Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<title xml:lang="en">Young People’s Sexual Partnerships in KwaZulu/Natal, South Africa: Patterns, Contextual Influences, and HIV Risk</title>
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<name sortKey="Harrison, Abigail" sort="Harrison, Abigail" uniqKey="Harrison A" first="Abigail" last="Harrison">Abigail Harrison</name>
<affiliation>
<nlm:aff id="A1">Brown University, Population Studies and Training Center, 68 Waterman St, Providence RI 02912</nlm:aff>
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<author>
<name sortKey="Cleland, John" sort="Cleland, John" uniqKey="Cleland J" first="John" last="Cleland">John Cleland</name>
<affiliation>
<nlm:aff id="A2">Centre for Population Studies, London School of Hygiene and Tropical Medicine, 50 Bedford Square, London WC1 UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Frohlich, Janet" sort="Frohlich, Janet" uniqKey="Frohlich J" first="Janet" last="Frohlich">Janet Frohlich</name>
<affiliation>
<nlm:aff id="A3">Centre for AIDS Programme of Research in South Africa (CAPRISA), Nelson Mandela School of Medicine, University of KwaZulu/Natal, Durban, South Africa</nlm:aff>
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<idno type="pmid">19248716</idno>
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<title xml:lang="en" level="a" type="main">Young People’s Sexual Partnerships in KwaZulu/Natal, South Africa: Patterns, Contextual Influences, and HIV Risk</title>
<author>
<name sortKey="Harrison, Abigail" sort="Harrison, Abigail" uniqKey="Harrison A" first="Abigail" last="Harrison">Abigail Harrison</name>
<affiliation>
<nlm:aff id="A1">Brown University, Population Studies and Training Center, 68 Waterman St, Providence RI 02912</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cleland, John" sort="Cleland, John" uniqKey="Cleland J" first="John" last="Cleland">John Cleland</name>
<affiliation>
<nlm:aff id="A2">Centre for Population Studies, London School of Hygiene and Tropical Medicine, 50 Bedford Square, London WC1 UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Frohlich, Janet" sort="Frohlich, Janet" uniqKey="Frohlich J" first="Janet" last="Frohlich">Janet Frohlich</name>
<affiliation>
<nlm:aff id="A3">Centre for AIDS Programme of Research in South Africa (CAPRISA), Nelson Mandela School of Medicine, University of KwaZulu/Natal, Durban, South Africa</nlm:aff>
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<title level="j">Studies in family planning</title>
<idno type="ISSN">0039-3665</idno>
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<date when="2008">2008</date>
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<p id="P1">Certain sexual partnering practices, such as multiple, concurrent or age-discrepant partnerships, are known to increase HIV risk. Yet the underlying dynamics of young people’s relationships are less understood. Using household survey and qualitative data, this study examines the partnership context of HIV risk, including partner types, their characteristics, and key aspects of partnership dynamics, including partner numbers and age differences, duration, concurrency, and frequency of contact among youth aged 15–24 in rural KwaZulu/Natal, South Africa. One-third of men reported multiple and/or concurrent partnering, while one-quarter of women had partners > 5 years older. Non-participation in civic organizations or schooling was correlated with higher risk partnerships for women, but not men. On average, relationships lasted >1 year for women and men, and were frequently characterized as ‘serious’. However, qualitative findings pointed to the sequential and overlapping nature of relationships, with distance and mobility as important influences. These fluid partnership patterns are an important feature of young people’s sexual risk in the context of South Africa’s severe HIV epidemic.</p>
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<journal-title>Studies in family planning</journal-title>
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<article-title>Young People’s Sexual Partnerships in KwaZulu/Natal, South Africa: Patterns, Contextual Influences, and HIV Risk</article-title>
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<name>
<surname>Harrison</surname>
<given-names>Abigail</given-names>
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<contrib contrib-type="author">
<name>
<surname>Cleland</surname>
<given-names>John</given-names>
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<name>
<surname>Frohlich</surname>
<given-names>Janet</given-names>
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Brown University, Population Studies and Training Center, 68 Waterman St, Providence RI 02912</aff>
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Centre for Population Studies, London School of Hygiene and Tropical Medicine, 50 Bedford Square, London WC1 UK</aff>
<aff id="A3">
<label>3</label>
Centre for AIDS Programme of Research in South Africa (CAPRISA), Nelson Mandela School of Medicine, University of KwaZulu/Natal, Durban, South Africa</aff>
<pub-date pub-type="nihms-submitted">
<day>9</day>
<month>11</month>
<year>2013</year>
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<pub-date pub-type="ppub">
<month>12</month>
<year>2008</year>
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<pub-date pub-type="pmc-release">
<day>03</day>
<month>12</month>
<year>2013</year>
</pub-date>
<volume>39</volume>
<issue>4</issue>
<fpage>295</fpage>
<lpage>308</lpage>
<abstract>
<p id="P1">Certain sexual partnering practices, such as multiple, concurrent or age-discrepant partnerships, are known to increase HIV risk. Yet the underlying dynamics of young people’s relationships are less understood. Using household survey and qualitative data, this study examines the partnership context of HIV risk, including partner types, their characteristics, and key aspects of partnership dynamics, including partner numbers and age differences, duration, concurrency, and frequency of contact among youth aged 15–24 in rural KwaZulu/Natal, South Africa. One-third of men reported multiple and/or concurrent partnering, while one-quarter of women had partners > 5 years older. Non-participation in civic organizations or schooling was correlated with higher risk partnerships for women, but not men. On average, relationships lasted >1 year for women and men, and were frequently characterized as ‘serious’. However, qualitative findings pointed to the sequential and overlapping nature of relationships, with distance and mobility as important influences. These fluid partnership patterns are an important feature of young people’s sexual risk in the context of South Africa’s severe HIV epidemic.</p>
</abstract>
<kwd-group>
<kwd>youth</kwd>
<kwd>partnerships</kwd>
<kwd>HIV/AIDS</kwd>
<kwd>sexual risk behavior</kwd>
<kwd>South Africa</kwd>
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<funding-group>
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<funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>R24 HD041020 || HD</award-id>
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