Gender differentials in the impact of parental death: Adolescent's sexual behaviour and risk of HIV infection in rural South Africa.
Gender differentials in the impact of parental death: Adolescent's sexual behaviour and risk of HIV infection in rural South Africa.
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DOI：
10.1080/17450128.2010.507804
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发表时间：
2010-09
影响因子：
1.1
通讯作者：
Newell ML
中科院分区：
文献类型：
--
作者：
Nyirenda M;McGrath N;Newell ML
使用来自南非农村的纵向监测研究的数据，我们调查了15至19岁青少年父母存活的首次性行为、怀孕和感染艾滋病毒的几率。运用描述性统计和Logistic回归分析，在调整了年龄、性别、社会经济地位、受教育程度、就业和居住状况后，我们检验了孤儿与非孤儿发生过性行为、怀孕和感染艾滋病毒的相对风险。在8274名青少年中，42%是孤儿(单亲或双亲死亡)。超过80%的青少年仍在上学，但孤儿在年龄上明显落后于年级。青春期女性母亲(AOR 1.32，95%CI 1.071.62)、父亲(AOR 1.26，95%CI 1.061.49)和双亲孤儿(AOR 1.37，95%CI 1.051.78)发生性行为的可能性显著高于非孤儿女性；在男性中，只有父亲的孤儿(AOR 1.27，95%CI 1.051.53)。母亲(AOR 1.49，95%CI 1.032.15)和双亲(AOR 1.74，95%CI 1.112.73)女性孤儿感染HIV的几率明显高于非孤儿女性，男性父亲(AOR 3.41，95%CI 1.378.46)和双重孤儿(AOR 3.54，95%CI 1.0611.86)孤儿感染HIV的几率是非孤儿女性的3倍以上。有强有力的证据表明，女孩母亲的死亡与更早的首次性行为和感染艾滋病毒的脆弱性增加有关，而父亲似乎在儿子和女儿的生活中都发挥了重要作用。
Using data from a longitudinal surveillance study from rural South Africa, we investigated the odds of sexual debut, pregnancy and HIV infection of 15- to 19-year-old adolescents by parental survival. Using descriptive statistics and logistic regressions, we examine the relative risk of orphans compared with non-orphans to have ever had sex, being pregnant and being HIV infected, adjusting for age, sex, socio-economic status, education, being employed and residency. Of 8274 adolescents, 42% were orphaned (one or both parents died). Over 80% of adolescents remained in school, but orphans were significantly more likely to lag behind in grade for age. Female adolescent maternal (aOR 1.32, 95% CI 1.071.62), paternal (aOR 1.26, 95% CI 1.061.49) and dual (aOR 1.37, 95% CI 1.051.78) orphans were significantly more likely than non-orphaned females to have ever had sex; among males it was only paternal (aOR 1.27, 95% CI 1.051.53) orphans. Maternal (aOR 1.49, 95% CI 1.032.15) and dual (aOR 1.74, 95% CI 1.112.73) female orphans relative to non-orphaned females were significantly more likely to be HIV infected; male paternal (aOR 3.41, 95% CI 1.378.46) and dual (aOR 3.54, 95% CI 1.0611.86) orphans had over three-fold the odds of being infected. There was strong evidence that death of mother for girls was associated with increased vulnerability to earlier sexual debut and HIV infection, while fathers appeared to play a significant role in both their son's and daughter's lives.