol 17 (1) ◽  
pp. 40-47
Author(s):  
V. Ya. Rosenberg ◽  
Yu. K. Plotnikova ◽  
E. E. Voronin
Keyword(s):  
Hiv Infection ◽  
Causes Of Death ◽  
Total Mortality ◽  
People Living With Hiv ◽  
Infected People ◽  
Treatment And Prevention ◽  
Hiv Epidemic ◽  
Irkutsk Region ◽  
The Impact ◽  
Hiv Aids

RelevanceThe HIV epidemic, registered worldwide since the early 1980s, is currently continuing its development in most countries, and, according to the Joint United Nations Program on HIV/AIDS (UNAIDS, 2016), covers more than 36 million people (including 1.8 million children) AIDS mortality is a key indicator of the effectiveness of the response to the HIV epidemic. On the example of the Irkutsk region as a region with high lesion, an analysis of the main indicators and causes of death of patients with HIV infection was carried out.Goal– analysis of the mortality of HIV / AIDS patients by the example of a region with a high degree of defeat in order to determine the key criteria for evaluating activities to reduce the mortality from HIV/AIDS.Materials and methods An analysis was made of the causes of mortality of patients with HIV infection in the Irkutsk region in 2014– 2016, using comparative data of modern domestic and foreign literature (including total mortality), as well as accounting and reporting documentation of the Irkutsk Regional Center for prevention and control of AIDS and infectious diseases.Results 1.There is an increase in the death rate of HIV-infected people, including those caused by HIV. 2. The increase in mortality practically does not lead to an increase in mortality due to a parallel increase in the number of people living with HIV. 3. The main causes of death from HIV infection (AIDS) are pathologies with primary respiratory system damage: tuberculosis and pneumonia, which requires special attention in developing approaches to diagnosis, recording, treatment and prevention of these diseases, as well as assessing the impact of vaccination of patients with HIV infection against pneumococcus on mortality from pneumonia. 4. The increase in ART coverage of all patient populations contributes to the stabilization of mortality from HIV/AIDS.Conclusions:the most important for assessing the impact of ongoing efforts of the health system to reduce mortality among HIVinfected patients is the correct registration and diagnosis (including posthumous) of AIDS-indicative diseases, certainly associated with the progression of HIV infection. 

A Qualitative Study Exploring Harmful Cultural Practices and HIV Stigma in North Central Nigeria

2020 ◽  
Vol 6 (1) ◽  
pp. 5-11
Author(s):  
Bala Augustine Nalah ◽  
Azlinda Azman ◽  
Paramjit Singh Jamir Singh
Keyword(s):  
Hiv Infection ◽  
Hiv Transmission ◽  
Cultural Practices ◽  
Qualitative Interviews ◽  
Well Being ◽  
Cultural Practice ◽  
Hiv Stigma ◽  
Hiv Positive ◽  
North Central ◽  
Harmful Cultural Practices

Harmful cultural practices have psychosocial implications on stigmatization and vulnerability to HIV infection among HIV positive living in North Central Nigeria. To understand this, we conducted qualitative interviews with purposively selected 20 diagnosed HIV positive to explore how culture influences stigmatization and HIV transmission. Data was collected using audio-recorder, transcribed, and analyzed through thematic analysis using ATLAS.ti8 software to code and analyze interview transcripts. The coded data were presented using thematic network analysis to visualize the theme, sub-themes, and quotations in a model. The findings reveal that lack of education was a significant determinant for the continual practice of harmful cultural rites, thereby increasing the risk of HIV infection and stigmatization. Hence, six cultural facilitators have been identified to include female genital mutilation, lack of education, tribal marks and scarification, postpartum sexual abstinence during breastfeeding, sexual intercourse during menstruation, and gender inequality, polygamy, and inheritance law. We conclude that educational teachings and advocacy campaigns be organized in rural schools and public places on the implications of harmful cultural practice to health and psychological well-being. We recommend that the social workers and behavioral scientists should collaborate with other agencies to employ a behavioral-based intervention in eliminating cultural practices and HIV stigma.

scholarly journals Impact of Demographic Structure on Economic Development of Ukrainian Coastal Regions

2021 ◽  
Vol 13 (4) ◽  
pp. 1798
Author(s):  
Patrik Rovný ◽  
Serhiy Moroz ◽  
Jozef Palkovič ◽  
Elena Horská
Keyword(s):  
Economic Development ◽  
Fixed Effects ◽  
The Black Sea ◽  
Demographic Structure ◽  
Coastal Regions ◽  
Azov Sea ◽  
Economic State ◽  
Demographic Shifts ◽  
The Impact ◽  
Conflict Period

The main aim of our paper is to study peculiarities of two periods, i.e., the pre-conflict period (2004–2013) and conflict period (2014–2018), in the context of the impact of the demographic structure of the population on the economic growth and development of coastal regions of Ukraine. In the first step of the analysis, we investigate the relationship between the demographic shifts and selected economic indicators, using the Pearson’s correlation coefficient. In the next step of the analysis, we focus on the quantification of the impact of demographic indicators on the economic variables, based on the panel model with fixed effects. The received results confirm that the influence of the demographic stricture on the economic state of coastal regions changed significantly in the conflict period in comparison with the pre-conflict period, especially concerning income, unemployment, and the openness of the economy. Additionally, our findings show that while economic differences existed between the Azov Sea regions and the Black Sea regions in the pre-conflict period, they disappeared due to the economic deterioration of the Azov Sea regions during the conflict period. It is concluded that war affects adversely the population’s demographic structure, which inhibits the growth and economic development of Ukrainian coastal regions.

scholarly journals COVID-19 restrictions and changing sexual behaviours in HIV-negative MSM at high risk of HIV infection in London, UK

2021 ◽  
pp. sextrans-2020-054768
Author(s):  
Iain Hyndman ◽  
Diarmuid Nugent ◽  
Gary George Whitlock ◽  
Alan McOwan ◽  
Nicolò Girometti
Keyword(s):  
High Risk ◽  
Hiv Infection ◽  
Sexual Activity ◽  
Sexual Behaviour ◽  
Well Being ◽  
Categorical Variables ◽  
Cross Sectional ◽  
The Impact ◽  
Mental Well Being ◽  
Hiv Negative

ObjectivesThe COVID-19 pandemic and its related restrictions have affected attendance to and delivery of UK sexual healthcare services (SHS). We surveyed the impact on sexual behaviour of men having sex with men (MSM) to inform future SHS provision.MethodsWe conducted a cross-sectional, anonymous, web-based survey among HIV-negative MSM at high risk of HIV infection who attended 56 Dean Street, a sexual health and HIV clinic. The survey was conducted over a 7-day period in August 2020. Data on sociodemographic characteristics, sexual behaviour and related mental well-being experienced during lockdown (defined as 23 March–30 June 2020) were extracted. Categorical and non-categorical variables were compared according to HIV pre-exposure prophylaxis (PrEP) use.Results814 MSM completed the questionnaire: 75% were PrEP users; 76% reported they have been sexually active, of which 76% reported sex outside their household. 75% reported fewer partners than prior to lockdown. Isolation/loneliness (48%) and anxiety/stress (27%) triggered sexual activity, and 73% had discussed COVID-19 transmission risks with their sexual partners. While 46% reported no change to emotions ordinarily experienced following sex, 20% reported guilt for breaching COVID-19 restrictions. 76% implemented one or more changes to their sexual behaviour, while 58% applied one or more steps to reduce COVID-19 transmission during sex. 36% accessed SHS and 30% reported difficulties in accessing testing/treatment. Of those who accessed SHS, 28% reported an STI diagnosis. PrEP users reported higher partner number, engagement in ‘chemsex’ and use of SHS than non-PrEP users.ConclusionsCOVID-19 restrictions had a considerable impact on sexual behaviour and mental well-being in our survey respondents. High rates of sexual activity and STI diagnoses were reported during lockdown. Changes to SHS provision for MSM must respond to high rates of psychological and STI-related morbidity and the challenges faced by this population in accessing services.

scholarly journals Adolescent, Pregnant, and HIV-Infected: Risk of Adverse Pregnancy and Perinatal Outcomes in Young Women from Southern Mozambique

2021 ◽  
Vol 10 (8) ◽  
pp. 1564
Author(s):  
Clara Pons-Duran ◽  
Aina Casellas ◽  
Azucena Bardají ◽  
Anifa Valá ◽  
Esperança Sevene ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Maternal Morbidity ◽  
Low Birthweight ◽  
Negative Binomial ◽  
Perinatal Outcomes ◽  
Sub Saharan Africa ◽  
P Value ◽  
Increased Risk ◽  
Adverse Pregnancy ◽  
The Impact

Sub-Saharan Africa concentrates the burden of HIV and the highest adolescent fertility rates. However, there is limited information about the impact of the interaction between adolescence and HIV infection on maternal health in the region. Data collected prospectively from three clinical trials conducted between 2003 and 2014 were analysed to evaluate the association between age, HIV infection, and their interaction, with the risk of maternal morbidity and adverse pregnancy and perinatal outcomes in women from southern Mozambique. Logistic regression and negative binomial models were used. A total of 2352 women were included in the analyses; 31% were adolescents (≤19 years) and 29% HIV-infected women. The effect of age on maternal morbidity and pregnancy and perinatal adverse outcomes was not modified by HIV status. Adolescence was associated with an increased incidence of hospital admissions (IRR 0.55, 95%CI 0.37–0.80 for women 20–24 years; IRR 0.60, 95%CI 0.42–0.85 for women >25 years compared to adolescents; p-value < 0.01) and outpatient visits (IRR 0.86, 95%CI 0.71–1.04; IRR 0.76, 95%CI 0.63–0.92; p-value = 0.02), and an increased likelihood of having a small-for-gestational age newborn (OR 0.50, 95%CI 0.38–0.65; OR 0.43, 95%CI 0.34–0.56; p-value < 0.001), a low birthweight (OR 0.40, 95%CI 0.27–0.59; OR 0.37, 95%CI 0.26–0.53; p-value <0.001) and a premature birth (OR 0.42, 95%CI 0.24–0.72; OR 0.51, 95%CI 0.32–0.82; p-value < 0.01). Adolescence was associated with an increased risk of poor morbidity, pregnancy and perinatal outcomes, irrespective of HIV infection. In addition to provision of a specific maternity care package for this vulnerable group interventions are imperative to prevent adolescent pregnancy.

scholarly journals Exploring the impact of HIV infection and antiretroviral therapy on placenta morphology

Placenta ◽  
2021 ◽  
Vol 104 ◽  
pp. 102-109
Author(s):  
Michael Yampolsky ◽  
Oleksandr Shlakhter ◽  
Dianna Deng ◽  
Smriti Kala ◽  
Sharon L. Walmsley ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Hiv Infection ◽  
The Impact

scholarly journals Geospatial analysis of determinants of neonatal mortality in Ghana

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Duah Dwomoh
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Neonatal Death ◽  
Reproductive Age ◽  
Multiple Births ◽  
Demographic And Health Surveys ◽  
Neonatal Deaths ◽  
The Impact

Abstract Background Ghana did not meet the Millennium Development Goal 4 of reducing child mortality by two-thirds and may not meet SDG (2030). There is a need to direct scarce resources to mitigate the impact of the most important risk factors influencing high neonatal deaths. This study applied both spatial and non-spatial regression models to explore the differential impact of environmental, maternal, and child associated risk factors on neonatal deaths in Ghana. Methods The study relied on data from the Ghana Demographic and Health Surveys (GDHS) and the Ghana Maternal Health Survey (GMHS) conducted between 1998 and 2017 among 49,908 women of reproductive age and 31,367 children under five (GDHS-1998 = 3298, GDHS-2003 = 3844, GDHS-2008 = 2992, GDHS-2014 = 5884, GMHS-2017 = 15,349). Spatial Autoregressive Models that account for spatial autocorrelation in the data at the cluster-level and non-spatial statistical models with appropriate sampling weight adjustment were used to study factors associated with neonatal deaths, and a p-value less than 0.05 was considered statistically significant. Results Population density, multiple births, smaller household sizes, high parity, and low birth weight significantly increased the risk of neonatal deaths over the years. Among mothers who had multiple births, the risk of having neonatal deaths was approximately four times as high as the risk of neonatal deaths among mothers who had only single birth [aRR = 3.42, 95% CI: 1.63–7.17, p < 0.05]. Neonates who were perceived by their mothers to be small were at a higher risk of neonatal death compared to very large neonates [aRR = 2.08, 95% CI: 1.19–3.63, p < 0.05]. A unit increase in the number of children born to a woman of reproductive age was associated with a 49% increased risk in neonatal deaths [aRR = 1.49, 95% CI: 1.30–1.69, p < 0.05]. Conclusion Neonatal mortality in Ghana remains relatively high, and the factors that predisposed children to neonatal death were birth size that were perceived to be small, low birth weight, higher parity, and multiple births. Improving pregnant women’s nutritional patterns and providing special support to women who have multiple deliveries will reduce neonatal mortality in Ghana.

scholarly journals The impact of immunoglobulin in acute HIV infection on the HIV reservoir: a randomized controlled trial

HIV Medicine ◽  
2017 ◽  
Vol 18 (10) ◽  
pp. 777-781 ◽  
Author(s):  
J Tiraboschi ◽  
S Ray ◽  
K Patel ◽  
A Teague ◽  
M Pace ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Hiv Infection ◽  
Controlled Trial ◽  
Acute Hiv Infection ◽  
Hiv Reservoir ◽  
Randomized Controlled ◽  
Acute Hiv ◽  
The Impact
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