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The association between perceived household educational support and HIV risk in young women in a rural South African community (HPTN 068): A cross sectional study

Price, Jessica ; Pettifor, Audrey ; Selin, Amanda ; Wagner, Ryan G ; MacPhail, Catherine ; Agyei, Yaw ; Gómez-Olivé, F Xavier ; Kahn, Kathleen Madiba, Sphiwe

PloS one, 2019, Vol.14 (1), p.e0210632-e0210632 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
The association between perceived household educational support and HIV risk in young women in a rural South African community (HPTN 068): A cross sectional study
Autor: Price, Jessica ; Pettifor, Audrey ; Selin, Amanda ; Wagner, Ryan G ; MacPhail, Catherine ; Agyei, Yaw ; Gómez-Olivé, F Xavier ; Kahn, Kathleen
Madiba, Sphiwe
Assuntos: Academic achievement ; Acquired immune deficiency syndrome ; Adolescent ; Adult ; AIDS ; Analysis ; Biology and Life Sciences ; Caregivers ; Clinical medicine ; Cross-Sectional Studies ; Demography ; Education ; Educational Status ; Epidemiology ; Feasibility studies ; Female ; Global health ; Health education ; Health risk assessment ; Health risks ; Health sciences ; Health surveillance ; Herpes viruses ; Herpesvirus 2, Human - pathogenicity ; HIV ; HIV (Viruses) ; HIV - pathogenicity ; HIV Infections - epidemiology ; Households ; Human immunodeficiency virus ; Humans ; Internet ; Laboratories ; Linear Models ; Logistic Models ; Medical research ; Medicine ; Medicine and Health Sciences ; People and Places ; Prevalence studies (Epidemiology) ; Public health ; Reproductive health ; Risk Factors ; Rural communities ; Rural Population - statistics & numerical data ; Sex ; Sexual behavior ; Sexual Behavior - statistics & numerical data ; Sexually transmitted diseases ; Social Sciences ; Social Support ; South Africa ; STD ; Systematic review ; Teenagers ; Vagina ; Womens health ; Young Adult
É parte de: PloS one, 2019, Vol.14 (1), p.e0210632-e0210632
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Competing Interests: The authors have declared that no competing interests exist.
Descrição: To characterise perceived household support for female education and the associations between educational support and HIV prevalence, HSV-2 prevalence and sexual risk behaviours. This cross-sectional study used baseline survey data from the Swa Koteka HPTN 068 trial undertaken in Mpumalanga, South Africa. The study included 2533 young women aged 13-20, in grades 8-11 at baseline. HIV and HSV-2 status were determined at baseline. Information about patterns of sexual behaviour and household support for education was collected during the baseline survey. Linear regression and binary logistic regression were used to determine associations between household support for education and both biological and behavioural outcomes. High levels of educational support were reported across all measures. HIV prevalence was 3.2% and HSV-2 prevalence was 4.7%, both increasing significantly with age. Over a quarter (26.6%) of young women reported vaginal sex, with 60% reporting condom use at last sex. The median age of sexual debut was 16 years. Household educational support was not significantly associated with HIV or HSV-2; however, the odds of having had vaginal sex were significantly lower in those who reported greater homework supervision (OR 0.82, 95%CI: 0.72-0.94), those who engaged in regular discussion of school marks with a caregiver (OR 0.82, 95%CI: 0.71-0.95) and when caregivers had greater educational goals for the young woman (OR 0.82, 95%CI: 0.71-0.96). In contrast, greater caregiver disappointment at dropout was significantly associated with reported vaginal sex (OR 1.29, 95%CI: 1.14-1.46). Young women in rural South Africa report experiencing high levels of household educational support. This study suggests that greater household educational support is associated with lower odds of having vaginal sex and engaging in risky sexual behaviour, though not with HIV or HSV-2 prevalence.
Editor: United States: Public Library of Science
Idioma: Inglês

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The association between perceived household educational support and HIV risk in young women in a rural South African community (HPTN 068): A cross sectional study

Price, Jessica ; Pettifor, Audrey ; Selin, Amanda ; Wagner, Ryan G ; MacPhail, Catherine ; Agyei, Yaw ; Gómez-Olivé, F Xavier ; Kahn, Kathleen Madiba, Sphiwe

United States: Public Library of Science

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