Sexual behavior and HIV risk across the life course in rural South Africa: trends and comparisons

被引：34

作者：

Houle, Brian ^{[1
,2
,3
]}

Mojola, Sanyu A. ^{[4
,5
]}

Angotti, Nicole ^{[2
,3
,6
,7
]}

Schatz, Enid ^{[2
,3
,8
]}

Gomez-Olive, F. Xavier ^{[2
,9
]}

Clark, Samuel J. ^{[2
,3
,9
,10
,11
]}

Williams, Jill R. ^{[2
,3
]}

Kabudula, Chodziwadziwa ^{[2
,9
]}

Tollman, Stephen ^{[2
,9
,12
]}

Menken, Jane ^{[2
,3
]}

机构：

[1] Australian Natl Univ, Sch Demog, Canberra, ACT, Australia

[2] Univ Witwatersrand, Sch Publ Hlth, Fac Hlth Sci, MRC,Wits Rural Publ Hlth & Hlth Transit Res Unit, Johannesburg, South Africa

[3] Univ Colorado, Inst Behav Sci, CU Populat Ctr, Boulder, CO 80309 USA

[4] Univ Michigan, Dept Sociol, Ann Arbor, MI 48109 USA

[5] Univ Michigan, Inst Social Res, Populat Studies Ctr, Ann Arbor, MI 48109 USA

[6] Amer Univ, Dept Sociol, Washington, DC 20016 USA

[7] Amer Univ, Ctr Hlth Risk & Soc, Washington, DC 20016 USA

[8] Univ Missouri, Dept Hlth Sci, Columbia, MO USA

[9] INDEPTH Network, Accra, Ghana

[10] Ohio State Univ, Dept Sociol, Columbus, OH 43210 USA

[11] London Sch Hyg & Trop Med, ALPHA Network, London, England

[12] Umea Univ, Dept Publ Hlth & Clin Med, Div Epidemiol & Global Hlth, Umea Ctr Global Publ Hlth Res, Umea, Sweden

来源：

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2018年 / 30卷 / 11期

基金：

英国惠康基金; 美国安德鲁·梅隆基金会; 美国国家卫生研究院; 英国医学研究理事会;

关键词：

Sexual behavior; life course; South Africa; HIV; AIDS; SUB-SAHARAN AFRICA; TRANSMITTED-DISEASES; OLDER-ADULTS; PREVALENCE; MORTALITY; HEALTH; MALAWI; STRATEGIES;

D O I：

10.1080/09540121.2018.1468008

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

There is limited information about sexual behavior among older Africans, which is problematic given high HIV rates among older adults. We use a population-based survey among people aged 15-80+ to examine the prevalence of sexual risk and protective behaviors in the context of a severe HIV epidemic. We focus on variation across the life course, gender and HIV serostatus to compare the similarities and differences of young, middle aged, and older adults. Younger adults continue to be at risk of HIV, with potential partners being more likely to have been diagnosed with an STI and more likely to have HIV, partner change is high, and condom use is low. Middle aged and older adults engage in sexual behavior that makes them vulnerable at older ages, including extramarital sex, low condom use, and cross-generational sex with people in age groups with the highest rates of HIV. We find insignificant differences between HIV positive and negative adults' reports of recent sexual activity. This study provides new information on sexual behavior and HIV risk across the life course in rural South Africa to inform HIV prevention and treatment programing.

引用

页码：1435 / 1443

页数：9