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Predicting HIV Status among Men Who Have Sex with Men in Bulawayo & Harare, Zimbabwe Using Bio-Behavioural Data, Recurrent Neural Networks, and Machine Learning Techniques.

作者信息

Chingombe Innocent, Dzinamarira Tafadzwa, Cuadros Diego, Mapingure Munyaradzi Paul, Mbunge Elliot, Chaputsira Simbarashe, Madziva Roda, Chiurunge Panashe, Samba Chesterfield, Herrera Helena, Murewanhema Grant, Mugurungi Owen, Musuka Godfrey

机构信息

Graduate Business School, Chinhoyi University of Technology, Chinhoyi, Zimbabwe.

ICAP, Columbia University, Harare, Zimbabwe.

出版信息

Trop Med Infect Dis. 2022 Sep 5;7(9):231. doi: 10.3390/tropicalmed7090231.


DOI:10.3390/tropicalmed7090231
PMID:36136641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9506312/
Abstract

HIV and AIDS continue to be major public health concerns globally. Despite significant progress in addressing their impact on the general population and achieving epidemic control, there is a need to improve HIV testing, particularly among men who have sex with men (MSM). This study applied deep and machine learning algorithms such as recurrent neural networks (RNNs), the bagging classifier, gradient boosting classifier, support vector machines, and Naïve Bayes classifier to predict HIV status among MSM using the dataset from the Zimbabwe Ministry of Health and Child Care. RNNs performed better than the bagging classifier, gradient boosting classifier, support vector machines, and Gaussian Naïve Bayes classifier in predicting HIV status. RNNs recorded a high prediction accuracy of 0.98 as compared to the Gaussian Naïve Bayes classifier (0.84), bagging classifier (0.91), support vector machine (0.91), and gradient boosting classifier (0.91). In addition, RNNs achieved a high precision of 0.98 for predicting both HIV-positive and -negative cases, a recall of 1.00 for HIV-negative cases and 0.94 for HIV-positive cases, and an F1-score of 0.99 for HIV-negative cases and 0.96 for positive cases. HIV status prediction models can significantly improve early HIV screening and assist healthcare professionals in effectively providing healthcare services to the MSM community. The results show that integrating HIV status prediction models into clinical software systems can complement indicator condition-guided HIV testing strategies and identify individuals that may require healthcare services, particularly for hard-to-reach vulnerable populations like MSM. Future studies are necessary to optimize machine learning models further to integrate them into primary care. The significance of this manuscript is that it presents results from a study population where very little information is available in Zimbabwe due to the criminalization of MSM activities in the country. For this reason, MSM tends to be a hidden sector of the population, frequently harassed and arrested. In almost all communities in Zimbabwe, MSM issues have remained taboo, and stigma exists in all sectors of society.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/79fedfd1a87c/tropicalmed-07-00231-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/7376acd8824e/tropicalmed-07-00231-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/b3548283f440/tropicalmed-07-00231-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/192226a819ce/tropicalmed-07-00231-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/59c3406a4e47/tropicalmed-07-00231-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/f2bb8cedae95/tropicalmed-07-00231-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/c93f85cc048f/tropicalmed-07-00231-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/3ea50b61e7da/tropicalmed-07-00231-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/79fedfd1a87c/tropicalmed-07-00231-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/7376acd8824e/tropicalmed-07-00231-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/b3548283f440/tropicalmed-07-00231-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/192226a819ce/tropicalmed-07-00231-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/59c3406a4e47/tropicalmed-07-00231-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/f2bb8cedae95/tropicalmed-07-00231-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/c93f85cc048f/tropicalmed-07-00231-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/3ea50b61e7da/tropicalmed-07-00231-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/9506312/79fedfd1a87c/tropicalmed-07-00231-g008.jpg

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Front Health Serv. 2025-5-30

[2]
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[3]
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Int J Infect Dis. 2025-8

[4]
Prediction of new HIV infection in men who have sex with men based on machine learning: secondary analysis of a prospective cohort study from Western China.

Ann Med. 2025-12

[5]
The Application of Machine Learning Algorithms to Predict HIV Testing in Repeated Adult Population-Based Surveys in South Africa: Protocol for a Multiwave Cross-Sectional Analysis.

JMIR Res Protoc. 2025-1-27

[6]
Predicting sexually transmitted infections among men who have sex with men in Zimbabwe using deep learning and ensemble machine learning models.

PLOS Digit Health. 2024-7-3

[7]
Application of machine learning for risky sexual behavior interventions among factory workers in China.

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[8]
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[9]
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[10]
Conducting research among key populations in settings with discriminatory laws, policies, and practice: The case of men who have sex with men in Zimbabwe.

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本文引用的文献

[1]
Fine-Tuned DenseNet-169 for Breast Cancer Metastasis Prediction Using FastAI and 1-Cycle Policy.

Sensors (Basel). 2022-4-13

[2]
Targeting those left behind in Zimbabwe's HIV response: A call for decriminalisation of key populations to rapidly achieve 95-95-95 targets.

S Afr Med J. 2021-4-30

[3]
Application of artificial intelligence and machine learning for HIV prevention interventions.

Lancet HIV. 2022-1

[4]
Predicting Risks of Machine Translations of Public Health Resources by Developing Interpretable Machine Learning Classifiers.

Int J Environ Res Public Health. 2021-8-20

[5]
Use of machine learning techniques to identify HIV predictors for screening in sub-Saharan Africa.

BMC Med Res Methodol. 2021-7-31

[6]
Application of machine-learning techniques in classification of HIV medical care status for people living with HIV in South Carolina.

AIDS. 2021-5-1

[7]
Predicting the diagnosis of HIV and sexually transmitted infections among men who have sex with men using machine learning approaches.

J Infect. 2021-1

[8]
Co-creation of a health education program for improving the uptake of HIV self-testing among men in Rwanda: nominal group technique.

Heliyon. 2020-10-30

[9]
HIV self-testing in Rwanda: awareness and acceptability among male clinic attendees in Kigali, Rwanda: A cross-sectional survey.

Heliyon. 2020-3-7

[10]
Algorithmic prediction of HIV status using nation-wide electronic registry data.

EClinicalMedicine. 2019-11-5

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