Age at First Sex and HIV Infection in Rural Zimbabwe
Identifieur interne : 002A38 ( Istex/Corpus ); précédent : 002A37; suivant : 002A39Age at First Sex and HIV Infection in Rural Zimbabwe
Auteurs : Timothy B. Hallett ; James J. C. Lewis ; Ben A. Lopman ; Constance A. Nyamukapa ; Phyllis Mushati ; Mainford Wambe ; Geoffrey P. Garnett ; Simon GregsonSource :
- Studies in Family Planning [ 0039-3665 ] ; 2007-03.
English descriptors
- KwdEn :
- Aids coordinator, Aids knowledge, Aids relief, Biomedical research, Cohabiting relationship, Condom, Early marriage, Emergency plan, Employment status, Estate subsistence farm, Explanatory variables, Family planning, First coitus, First marriage, Geographic variables, Greater risk, Gregson, Hazard ratio, Hazard ratios, Health survey, Imperial college london, Infectious disease epidemiology, James lewis, Lifetime partners, Lifetime partnersc lifetime partners, Lower hazard, Mainford wambe, Manicaland, Mass media, Maungwe ndau zezuru, Median, Median hazard ratio hazard ratio, Methodist anglican, Minority tribes, More women, Multivariate, Multivariate model, Multivariate model selection process, Older cohorts, Past month, Past monthc number, Percentage distribution, Personal characteristics, Phyllis mushati, Primary education, Rate ratio, Reference category, Risk factor, Roadside trading centers, Roman catholic, Rural area, Rural manicaland province, Rural zimbabwe, Schoenfeld residuals, Sensitive questions, Sexual activity, Sexual activityc number, Sexual behavior, Sexual behaviour, Sexual debut, Sexual intercourse, Sexual partners, Simon gregson, Social desirability bias, Study area, Survey location, Town roadside, Traditional church, Traditional churches, Training institute, Tribe karanga manyika, Unaids, Unemployed student, Univariate, Univariate tests, Urban area, Variable percent residence, Watches television, Weeksc number, Weeksd divorcedd females, Young people, Young women, Zimbabwe.
- Teeft :
- Aids coordinator, Aids knowledge, Aids relief, Biomedical research, Cohabiting relationship, Condom, Early marriage, Emergency plan, Employment status, Estate subsistence farm, Explanatory variables, Family planning, First coitus, First marriage, Geographic variables, Greater risk, Gregson, Hazard ratio, Hazard ratios, Health survey, Imperial college london, Infectious disease epidemiology, James lewis, Lifetime partners, Lifetime partnersc lifetime partners, Lower hazard, Mainford wambe, Manicaland, Mass media, Maungwe ndau zezuru, Median, Median hazard ratio hazard ratio, Methodist anglican, Minority tribes, More women, Multivariate, Multivariate model, Multivariate model selection process, Older cohorts, Past month, Past monthc number, Percentage distribution, Personal characteristics, Phyllis mushati, Primary education, Rate ratio, Reference category, Risk factor, Roadside trading centers, Roman catholic, Rural area, Rural manicaland province, Rural zimbabwe, Schoenfeld residuals, Sensitive questions, Sexual activity, Sexual activityc number, Sexual behavior, Sexual behaviour, Sexual debut, Sexual intercourse, Sexual partners, Simon gregson, Social desirability bias, Study area, Survey location, Town roadside, Traditional church, Traditional churches, Training institute, Tribe karanga manyika, Unaids, Unemployed student, Univariate, Univariate tests, Urban area, Variable percent residence, Watches television, Weeksc number, Weeksd divorcedd females, Young people, Young women, Zimbabwe.
Abstract
Beginning sexual activity introduces an individual to the risk of acquiring sexually transmitted infections. In this study, cross‐sectional behavioral data linked to HIV‐status from 4,138 men and 4,948 women interviewed in rural Zimbabwe are analyzed to investigate the distribution and consequences of early first sex. We find that age at first sex (at a median age of 19 years for males and 18 years for females) has declined among males over the past 30 years but increased recently among females. Those in unskilled employment, those not associated with a church, and women without a primary education begin to have sex earlier than others. Early sexual debut before marriage precedes a lifetime of greater sexual activity but with more consistent condom use. Women who begin to have sex earlier than others of their age are more likely to be infected with HIV. This finding can be explained by their having a greater lifetime number of sexual partners than those whose first sexual experience occurs later.
Url:
DOI: 10.1111/j.1728-4465.2007.00111.x
Links to Exploration step
ISTEX:81CC7A2709D1DD1AE419590E2FE7CEA8F85F239DLe document en format XML
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process</term><term>Older cohorts</term><term>Past month</term><term>Past monthc number</term><term>Percentage distribution</term><term>Personal characteristics</term><term>Phyllis mushati</term><term>Primary education</term><term>Rate ratio</term><term>Reference category</term><term>Risk factor</term><term>Roadside trading centers</term><term>Roman catholic</term><term>Rural area</term><term>Rural manicaland province</term><term>Rural zimbabwe</term><term>Schoenfeld residuals</term><term>Sensitive questions</term><term>Sexual activity</term><term>Sexual activityc number</term><term>Sexual behavior</term><term>Sexual behaviour</term><term>Sexual debut</term><term>Sexual intercourse</term><term>Sexual partners</term><term>Simon gregson</term><term>Social desirability bias</term><term>Study area</term><term>Survey location</term><term>Town roadside</term><term>Traditional church</term><term>Traditional churches</term><term>Training institute</term><term>Tribe karanga 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In this study, cross‐sectional behavioral data linked to HIV‐status from 4,138 men and 4,948 women interviewed in rural Zimbabwe are analyzed to investigate the distribution and consequences of early first sex. We find that age at first sex (at a median age of 19 years for males and 18 years for females) has declined among males over the past 30 years but increased recently among females. Those in unskilled employment, those not associated with a church, and women without a primary education begin to have sex earlier than others. Early sexual debut before marriage precedes a lifetime of greater sexual activity but with more consistent condom use. Women who begin to have sex earlier than others of their age are more likely to be infected with HIV. This finding can be explained by their having a greater lifetime number of sexual partners than those whose first sexual experience occurs later.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>zimbabwe</json:string><json:string>gregson</json:string><json:string>sexual activity</json:string><json:string>condom</json:string><json:string>sexual debut</json:string><json:string>primary education</json:string><json:string>multivariate</json:string><json:string>young women</json:string><json:string>univariate</json:string><json:string>manicaland</json:string><json:string>unaids</json:string><json:string>sexual behavior</json:string><json:string>rural zimbabwe</json:string><json:string>reference category</json:string><json:string>rural manicaland province</json:string><json:string>family planning</json:string><json:string>median</json:string><json:string>sexual activityc number</json:string><json:string>weeksc number</json:string><json:string>multivariate model</json:string><json:string>lifetime partnersc lifetime partners</json:string><json:string>past monthc number</json:string><json:string>median hazard ratio hazard ratio</json:string><json:string>explanatory variables</json:string><json:string>employment status</json:string><json:string>rural area</json:string><json:string>personal characteristics</json:string><json:string>hazard ratios</json:string><json:string>young people</json:string><json:string>schoenfeld residuals</json:string><json:string>percentage distribution</json:string><json:string>aids coordinator</json:string><json:string>lower hazard</json:string><json:string>hazard ratio</json:string><json:string>sexual partners</json:string><json:string>traditional churches</json:string><json:string>mass media</json:string><json:string>emergency plan</json:string><json:string>geographic variables</json:string><json:string>training institute</json:string><json:string>aids relief</json:string><json:string>james lewis</json:string><json:string>lifetime partners</json:string><json:string>past month</json:string><json:string>first marriage</json:string><json:string>cohabiting relationship</json:string><json:string>univariate tests</json:string><json:string>roadside trading centers</json:string><json:string>biomedical research</json:string><json:string>imperial college london</json:string><json:string>traditional church</json:string><json:string>infectious disease epidemiology</json:string><json:string>risk factor</json:string><json:string>multivariate model selection process</json:string><json:string>study area</json:string><json:string>sensitive questions</json:string><json:string>minority tribes</json:string><json:string>rate ratio</json:string><json:string>early marriage</json:string><json:string>variable percent residence</json:string><json:string>estate subsistence farm</json:string><json:string>town roadside</json:string><json:string>unemployed student</json:string><json:string>aids knowledge</json:string><json:string>watches television</json:string><json:string>methodist anglican</json:string><json:string>roman catholic</json:string><json:string>tribe karanga manyika</json:string><json:string>maungwe ndau zezuru</json:string><json:string>survey location</json:string><json:string>urban area</json:string><json:string>sexual intercourse</json:string><json:string>older cohorts</json:string><json:string>simon gregson</json:string><json:string>mainford wambe</json:string><json:string>phyllis mushati</json:string><json:string>weeksd divorcedd females</json:string><json:string>health survey</json:string><json:string>social desirability bias</json:string><json:string>greater risk</json:string><json:string>more women</json:string><json:string>sexual behaviour</json:string><json:string>first coitus</json:string></teeft></keywords><author><json:item><name>Dr. Hallett</name><affiliations><json:string>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom. E‐mail: timothy.hallett@imperial.ac.uk.</json:string></affiliations></json:item><json:item><name>James J.C. Lewis</name><affiliations><json:string>Aurum Institute for Health Research, Post Office Box 61587, Marshalltown, 2107, Johannesburg, South Africa</json:string></affiliations></json:item><json:item><name>Ben A. Lopman</name><affiliations><json:string>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom</json:string></affiliations></json:item><json:item><name>Constance A. Nyamukapa</name><affiliations><json:string>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom</json:string></affiliations></json:item><json:item><name>Phyllis Mushati</name><affiliations><json:string>Biomedical Research and Training Institute, Fourth Floor, Nicoz Diamond House, Samora Machel Avenue, Post Office Box CY1753, Harare, Zimbabwe</json:string></affiliations></json:item><json:item><name>Mainford Wambe</name><affiliations><json:string>Biomedical Research and Training Institute, Fourth Floor, Nicoz Diamond House, Samora Machel Avenue, Post Office Box CY1753, Harare, Zimbabwe</json:string></affiliations></json:item><json:item><name>Professor Garnett</name><affiliations><json:string>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom</json:string></affiliations></json:item><json:item><name>Simon Gregson</name><affiliations><json:string>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom</json:string></affiliations></json:item></author><articleId><json:string>SIFP111</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Beginning sexual activity introduces an individual to the risk of acquiring sexually transmitted infections. In this study, cross‐sectional behavioral data linked to HIV‐status from 4,138 men and 4,948 women interviewed in rural Zimbabwe are analyzed to investigate the distribution and consequences of early first sex. We find that age at first sex (at a median age of 19 years for males and 18 years for females) has declined among males over the past 30 years but increased recently among females. Those in unskilled employment, those not associated with a church, and women without a primary education begin to have sex earlier than others. Early sexual debut before marriage precedes a lifetime of greater sexual activity but with more consistent condom use. Women who begin to have sex earlier than others of their age are more likely to be infected with HIV. 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E‐mail: timothy.hallett@imperial.ac.uk.<address><country key="GB"></country></address></affiliation><email>timothy.hallett@imperial.ac.uk</email></author><author xml:id="author-0001"><persName><forename type="first">James J.C.</forename><surname>Lewis</surname></persName><affiliation>Aurum Institute for Health Research, Post Office Box 61587, Marshalltown, 2107, Johannesburg, South Africa<address><country key="ZA"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Ben A.</forename><surname>Lopman</surname></persName><affiliation>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom<address><country key="GB"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Constance A.</forename><surname>Nyamukapa</surname></persName><affiliation>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom<address><country key="GB"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Phyllis</forename><surname>Mushati</surname></persName><affiliation>Biomedical Research and Training Institute, Fourth Floor, Nicoz Diamond House, Samora Machel Avenue, Post Office Box CY1753, Harare, Zimbabwe<address><country key="ZW"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Mainford</forename><surname>Wambe</surname></persName><affiliation>Biomedical Research and Training Institute, Fourth Floor, Nicoz Diamond House, Samora Machel Avenue, Post Office Box CY1753, Harare, Zimbabwe<address><country key="ZW"></country></address></affiliation></author><author xml:id="author-0006"><persName><addName>Professor</addName><forename type="first">Geoffrey P.</forename><surname>Garnett</surname></persName><affiliation>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom<address><country key="GB"></country></address></affiliation></author><author xml:id="author-0007"><persName><forename type="first">Simon</forename><surname>Gregson</surname></persName><affiliation>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom<address><country key="GB"></country></address></affiliation></author><idno type="istex">81CC7A2709D1DD1AE419590E2FE7CEA8F85F239D</idno><idno type="ark">ark:/67375/WNG-HZW77WT3-4</idno><idno type="DOI">10.1111/j.1728-4465.2007.00111.x</idno><idno type="unit">SIFP111</idno><idno type="toTypesetVersion">file:SIFP.SIFP111.pdf</idno></analytic><monogr><title level="j" type="main">Studies in Family Planning</title><title level="j" type="alt">STUDIES IN FAMILY PLANNING</title><idno type="pISSN">0039-3665</idno><idno type="eISSN">1728-4465</idno><idno type="book-DOI">10.1111/(ISSN)1728-4465</idno><idno type="book-part-DOI">10.1111/sifp.2007.38.issue-1</idno><idno type="product">SIFP</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">38</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="1">1</biblScope><biblScope unit="page" to="10">10</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2007-03"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p>Beginning sexual activity introduces an individual to the risk of acquiring sexually transmitted infections. 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In this study, cross‐sectional behavioral data linked to HIV‐status from 4,138 men and 4,948 women interviewed in rural Zimbabwe are analyzed to investigate the distribution and consequences of early first sex. We find that age at first sex (at a median age of 19 years for males and 18 years for females) has declined among males over the past 30 years but increased recently among females. Those in unskilled employment, those not associated with a church, and women without a primary education begin to have sex earlier than others. Early sexual debut before marriage precedes a lifetime of greater sexual activity but with more consistent condom use. Women who begin to have sex earlier than others of their age are more likely to be infected with HIV. 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E‐mail: timothy.hallett@imperial.ac.uk.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">James J.C.</namePart><namePart type="family">Lewis</namePart><affiliation>Aurum Institute for Health Research, Post Office Box 61587, Marshalltown, 2107, Johannesburg, South Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ben A.</namePart><namePart type="family">Lopman</namePart><affiliation>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Constance A.</namePart><namePart type="family">Nyamukapa</namePart><affiliation>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Phyllis</namePart><namePart type="family">Mushati</namePart><affiliation>Biomedical Research and Training Institute, Fourth Floor, Nicoz Diamond House, Samora Machel Avenue, Post Office Box CY1753, Harare, Zimbabwe</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Mainford</namePart><namePart type="family">Wambe</namePart><affiliation>Biomedical Research and Training Institute, Fourth Floor, Nicoz Diamond House, Samora Machel Avenue, Post Office Box CY1753, Harare, Zimbabwe</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Professor</namePart><namePart type="given">Geoffrey P.</namePart><namePart type="family">Garnett</namePart><affiliation>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Simon</namePart><namePart type="family">Gregson</namePart><affiliation>Dept of Infectious Disease Epidemiology, St. Mary's Campus, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2007-03</dateIssued><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="references">39</extent><extent unit="linksCrossRef">8</extent></physicalDescription><abstract lang="en">Beginning sexual activity introduces an individual to the risk of acquiring sexually transmitted infections. In this study, cross‐sectional behavioral data linked to HIV‐status from 4,138 men and 4,948 women interviewed in rural Zimbabwe are analyzed to investigate the distribution and consequences of early first sex. We find that age at first sex (at a median age of 19 years for males and 18 years for females) has declined among males over the past 30 years but increased recently among females. Those in unskilled employment, those not associated with a church, and women without a primary education begin to have sex earlier than others. Early sexual debut before marriage precedes a lifetime of greater sexual activity but with more consistent condom use. Women who begin to have sex earlier than others of their age are more likely to be infected with HIV. 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