The effect of schooling on age-disparate relationships and number of sexual partners among young women in rural South Africa enrolled in HPTN 068.
Identifieur interne : 000905 ( PubMed/Corpus ); précédent : 000904; suivant : 000906The effect of schooling on age-disparate relationships and number of sexual partners among young women in rural South Africa enrolled in HPTN 068.
Auteurs : Marie C D. Stoner ; Jessie K. Edwards ; William C. Miller ; Allison E. Aiello ; Carolyn T. Halpern ; Aimée Julien ; Amanda Selin ; James P. Hughes ; Jing Wang ; F Xavier Gomez-Olive ; Ryan G. Wagner ; Catherine Macphail ; Kathleen Kahn ; Audrey PettiforSource :
- Journal of acquired immune deficiency syndromes (1999) [ 1944-7884 ] ; 2017.
Abstract
Attending school may have a strong preventative association with sexually transmitted infections among young women, but the mechanism for this relationship is unknown. One hypothesis is that students who attend school practice safer sex with fewer partners, establishing safer sexual networks that make them less exposed to infection.
DOI: 10.1097/QAI.0000000000001544
PubMed: 28902703
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pubmed:28902703Le document en format XML
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<affiliation><nlm:affiliation>1University of North Carolina, Department of Epidemiology 2The Ohio State University, Division of Epidemiology 3University of North Carolina, Department of Maternal and Child Health 4University of Washington, Department of Biostatistics 5Fred Hutchinson Cancer Research Center, Seattle, WA, USA 6Medical Research Council/ Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of the Health Sciences, University of the Witwatersrand, South Africa 7Wits Reproductive Health and HIV Institute, University of the Witwatersrand, South Africa 8School of Health & Society, University of Wollongong, NSW, Australia 9Epidemiology and Global Health Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden 10INDEPTH Network, Accra, Ghana.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The effect of schooling on age-disparate relationships and number of sexual partners among young women in rural South Africa enrolled in HPTN 068.</title>
<author><name sortKey="Stoner, Marie C D" sort="Stoner, Marie C D" uniqKey="Stoner M" first="Marie C D" last="Stoner">Marie C D. Stoner</name>
<affiliation><nlm:affiliation>1University of North Carolina, Department of Epidemiology 2The Ohio State University, Division of Epidemiology 3University of North Carolina, Department of Maternal and Child Health 4University of Washington, Department of Biostatistics 5Fred Hutchinson Cancer Research Center, Seattle, WA, USA 6Medical Research Council/ Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of the Health Sciences, University of the Witwatersrand, South Africa 7Wits Reproductive Health and HIV Institute, University of the Witwatersrand, South Africa 8School of Health & Society, University of Wollongong, NSW, Australia 9Epidemiology and Global Health Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden 10INDEPTH Network, Accra, Ghana.</nlm:affiliation>
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<front><div type="abstract" xml:lang="en">Attending school may have a strong preventative association with sexually transmitted infections among young women, but the mechanism for this relationship is unknown. One hypothesis is that students who attend school practice safer sex with fewer partners, establishing safer sexual networks that make them less exposed to infection.</div>
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<DateCreated><Year>2017</Year>
<Month>09</Month>
<Day>13</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1944-7884</ISSN>
<JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year>
<Month>Sep</Month>
<Day>11</Day>
</PubDate>
</JournalIssue>
<Title>Journal of acquired immune deficiency syndromes (1999)</Title>
<ISOAbbreviation>J. Acquir. Immune Defic. Syndr.</ISOAbbreviation>
</Journal>
<ArticleTitle>The effect of schooling on age-disparate relationships and number of sexual partners among young women in rural South Africa enrolled in HPTN 068.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/QAI.0000000000001544</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Attending school may have a strong preventative association with sexually transmitted infections among young women, but the mechanism for this relationship is unknown. One hypothesis is that students who attend school practice safer sex with fewer partners, establishing safer sexual networks that make them less exposed to infection.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">We used longitudinal data from a randomized controlled trial of young women age 13-20 in the Bushbuckridge district, South Africa, to determine if the percentage of school days attended, school dropout and grade repetition are associated with having a partner five or more years older (age-disparate) and with the number of sexual partners in the previous 12 months.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Risks of having an age-disparate relationship and counts of sex partners were compared using inverse probability of exposure weighted Poisson regression models. Generalized estimating equations were used to account for repeated measures.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Young women who attended fewer school days (<80%) and who dropped out of school were more likely to have an age-disparate relationship (risk difference (RD) 9.9%, 95% CI 3.9%,16.0%; RD (%) dropout 17.2%, 95% CI: 5.4%,29.0%) and those who dropped out reported having fewer partners (count difference (CD) dropout 0.343, 95% CI: 0.192, 0.495). Grade repetition was not associated with either behavior.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Young women who less frequently attend school or who drop out are more likely to have an age-disparate relationship. Young women who drop out have more partners overall. These behaviors may increase risk of exposure to HIV infection in young women out of school.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stoner</LastName>
<ForeName>Marie C D</ForeName>
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<AffiliationInfo><Affiliation>1University of North Carolina, Department of Epidemiology 2The Ohio State University, Division of Epidemiology 3University of North Carolina, Department of Maternal and Child Health 4University of Washington, Department of Biostatistics 5Fred Hutchinson Cancer Research Center, Seattle, WA, USA 6Medical Research Council/ Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of the Health Sciences, University of the Witwatersrand, South Africa 7Wits Reproductive Health and HIV Institute, University of the Witwatersrand, South Africa 8School of Health & Society, University of Wollongong, NSW, Australia 9Epidemiology and Global Health Unit, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden 10INDEPTH Network, Accra, Ghana.</Affiliation>
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<Author ValidYN="Y"><LastName>Edwards</LastName>
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<Author ValidYN="Y"><LastName>Pettifor</LastName>
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