HIV Prevalence and ART Use Among Men in Partnerships with 15-29 Year Old Women in South Africa: HIV Risk Implications for Young Women in Age-Disparate Partnerships.
Identifieur interne : 003E69 ( Ncbi/Curation ); précédent : 003E68; suivant : 003E70HIV Prevalence and ART Use Among Men in Partnerships with 15-29 Year Old Women in South Africa: HIV Risk Implications for Young Women in Age-Disparate Partnerships.
Auteurs : Meredith Evans [Canada] ; Brendan Maughan-Brown [Afrique du Sud] ; Nompumelelo Zungu [Afrique du Sud] ; Gavin George [Afrique du Sud]Source :
- AIDS and behavior [ 1573-3254 ] ; 2017.
Abstract
This study assesses whether men's ART use mitigates HIV-risk within age-disparate partnerships. Using data from the 2012 South African National HIV survey, we analyzed differences in HIV prevalence and ART use between men in age-disparate and age-similar partnerships with young women aged 15-29 using multiple logistic regression analyses. Within partnerships involving women 15-24 years old, men in age-disparate partnerships were more likely to be HIV-positive (5-9 year age-gap: aOR 2.8, 95%CI 1.4-5.2; p < 0.01; 10+ year age-gap: aOR 2.2, 95%CI 1.0-4.6; p < 0.05). Men in age-disparate partnerships who were 5-9 years older were significantly more likely to be HIV-positive and ART-naïve (aOR 2.4, 95%CI 1.2-4.8; p < 0.05), while this was not the case for men 10+ years older (aOR 1.5, 95%CI 0.7-3.6; p = 0.32). No evidence was found that 25-29 year old women were at greater HIV-risk in age-disparate partnerships. Our results indicate that young women aged 15-24 have a greater likelihood of exposure to HIV through age-disparate partnerships, but ART use among men 10+ years older could mitigate risk.
DOI: 10.1007/s10461-017-1741-6
PubMed: 28271303
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1P3</wicri:regionArea><wicri:noRegion>M3J 1P3</wicri:noRegion></affiliation></author><author><name sortKey="Maughan Brown, Brendan" sort="Maughan Brown, Brendan" uniqKey="Maughan Brown B" first="Brendan" last="Maughan-Brown">Brendan Maughan-Brown</name><affiliation wicri:level="1"><nlm:affiliation>Southern Africa Labour and Development Research Unit (SALDRU), University of Cape Town, Cape Town, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Southern Africa Labour and Development Research Unit (SALDRU), University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Zungu, Nompumelelo" sort="Zungu, Nompumelelo" uniqKey="Zungu N" first="Nompumelelo" last="Zungu">Nompumelelo Zungu</name><affiliation wicri:level="1"><nlm:affiliation>HIV/AIDS, STIs and TB (HAST) and Office of the CEO, Human Sciences Research Council, Pretoria, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>HIV/AIDS, STIs and TB (HAST) and Office of the CEO, Human Sciences Research Council, Pretoria</wicri:regionArea><wicri:noRegion>Pretoria</wicri:noRegion></affiliation></author><author><name sortKey="George, Gavin" sort="George, Gavin" uniqKey="George G" first="Gavin" last="George">Gavin George</name><affiliation wicri:level="1"><nlm:affiliation>Health Economics and HIV and AIDS Research Division (HEARD), University of KwaZulu-Natal, Durban, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Health Economics and HIV and AIDS Research Division (HEARD), University of KwaZulu-Natal, Durban</wicri:regionArea><wicri:noRegion>Durban</wicri:noRegion></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">This study assesses whether men's ART use mitigates HIV-risk within age-disparate partnerships. Using data from the 2012 South African National HIV survey, we analyzed differences in HIV prevalence and ART use between men in age-disparate and age-similar partnerships with young women aged 15-29 using multiple logistic regression analyses. Within partnerships involving women 15-24 years old, men in age-disparate partnerships were more likely to be HIV-positive (5-9 year age-gap: aOR 2.8, 95%CI 1.4-5.2; p < 0.01; 10+ year age-gap: aOR 2.2, 95%CI 1.0-4.6; p < 0.05). Men in age-disparate partnerships who were 5-9 years older were significantly more likely to be HIV-positive and ART-naïve (aOR 2.4, 95%CI 1.2-4.8; p < 0.05), while this was not the case for men 10+ years older (aOR 1.5, 95%CI 0.7-3.6; p = 0.32). No evidence was found that 25-29 year old women were at greater HIV-risk in age-disparate partnerships. Our results indicate that young women aged 15-24 have a greater likelihood of exposure to HIV through age-disparate partnerships, but ART use among men 10+ years older could mitigate risk.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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