Publication Type: Journal article
Year: 2022
Author(s):  Naidoo Inbarani,  Takatshana Sinovuyo,  Sewpaul Ronel,  Jooste Sean, Siyanai Zhou, Maseko Goitseone, Moyo Sizulu, Zuma Khangelani, Mabaso Musawenkosi & Nompumelelo Zungu 
Unit: AARHub
Journal: BMC Research Notes

Abstract: "Objectives: This paper reports HIV prevalence, incidence, progress towards the UNAIDS (90-90-90) targets, and HIV drug resistance among adolescents living with HIV in South Africa. We conducted secondary analyses using data extracted from the South African national HIV prevalence surveys (2005–2017). Analyses were stratified by sex and age (10–14 and 15–19-years), presenting weighted descriptive statistics, and realised totals. Results: HIV prevalence increased from 3.0% in 2012 to 3.7% in 2017, translating to 360 582 (95% CI 302 021-419 144) HIV positive adolescents in 2017. Female adolescents bear a disproportionate HIV burden of 5.6% prevalence versus 0.7% for males. HIV incidence remained relatively stable. For the UNAIDS 90-90-90 targets, approximately 62.3% of adolescents knew their HIV status, 65.4% of whom were on antiretroviral therapy, and of these 78.1% on antiretroviral therapy had attained viral load suppression. There are knowledge gaps pertaining to the magnitude of perinatal infections and postnatal infections, and socio-behavioural risk factors for HIV transmission among adolescents in South Africa. There is still a need for focussed interventions targeting adolescent (1) gender disparities in HIV risk (2) screening for HIV, (3) sustained access and adherence to antiretroviral therapy and (3) retention in care to maintain viral load suppression."

Citation: Inbarani, N., Sinovuyo, T., Ronel, S., Sean, J., Zhou, S., Goitseone, M., ... & Zungu, N. (2022). Past and current status of adolescents living with HIV in South Africa, 2005–2017. BMC Research Notes, 15(1), 1-6.