Economic Resources and HIV Preventive Behaviors Among School-Enrolled Young Women in Rural South Africa (HPTN 068).
Identifieur interne : 000084 ( Main/Exploration ); précédent : 000083; suivant : 000085Economic Resources and HIV Preventive Behaviors Among School-Enrolled Young Women in Rural South Africa (HPTN 068).
Auteurs : Larissa Jennings [États-Unis] ; Audrey Pettifor [États-Unis] ; Erica Hamilton [États-Unis] ; Tiarney D. Ritchwood [États-Unis] ; F. Xavier G Mez-Olivé [Afrique du Sud] ; Catherine Macphail [Afrique du Sud] ; James Hughes [États-Unis] ; Amanda Selin [États-Unis] ; Kathleen Kahn [Afrique du Sud]Source :
- AIDS and behavior [ 1573-3254 ] ; 2017.
Abstract
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 = 2533). 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.
DOI: 10.1007/s10461-016-1435-5
PubMed: 27260180
Affiliations:
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Ritchwood</name><affiliation wicri:level="1"><nlm:affiliation>Department of Public Health Sciences, Medical University of South Carolina, 135 Cannon St., Charleston, SC, 29425, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Public Health Sciences, Medical University of South Carolina, 135 Cannon St., Charleston, SC, 29425</wicri:regionArea><wicri:noRegion>29425</wicri:noRegion></affiliation></author><author><name sortKey="Xavier G Mez Olive, F" sort="Xavier G Mez Olive, F" uniqKey="Xavier G Mez Olive F" first="F" last="Xavier G Mez-Olivé">F. Xavier G Mez-Olivé</name><affiliation wicri:level="4"><nlm:affiliation>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:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>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</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Macphail, Catherine" sort="Macphail, Catherine" uniqKey="Macphail C" first="Catherine" last="Macphail">Catherine Macphail</name><affiliation wicri:level="4"><nlm:affiliation>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:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>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</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author><author><name sortKey="Hughes, James" sort="Hughes, James" uniqKey="Hughes J" first="James" last="Hughes">James Hughes</name><affiliation wicri:level="2"><nlm:affiliation>Fred Hutchinson Cancer Research Center, Statistical Center for HIV/AIDS Research & Prevention (SCHARP), Seattle, WA, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Fred Hutchinson Cancer Research Center, Statistical Center for HIV/AIDS Research & Prevention (SCHARP), Seattle, WA</wicri:regionArea><placeName><region type="state">Washington (État)</region></placeName></affiliation></author><author><name sortKey="Selin, Amanda" sort="Selin, Amanda" uniqKey="Selin A" first="Amanda" last="Selin">Amanda Selin</name><affiliation wicri:level="1"><nlm:affiliation>Department of Epidemiology, University of North Carolina, Gillings School of Global Public Health, 170 Rosenau Hall, CB #7400, Chapel Hill, NC, 27599, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, University of North Carolina, Gillings School of Global Public Health, 170 Rosenau Hall, CB #7400, Chapel Hill, NC, 27599</wicri:regionArea><wicri:noRegion>27599</wicri:noRegion></affiliation></author><author><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name><affiliation wicri:level="4"><nlm:affiliation>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:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>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</wicri:regionArea><orgName type="university">Université du Witwatersrand</orgName><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="eISSN">1573-3254</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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 = 2533). 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.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>Gauteng</li><li>Washington (État)</li></region><settlement><li>Johannesbourg</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><country name="États-Unis"><noRegion><name sortKey="Jennings, Larissa" sort="Jennings, Larissa" uniqKey="Jennings L" first="Larissa" last="Jennings">Larissa Jennings</name></noRegion><name sortKey="Hamilton, Erica" sort="Hamilton, Erica" uniqKey="Hamilton E" first="Erica" last="Hamilton">Erica Hamilton</name><name sortKey="Hughes, James" sort="Hughes, James" uniqKey="Hughes J" first="James" last="Hughes">James Hughes</name><name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name><name sortKey="Ritchwood, Tiarney D" sort="Ritchwood, Tiarney D" uniqKey="Ritchwood T" first="Tiarney D" last="Ritchwood">Tiarney D. Ritchwood</name><name sortKey="Selin, Amanda" sort="Selin, Amanda" uniqKey="Selin A" first="Amanda" last="Selin">Amanda Selin</name></country><country name="Afrique du Sud"><region name="Gauteng"><name sortKey="Xavier G Mez Olive, F" sort="Xavier G Mez Olive, F" uniqKey="Xavier G Mez Olive F" first="F" last="Xavier G Mez-Olivé">F. Xavier G Mez-Olivé</name></region><name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name><name sortKey="Macphail, Catherine" sort="Macphail, Catherine" uniqKey="Macphail C" first="Catherine" last="Macphail">Catherine Macphail</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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