Consistent Provisions Mitigate Exposure to Sexual Risk and HIV Among Young Adolescents in South Africa

被引：10

作者：

Toska, Elona ^{[1
,2
,3
,10
]}

Campeau, Laurence ^{[3
]}

Cluver, Lucie ^{[3
,4
]}

Orkin, F. Mark ^{[5
]}

Berezin, McKenzie N. ^{[3
,6
]}

Sherr, Lorraine ^{[7
]}

Laurenzi, Christina A. ^{[8
]}

Bachman, Gretchen ^{[9
]}

机构：

[1] Univ Cape Town, AIDS & Soc Res Unit, Cape Town, South Africa

[2] Univ Cape Town, Dept Sociol, Cape Town, South Africa

[3] Univ Oxford, Dept Social Policy & Intervent, Oxford, England

[4] Dept Child & Adolescent Psychiat, Cape Town, South Africa

[5] Univ Witwatersrand, SAMRC Dev Pathways Hlth Res Unit, Sch Clin Med, Johannesburg, South Africa

[6] NYU, Dept Appl Psychol, New York, NY USA

[7] UCL, Inst Global Hlth, London, England

[8] Stellenbosch Univ, Inst Life Course Hlth Res, Fac Med & Hlth Sci, Tygerberg, South Africa

[9] US Agcy Int Dev, Off HIV AIDS, Arlington, VA USA

[10] Univ Cape Town, 4-89 Leslie Social Sci Bldg,12 Univ Ave South, ZA-7700 Cape Town, South Africa

来源：

AIDS AND BEHAVIOR | 2020年 / 24卷 / 03期

基金：

英国医学研究理事会; 英国经济与社会研究理事会; 新加坡国家研究基金会; 美国国家卫生研究院;

关键词：

Adolescents; South Africa; Sexual risk; HIV; Prevention; SUB-SAHARAN AFRICA; SOCIAL PROTECTION; INFECTION; BEHAVIOR; DEBUT; PREVENTION; PREVALENCE; PEOPLE; WOMEN;

D O I：

10.1007/s10461-019-02735-x

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Exposure to sexual risk in early adolescence strongly predicts HIV infection, yet evidence for prevention in young adolescents is limited. We pooled data from two longitudinal South African surveys, with adolescents unexposed to sexual risk at baseline (n = 3662). Multivariable logistic regression tested associations between intermittent/consistent access to eight provisions and reduced sexual risk exposure. Participants were on average 12.8 years, 56% female at baseline. Between baseline and follow-up, 8.6% reported sexual risk exposure. Consistent access to caregiver supervision (OR 0.53 95%CI 0.35-0.80 p = 0.002), abuse-free homes (OR 0.55 95%CI 0.37-0.81 p = 0.002), school feeding (OR 0.55 95%CI 0.35-0.88 p = 0.012), and HIV prevention knowledge (OR 0.43, 95%CI 0.21-0.88 p = 0.021) was strongly associated with preventing early sexual risk exposure. While individual factors reduced the odds of sexual risk exposure, a combination of all four resulted in a greater reduction, from 12.9% (95%CI 7.2-18.7) to 1.0% (95%CI 0.2-1.8). Consistent access to provisions in early adolescence may prevent sexual risk exposure among younger adolescents.

引用

页码：903 / 913

页数：11