@article{fdi:010064170, title = {{P}articipation dynamics in population-based longitudinal {HIV} surveillance in rural {S}outh {A}frica}, author = {{L}armarange, {J}oseph and {M}ossong, {J}. and {B}arnighausen, {T}. and {N}ewell, {M}. {L}.}, editor = {}, language = {{ENG}}, abstract = {{P}opulation-based {HIV} surveillance is crucial to inform understanding of the {HIV} pandemic and evaluate {HIV} interventions, but little is known about longitudinal participation patterns in such settings. {W}e investigated the dynamics of longitudinal participation patterns in a high {HIV} prevalence surveillance setting in rural {S}outh {A}frica between 2003 and 2012, taking into account demographic dynamics. {A}t any given survey round, 22,708 to 30,495 persons were eligible. {A}lthough the yearly participation rates were relatively modest (26% to 46%), cumulative rates increased substantially with multiple recruitment opportunities: 68% of eligible persons participated at least once, 48% at least twice and 31% at least three times after five survey rounds. {W}e identified two types of study fatigue: at the individual level, contact and consent rates decreased with multiple recruitment opportunities and, at the population level, these rates also decreased over calendar time, independently of multiple recruitment opportunities. {U}sing sequence analysis and hierarchical clustering, we identified three broad individual participation profiles: consenters (20%), switchers (43%) and refusers (37%). {M}en were over represented among refusers, women among consenters, and temporary non-residents among switchers. {T}he specific subgroup of persons who were systemically not contacted or refusers constitutes a challenge for population-based surveillance and interventions.}, keywords = {{AFRIQUE} {DU} {SUD}}, booktitle = {}, journal = {{P}los {O}ne}, volume = {10}, numero = {4}, pages = {e0123345 [16 ]}, ISSN = {1932-6203}, year = {2015}, DOI = {10.1371/journal.pone.0123345}, URL = {https://www.documentation.ird.fr/hor/fdi:010064170}, }