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Title: Keep them in school: the importance of education as a protective factor against HIV infection among young South African women
Contributor(s): Pettifor, Audrey E (author); Levandowski, Brooke A (author); MacPhail, Catherine  (author)orcid ; Padian, Nancy S (author); Cohen, Myron S (author); Rees, Helen V (author)
Publication Date: 2008
DOI: 10.1093/ije/dyn131
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Abstract: Objective: To identify risk factors for HIV infection among young women aged 15–24 years reporting one lifetime partner in South Africa. Design: In 2003, we conducted a nationally representative household survey of sexual behaviour and HIV testing among 11,904 young people aged 15-24 years in South Africa. This analysis focuses on the subset of sexually experienced young women with only one reported lifetime sex partner (n = 1708). Methods: Using the proximate determinants framework and the published literature we identified factors associated with HIV in young women. The associations between these factors and HIV infection were explored in multivariable logistic regression models. Results: Of the young women, 15% reporting one lifetime partner were HIV positive. In multivariable analyses, young women who had not completed high school were more likely to be infected with HIV compared with those that had completed high school (AOR 3.75; 95% CI 1.34–10.46). Conclusions: Young South African women in this population were at high risk of HIV infection despite reporting only having one lifetime partner. Few individual level factors were associated with HIV infection, emphasizing the importance of developing HIV prevention interventions that address structural and partner level risk factors.
Publication Type: Journal Article
Source of Publication: International Journal of Epidemiology, 37(6), p. 1266-1273
Publisher: Oxford University Press
Place of Publication: United Kingdom
ISSN: 1464-3685
Field of Research (FOR): 111706 Epidemiology
111716 Preventive Medicine
Socio-Economic Outcome Codes: 920412 Preventive Medicine
920499 Public Health (excl. Specific Population Health) not elsewhere classified
920413 Social Structure and Health
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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