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<title xml:lang="en">Economic resources and HIV preventive behaviors among school-enrolled young women in rural South Africa (HPTN 068)</title>
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<name sortKey="Jennings, Larissa" sort="Jennings, Larissa" uniqKey="Jennings L" first="Larissa" last="Jennings">Larissa Jennings</name>
<affiliation>
<nlm:aff id="A1">Johns Hopkins Bloomberg School of Public Health, Department of International Health, Social and Behavioral Interventions Program, 615 N. Wolfe Street, Room E5038, Baltimore, MD 21205 USA</nlm:aff>
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<name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name>
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<affiliation>
<nlm:aff id="A5">Medical Research Council Wits Rural Public Health and Health Transitions Research Unit, Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
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<name sortKey="Hamilton, Erica" sort="Hamilton, Erica" uniqKey="Hamilton E" first="Erica" last="Hamilton">Erica Hamilton</name>
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<nlm:aff id="A3">FHI360, Science Facilitation, 359 Blackwell Street, Suite 200, Durham, NC 27701 USA</nlm:aff>
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<name sortKey="Ritchwood, Tiarney D" sort="Ritchwood, Tiarney D" uniqKey="Ritchwood T" first="Tiarney D." last="Ritchwood">Tiarney D. Ritchwood</name>
<affiliation>
<nlm:aff id="A4">Medical University of South Carolina, Department of Public Health Sciences, 135 Cannon St., Charleston, SC 29425, USA</nlm:aff>
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<name sortKey="G Mez Olive, F Xavier" sort="G Mez Olive, F Xavier" uniqKey="G Mez Olive F" first="F. Xavier" last="G Mez-Olivé">F. Xavier G Mez-Olivé</name>
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<nlm:aff id="A5">Medical Research Council Wits Rural Public Health and Health Transitions Research Unit, Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
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<affiliation>
<nlm:aff id="A6">INDEPTH Network, Accra, Ghana</nlm:aff>
</affiliation>
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<author>
<name sortKey="Macphail, Catherine" sort="Macphail, Catherine" uniqKey="Macphail C" first="Catherine" last="Macphail">Catherine Macphail</name>
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</affiliation>
<affiliation>
<nlm:aff id="A7">School of Health, University of New England, Armidale, 2351 NSW, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A8">Wits Reproductive Health and HIV Institute, University of the Witwatersrand, South Africa</nlm:aff>
</affiliation>
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<author>
<name sortKey="Hughes, James" sort="Hughes, James" uniqKey="Hughes J" first="James" last="Hughes">James Hughes</name>
<affiliation>
<nlm:aff id="A9">Fred Hutchinson Cancer Research Center, Statistical Center for HIV/AIDS Research & Prevention (SCHARP), Seattle, WA USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A10">Department of Biostatistics, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
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<name sortKey="Selin, Amanda" sort="Selin, Amanda" uniqKey="Selin A" first="Amanda" last="Selin">Amanda Selin</name>
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<nlm:aff id="A2">University of North Carolina, Gillings School of Global Public Health, Department of Epidemiology, 170 Rosenau Hall, CB #7400, Chapel Hill, NC 27599 USA</nlm:aff>
</affiliation>
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<name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name>
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<nlm:aff id="A5">Medical Research Council Wits Rural Public Health and Health Transitions Research Unit, Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6">INDEPTH Network, Accra, Ghana</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A11">Centre for Global Health Research, Umeå University, Umeå, Sweden</nlm:aff>
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<title xml:lang="en" level="a" type="main">Economic resources and HIV preventive behaviors among school-enrolled young women in rural South Africa (HPTN 068)</title>
<author>
<name sortKey="Jennings, Larissa" sort="Jennings, Larissa" uniqKey="Jennings L" first="Larissa" last="Jennings">Larissa Jennings</name>
<affiliation>
<nlm:aff id="A1">Johns Hopkins Bloomberg School of Public Health, Department of International Health, Social and Behavioral Interventions Program, 615 N. Wolfe Street, Room E5038, Baltimore, MD 21205 USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name>
<affiliation>
<nlm:aff id="A2">University of North Carolina, Gillings School of Global Public Health, Department of Epidemiology, 170 Rosenau Hall, CB #7400, Chapel Hill, NC 27599 USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Medical Research Council Wits Rural Public Health and Health Transitions Research Unit, Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hamilton, Erica" sort="Hamilton, Erica" uniqKey="Hamilton E" first="Erica" last="Hamilton">Erica Hamilton</name>
<affiliation>
<nlm:aff id="A3">FHI360, Science Facilitation, 359 Blackwell Street, Suite 200, Durham, NC 27701 USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ritchwood, Tiarney D" sort="Ritchwood, Tiarney D" uniqKey="Ritchwood T" first="Tiarney D." last="Ritchwood">Tiarney D. Ritchwood</name>
<affiliation>
<nlm:aff id="A4">Medical University of South Carolina, Department of Public Health Sciences, 135 Cannon St., Charleston, SC 29425, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="G Mez Olive, F Xavier" sort="G Mez Olive, F Xavier" uniqKey="G Mez Olive F" first="F. Xavier" last="G Mez-Olivé">F. Xavier G Mez-Olivé</name>
<affiliation>
<nlm:aff id="A5">Medical Research Council Wits Rural Public Health and Health Transitions Research Unit, Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6">INDEPTH Network, Accra, Ghana</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Macphail, Catherine" sort="Macphail, Catherine" uniqKey="Macphail C" first="Catherine" last="Macphail">Catherine Macphail</name>
<affiliation>
<nlm:aff id="A5">Medical Research Council Wits Rural Public Health and Health Transitions Research Unit, Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A7">School of Health, University of New England, Armidale, 2351 NSW, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A8">Wits Reproductive Health and HIV Institute, University of the Witwatersrand, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hughes, James" sort="Hughes, James" uniqKey="Hughes J" first="James" last="Hughes">James Hughes</name>
<affiliation>
<nlm:aff id="A9">Fred Hutchinson Cancer Research Center, Statistical Center for HIV/AIDS Research & Prevention (SCHARP), Seattle, WA USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A10">Department of Biostatistics, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Selin, Amanda" sort="Selin, Amanda" uniqKey="Selin A" first="Amanda" last="Selin">Amanda Selin</name>
<affiliation>
<nlm:aff id="A2">University of North Carolina, Gillings School of Global Public Health, Department of Epidemiology, 170 Rosenau Hall, CB #7400, Chapel Hill, NC 27599 USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name>
<affiliation>
<nlm:aff id="A5">Medical Research Council Wits Rural Public Health and Health Transitions Research Unit, Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6">INDEPTH Network, Accra, Ghana</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A11">Centre for Global Health Research, Umeå University, Umeå, Sweden</nlm:aff>
</affiliation>
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<series>
<title level="j">AIDS and behavior</title>
<idno type="ISSN">1090-7165</idno>
<idno type="eISSN">1573-3254</idno>
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<date when="2017">2017</date>
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<div type="abstract" xml:lang="en">
<p id="P1">Individual economic resources may have greater influence on school-enrolled young women's sexual decision-making than household wealth measures. However, few studies have investigated the effects of personal income, employment, and other financial assets on young women's sexual behaviors. Using baseline data from the HIV Prevention Trials Network (HPTN) 068 study, we examined the association of ever having sex and adopting sexually-protective practices with individual-level economic resources among school-enrolled women, aged 13-20 years (n=2,533). Age-adjusted results showed that among all women employment was associated with ever having sex (OR=1.56, 95%CI:1.28-1.90). Among sexually-experienced women, paid work was associated with changes in partner selection practices (OR=2.38, 95%CI:1.58-3.58) and periodic sexual abstinence to avoid HIV (OR=1.71,95%CI:1.07-2.75). Having money to spend on oneself was associated with reducing the number of sexual partners (OR=1.94, 95%CI:1.08-3.46), discussing HIV testing (OR=2.15, 95%CI:1.13-4.06), and discussing condom use (OR=1.99, 95%CI:1.04-3.80). Having a bank account was associated with condom use (OR=1.49, 95%CI:1.01-2.19). Economic hardship was positively associated with ever having sex, but not with sexually-protective behaviors. Maximizing women's individual economic resources may complement future prevention initiatives.</p>
</div>
</front>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">9712133</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21042</journal-id>
<journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id>
<journal-title-group>
<journal-title>AIDS and behavior</journal-title>
</journal-title-group>
<issn pub-type="ppub">1090-7165</issn>
<issn pub-type="epub">1573-3254</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27260180</article-id>
<article-id pub-id-type="pmc">5136342</article-id>
<article-id pub-id-type="doi">10.1007/s10461-016-1435-5</article-id>
<article-id pub-id-type="manuscript">NIHMS793408</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Economic resources and HIV preventive behaviors among school-enrolled young women in rural South Africa (HPTN 068)</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Jennings</surname>
<given-names>Larissa</given-names>
</name>
<degrees>PhD, MHS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref rid="FN1" ref-type="author-notes">§</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pettifor</surname>
<given-names>Audrey</given-names>
</name>
<degrees>PhD, MPH</degrees>
<pmc-comment>apettif@email.unc.edu</pmc-comment>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hamilton</surname>
<given-names>Erica</given-names>
</name>
<degrees>MPH</degrees>
<pmc-comment>ehamilton@fhi360.org</pmc-comment>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ritchwood</surname>
<given-names>Tiarney D.</given-names>
</name>
<degrees>PhD</degrees>
<pmc-comment>ritchwoo@email.unc.edu</pmc-comment>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gómez-Olivé</surname>
<given-names>F. Xavier</given-names>
</name>
<degrees>PhD, MD</degrees>
<pmc-comment>f.gomez-olivecasas@wits.ac.za</pmc-comment>
<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>MacPhail</surname>
<given-names>Catherine</given-names>
</name>
<degrees>PhD, MSc</degrees>
<pmc-comment>cmacphai@une.edu.au</pmc-comment>
<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="aff" rid="A7">7</xref>
<xref ref-type="aff" rid="A8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hughes</surname>
<given-names>James</given-names>
</name>
<degrees>PhD, MS</degrees>
<pmc-comment>jphughes@uw.edu</pmc-comment>
<xref ref-type="aff" rid="A9">9</xref>
<xref ref-type="aff" rid="A10">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Selin</surname>
<given-names>Amanda</given-names>
</name>
<degrees>MHS</degrees>
<pmc-comment>aselin@unc.edu</pmc-comment>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kahn</surname>
<given-names>Kathleen</given-names>
</name>
<degrees>PhD, MBBCh</degrees>
<pmc-comment>kathleen.kahn@wits.ac.za</pmc-comment>
<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="aff" rid="A6">6</xref>
<xref ref-type="aff" rid="A11">11</xref>
</contrib>
<contrib contrib-type="author">
<collab>the HPTN 068 Study Team</collab>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Johns Hopkins Bloomberg School of Public Health, Department of International Health, Social and Behavioral Interventions Program, 615 N. Wolfe Street, Room E5038, Baltimore, MD 21205 USA</aff>
<aff id="A2">
<label>2</label>
University of North Carolina, Gillings School of Global Public Health, Department of Epidemiology, 170 Rosenau Hall, CB #7400, Chapel Hill, NC 27599 USA</aff>
<aff id="A3">
<label>3</label>
FHI360, Science Facilitation, 359 Blackwell Street, Suite 200, Durham, NC 27701 USA</aff>
<aff id="A4">
<label>4</label>
Medical University of South Carolina, Department of Public Health Sciences, 135 Cannon St., Charleston, SC 29425, USA</aff>
<aff id="A5">
<label>5</label>
Medical Research Council Wits Rural Public Health and Health Transitions Research Unit, Agincourt, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</aff>
<aff id="A6">
<label>6</label>
INDEPTH Network, Accra, Ghana</aff>
<aff id="A7">
<label>7</label>
School of Health, University of New England, Armidale, 2351 NSW, Australia</aff>
<aff id="A8">
<label>8</label>
Wits Reproductive Health and HIV Institute, University of the Witwatersrand, South Africa</aff>
<aff id="A9">
<label>9</label>
Fred Hutchinson Cancer Research Center, Statistical Center for HIV/AIDS Research & Prevention (SCHARP), Seattle, WA USA</aff>
<aff id="A10">
<label>10</label>
Department of Biostatistics, University of Washington, Seattle, WA</aff>
<aff id="A11">
<label>11</label>
Centre for Global Health Research, Umeå University, Umeå, Sweden</aff>
<author-notes>
<corresp id="FN1">
<label>§</label>
Corresponding author: Larissa Jennings, PhD MHS, Assistant Professor, Johns Hopkins Bloomberg School of Public Health, Department of International Health, Social and Behavioral Interventions Program, 615 N. Wolfe Street, Room E5038, Baltimore, MD 21205, Tel: 410-955-3537,
<email>ljennin6@jhu.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>14</day>
<month>6</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub">
<month>3</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>9</month>
<year>2017</year>
</pub-date>
<volume>21</volume>
<issue>3</issue>
<fpage>665</fpage>
<lpage>677</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s10461-016-1435-5</pmc-comment>
<abstract>
<p id="P1">Individual economic resources may have greater influence on school-enrolled young women's sexual decision-making than household wealth measures. However, few studies have investigated the effects of personal income, employment, and other financial assets on young women's sexual behaviors. Using baseline data from the HIV Prevention Trials Network (HPTN) 068 study, we examined the association of ever having sex and adopting sexually-protective practices with individual-level economic resources among school-enrolled women, aged 13-20 years (n=2,533). Age-adjusted results showed that among all women employment was associated with ever having sex (OR=1.56, 95%CI:1.28-1.90). Among sexually-experienced women, paid work was associated with changes in partner selection practices (OR=2.38, 95%CI:1.58-3.58) and periodic sexual abstinence to avoid HIV (OR=1.71,95%CI:1.07-2.75). Having money to spend on oneself was associated with reducing the number of sexual partners (OR=1.94, 95%CI:1.08-3.46), discussing HIV testing (OR=2.15, 95%CI:1.13-4.06), and discussing condom use (OR=1.99, 95%CI:1.04-3.80). Having a bank account was associated with condom use (OR=1.49, 95%CI:1.01-2.19). Economic hardship was positively associated with ever having sex, but not with sexually-protective behaviors. Maximizing women's individual economic resources may complement future prevention initiatives.</p>
</abstract>
<kwd-group>
<kwd>economic resources</kwd>
<kwd>assets</kwd>
<kwd>HIV</kwd>
<kwd>women</kwd>
<kwd>risk behaviors</kwd>
<kwd>South Africa</kwd>
<kwd>prevention</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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