Economic Resources and HIV Preventive Behaviors Among School-Enrolled Young Women in Rural South Africa (HPTN 068).
Identifieur interne : 000057 ( PubMed/Checkpoint ); précédent : 000056; suivant : 000058Economic 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
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Bloomberg School of Public Health, 615 N. Wolfe Street, Room E5038, Baltimore, MD, 21205, USA. ljennin6@jhu.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of International Health, Social and Behavioral Interventions Program, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Room E5038, Baltimore, MD, 21205</wicri:regionArea><wicri:noRegion>21205</wicri:noRegion></affiliation></author><author><name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</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="Hamilton, Erica" sort="Hamilton, Erica" uniqKey="Hamilton E" first="Erica" last="Hamilton">Erica Hamilton</name><affiliation wicri:level="1"><nlm:affiliation>FHI360, Science Facilitation, 359 Blackwell Street, Suite 200, Durham, NC, 27701, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>FHI360, Science Facilitation, 359 Blackwell Street, Suite 200, Durham, NC, 27701</wicri:regionArea><wicri:noRegion>27701</wicri:noRegion></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 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><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27260180</PMID><DateCreated><Year>2016</Year><Month>06</Month><Day>04</Day></DateCreated><DateRevised><Year>2017</Year><Month>09</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1573-3254</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Mar</Month></PubDate></JournalIssue><Title>AIDS and behavior</Title><ISOAbbreviation>AIDS Behav</ISOAbbreviation></Journal><ArticleTitle>Economic Resources and HIV Preventive Behaviors Among School-Enrolled Young Women in Rural South Africa (HPTN 068).</ArticleTitle><Pagination><MedlinePgn>665-677</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10461-016-1435-5</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jennings</LastName><ForeName>Larissa</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of International Health, Social and Behavioral Interventions Program, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Room E5038, Baltimore, MD, 21205, USA. ljennin6@jhu.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pettifor</LastName><ForeName>Audrey</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Epidemiology, University of North Carolina, Gillings School of Global Public Health, 170 Rosenau Hall, CB #7400, Chapel Hill, NC, 27599, USA.</Affiliation></AffiliationInfo><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hamilton</LastName><ForeName>Erica</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>FHI360, Science Facilitation, 359 Blackwell Street, Suite 200, Durham, NC, 27701, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ritchwood</LastName><ForeName>Tiarney D</ForeName><Initials>TD</Initials><AffiliationInfo><Affiliation>Department of Public Health Sciences, Medical University of South Carolina, 135 Cannon St., Charleston, SC, 29425, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xavier Gómez-Olivé</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>INDEPTH Network, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>MacPhail</LastName><ForeName>Catherine</ForeName><Initials>C</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Health, University of New England, Armidale, 2351, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hughes</LastName><ForeName>James</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Fred Hutchinson Cancer Research Center, Statistical Center for HIV/AIDS Research & Prevention (SCHARP), Seattle, WA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Biostatistics, University of Washington, Seattle, WA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Selin</LastName><ForeName>Amanda</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Epidemiology, University of North Carolina, Gillings School of Global Public Health, 170 Rosenau Hall, CB #7400, Chapel Hill, NC, 27599, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kahn</LastName><ForeName>Kathleen</ForeName><Initials>K</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>INDEPTH Network, Accra, Ghana.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Global Health Research, Umeå University, Umeå, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>HPTN 068 Study Team</CollectiveName></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>UM1 AI069423</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U01 AI068619</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 AI094189</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U01 AI068617</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U01 AI068613</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>UM1 AI068619</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>UM1 AI068613</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><Agency>Wellcome Trust</Agency><Country>United Kingdom</Country></Grant><Grant><GrantID>P2C HD050924</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 AI050410</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>UM1 AI068617</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>AIDS Behav</MedlineTA><NlmUniqueID>9712133</NlmUniqueID><ISSNLinking>1090-7165</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Health Educ Behav. 2010 Jun;37(3):343-56</RefSource><PMID Version="1">19887626</PMID></CommentsCorrections><CommentsCorrections 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Version="1">24968350</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Assets</Keyword><Keyword MajorTopicYN="N">Economic resources</Keyword><Keyword MajorTopicYN="N">HIV</Keyword><Keyword MajorTopicYN="N">Prevention</Keyword><Keyword MajorTopicYN="N">Risk behaviors</Keyword><Keyword MajorTopicYN="N">South Africa</Keyword><Keyword MajorTopicYN="N">Women</Keyword></KeywordList><CoiStatement>Compliance with Ethical Standards: Conflict of Interest: The authors declare that they have no conflict of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>6</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>6</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>6</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27260180</ArticleId><ArticleId IdType="doi">10.1007/s10461-016-1435-5</ArticleId><ArticleId IdType="pii">10.1007/s10461-016-1435-5</ArticleId><ArticleId IdType="pmc">PMC5136342</ArticleId><ArticleId IdType="mid">NIHMS793408</ArticleId></ArticleIdList></PubmedData></pubmed><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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