Omondi E O, Mbogo R W, Luboobi L S
Institute of Mathematical Sciences, Strathmore University, P.O Box 59857-00200, Nairobi, Kenya.
Infect Dis Model. 2019 Apr 21;4:83-98. doi: 10.1016/j.idm.2019.04.003. eCollection 2019.
The control of HIV demands different interventions for different age groups. In the present manuscript, we formulate and analyze a mathematical compartmental models of HIV transmission within and between two age groups in Kenya. We fitted the model to data using MCMC technique and inferred the parameters. We also estimate the reproduction numbers, namely within age group transmission and between age groups transmission basic reproduction numbers. The analysis of the data revealed that there is significant difference in mean number of new HIV infections between males and females within the two age groups. More, particularly, females are highly infected with HIV as compared to their male counterparts. Calculation of the reproduction numbers within and between age groups provides insights into control that cannot be deduced simply from observations on the prevalence of infection. More specifically, the analysis showed that the per capita rate of HIV transmission was highest when there is interaction between young adults to adults and most HIV infections occurred in adult population. Furthermore, the sensitivity analysis demonstrated that the reproduction numbers depend mainly on the probabilities of infection. This results can be used to guide HIV interventions, condom distribution and antiretroviral therapy. Precisely, the results can be used to educate the young adults on practicing safe sex with their partners in order to contain the occurrence of new infections.
对艾滋病毒的控制需要针对不同年龄组采取不同的干预措施。在本论文中,我们构建并分析了肯尼亚两个年龄组内及组间艾滋病毒传播的数学 compartments 模型。我们使用马尔可夫链蒙特卡罗(MCMC)技术将模型拟合到数据上并推断参数。我们还估计了繁殖数,即年龄组内传播和年龄组间传播的基本繁殖数。数据分析表明,两个年龄组内男性和女性的新增艾滋病毒感染平均数存在显著差异。更具体地说,与男性相比,女性感染艾滋病毒的比例更高。计算年龄组内和组间的繁殖数有助于深入了解控制措施,而这些措施无法仅从感染流行率的观察中简单推导得出。更确切地说,分析表明,当年轻人与成年人之间存在相互作用时,艾滋病毒的人均传播率最高,且大多数艾滋病毒感染发生在成年人群体中。此外,敏感性分析表明繁殖数主要取决于感染概率。这些结果可用于指导艾滋病毒干预措施、避孕套分发和抗逆转录病毒治疗。确切地说,这些结果可用于教育年轻人与伴侣进行安全性行为,以遏制新感染的发生。