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Title: Sexual Violence and Reproductive Health Outcomes Among South African Female Youth: A Contextual Analysis
Contributor(s): Speizer, Ilene S (author); Pettifor, Audrey (author); Cummings, Stirling (author); MacPhail, Catherine  (author)orcid ; Kleinschmidt, Immo (author); Rees, Helen (author)
Publication Date: 2009
DOI: 10.2105/AJPH.2008.136606
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Abstract: Objectives: We studied whether female youths from communities with higher sexual violence were at greater risk of negative reproductive health outcomes. Methods: We used data from a 2003 nationally representative household survey of youths aged 15-24 years in South Africa. The key independent variable was whether a woman had ever been threatened or forced to have sex. We aggregated this variable to the community level to determine, with control for individual-level experience with violence, whether the community-level prevalence of violence was associated with HIV status and adolescent pregnancy among female, sexually experienced, never-married youths. Results: Youths from communities with greater sexual violence were significantly more likely to have experienced an adolescent pregnancy or to be HIV positive than were youths from communities experiencing lower sexual violence. Youths from communities with greater community-level violence were also less likely to have used a condom at their last sexual encounter. Individual-level violence was only associated with condom non use. Conclusions: Programs to reduce adolescent pregnancies and HIV risk in South Africa and elsewhere in sub-Saharan Africa must address sexual violence as part of effective prevention strategies.
Publication Type: Journal Article
Source of Publication: American Journal of Public Health, 99(Supplement 2), p. S425-S431
Publisher: American Public Health Association
Place of Publication: United States of America
ISSN: 1541-0048
Fields of Research (FoR) 2008: 111799 Public Health and Health Services not elsewhere classified
111711 Health Information Systems (incl Surveillance)
111706 Epidemiology
Socio-Economic Objective (SEO) 2008: 920413 Social Structure and Health
920499 Public Health (excl. Specific Population Health) not elsewhere classified
920401 Behaviour and Health
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article
School of Rural Medicine

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