Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<title xml:lang="en">Material Deprivation Affects High Sexual Risk Behavior among Young People in Urban Slums, South Africa</title>
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<name sortKey="Kamndaya, Mphatso" sort="Kamndaya, Mphatso" uniqKey="Kamndaya M" first="Mphatso" last="Kamndaya">Mphatso Kamndaya</name>
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<nlm:aff id="Aff1">School of Public Health, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
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<name sortKey="Thomas, Liz" sort="Thomas, Liz" uniqKey="Thomas L" first="Liz" last="Thomas">Liz Thomas</name>
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<nlm:aff id="Aff2">Gender and Health Unit, Medical Research Council (MRC), Pretoria, South Africa</nlm:aff>
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<name sortKey="Vearey, Jo" sort="Vearey, Jo" uniqKey="Vearey J" first="Jo" last="Vearey">Jo Vearey</name>
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<nlm:aff id="Aff3">African Centre for Migration and Society (ACMS), University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
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<name sortKey="Sartorius, Benn" sort="Sartorius, Benn" uniqKey="Sartorius B" first="Benn" last="Sartorius">Benn Sartorius</name>
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<nlm:aff id="Aff4">Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Pietermaritzburg, South Africa</nlm:aff>
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<name sortKey="Kazembe, Lawrence" sort="Kazembe, Lawrence" uniqKey="Kazembe L" first="Lawrence" last="Kazembe">Lawrence Kazembe</name>
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<title xml:lang="en" level="a" type="main">Material Deprivation Affects High Sexual Risk Behavior among Young People in Urban Slums, South Africa</title>
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<name sortKey="Kamndaya, Mphatso" sort="Kamndaya, Mphatso" uniqKey="Kamndaya M" first="Mphatso" last="Kamndaya">Mphatso Kamndaya</name>
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<author>
<name sortKey="Thomas, Liz" sort="Thomas, Liz" uniqKey="Thomas L" first="Liz" last="Thomas">Liz Thomas</name>
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<nlm:aff id="Aff2">Gender and Health Unit, Medical Research Council (MRC), Pretoria, South Africa</nlm:aff>
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<author>
<name sortKey="Vearey, Jo" sort="Vearey, Jo" uniqKey="Vearey J" first="Jo" last="Vearey">Jo Vearey</name>
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<nlm:aff id="Aff3">African Centre for Migration and Society (ACMS), University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
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<name sortKey="Sartorius, Benn" sort="Sartorius, Benn" uniqKey="Sartorius B" first="Benn" last="Sartorius">Benn Sartorius</name>
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<name sortKey="Kazembe, Lawrence" sort="Kazembe, Lawrence" uniqKey="Kazembe L" first="Lawrence" last="Kazembe">Lawrence Kazembe</name>
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<nlm:aff id="Aff5">Department of Statistics and Population Studies, University of Namibia, Windhoek, Namibia</nlm:aff>
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<title level="j">Journal of Urban Health : Bulletin of the New York Academy of Medicine</title>
<idno type="ISSN">1099-3460</idno>
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<p>Young people in urban slums adopt HIV risk behaviors influenced by their neighborhood factors. Three critical factors in urban slums of Southern and Eastern Africa—the region most affected by the HIV epidemic in the world—are unmet needs of housing, food, and health care, which are associated with HIV sexual risks. Yet, there has been limited attention on how the combination of unmet needs of housing, food, and health care—i.e., material deprivation—relates to sexual risk behavior among young people in urban slums. Cross-sectional data were extracted from the LoveLife survey in South African four provinces—KwaZulu Natal, Mpumalanga, Eastern Cape, and Gauteng, to examine the association between material deprivation and sexual risk behavior among young people aged 18–23 years (263 males, 267 females) in urban slums. Adjusted logistic regression models showed that material deprivation was significantly associated with increased odds of high sexual risk taking for young men (adjusted OR = 1.20; 95 % CI = 1.10, 5.58) and young women (adjusted OR = 1.43; 95 % CI = 1.35, 3.28). Financial difficulty—a proxy for other deprivations—was the most salient influence on young women’s high sexual risk taking (adjusted OR = 2.11; 95 % CI = 1.66, 2.70). Localized behavioral HIV prevention interventions should target young people in deprived households.</p>
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<journal-title>Journal of Urban Health : Bulletin of the New York Academy of Medicine</journal-title>
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<issn pub-type="ppub">1099-3460</issn>
<issn pub-type="epub">1468-2869</issn>
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<publisher-name>Springer US</publisher-name>
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<article-title>Material Deprivation Affects High Sexual Risk Behavior among Young People in Urban Slums, South Africa</article-title>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Kamndaya</surname>
<given-names>Mphatso</given-names>
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<email>mkamndaya@cartafrica.org</email>
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<contrib contrib-type="author">
<name>
<surname>Thomas</surname>
<given-names>Liz</given-names>
</name>
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<contrib contrib-type="author">
<name>
<surname>Vearey</surname>
<given-names>Jo</given-names>
</name>
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<contrib contrib-type="author">
<name>
<surname>Sartorius</surname>
<given-names>Benn</given-names>
</name>
<xref ref-type="aff" rid="Aff4"></xref>
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<contrib contrib-type="author">
<name>
<surname>Kazembe</surname>
<given-names>Lawrence</given-names>
</name>
<xref ref-type="aff" rid="Aff5"></xref>
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<aff id="Aff1">
<label></label>
School of Public Health, University of the Witwatersrand, Johannesburg, South Africa</aff>
<aff id="Aff2">
<label></label>
Gender and Health Unit, Medical Research Council (MRC), Pretoria, South Africa</aff>
<aff id="Aff3">
<label></label>
African Centre for Migration and Society (ACMS), University of the Witwatersrand, Johannesburg, South Africa</aff>
<aff id="Aff4">
<label></label>
Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Pietermaritzburg, South Africa</aff>
<aff id="Aff5">
<label></label>
Department of Statistics and Population Studies, University of Namibia, Windhoek, Namibia</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>31</day>
<month>1</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub">
<month>6</month>
<year>2014</year>
</pub-date>
<volume>91</volume>
<issue>3</issue>
<fpage>581</fpage>
<lpage>591</lpage>
<permissions>
<copyright-statement>© The New York Academy of Medicine 2014</copyright-statement>
</permissions>
<abstract id="Abs1">
<p>Young people in urban slums adopt HIV risk behaviors influenced by their neighborhood factors. Three critical factors in urban slums of Southern and Eastern Africa—the region most affected by the HIV epidemic in the world—are unmet needs of housing, food, and health care, which are associated with HIV sexual risks. Yet, there has been limited attention on how the combination of unmet needs of housing, food, and health care—i.e., material deprivation—relates to sexual risk behavior among young people in urban slums. Cross-sectional data were extracted from the LoveLife survey in South African four provinces—KwaZulu Natal, Mpumalanga, Eastern Cape, and Gauteng, to examine the association between material deprivation and sexual risk behavior among young people aged 18–23 years (263 males, 267 females) in urban slums. Adjusted logistic regression models showed that material deprivation was significantly associated with increased odds of high sexual risk taking for young men (adjusted OR = 1.20; 95 % CI = 1.10, 5.58) and young women (adjusted OR = 1.43; 95 % CI = 1.35, 3.28). Financial difficulty—a proxy for other deprivations—was the most salient influence on young women’s high sexual risk taking (adjusted OR = 2.11; 95 % CI = 1.66, 2.70). Localized behavioral HIV prevention interventions should target young people in deprived households.</p>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Urban slums</kwd>
<kwd>Material deprivation</kwd>
<kwd>HIV risk behavior</kwd>
<kwd>Young people</kwd>
<kwd>South Africa</kwd>
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<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The New York Academy of Medicine 2014</meta-value>
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</front>
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