Maternal versus paternal orphans and HIV/STI risk among adolescent girls in Zimbabwe
Maternal versus paternal orphans and HIV/STI risk among adolescent girls in Zimbabwe
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DOI：
10.1080/09540120701534715
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发表时间：
2008-02-01
影响因子：
1.7
通讯作者：
Padian, N.
中科院分区：
文献类型：
--
作者：
Kang, M.;Dunbar, M.;Padian, N.
艾滋病的流行导致津巴布韦孤儿人数急剧增加。孤儿（无论是艾滋病或其他原因造成的孤儿）已被证明在经济和教育方面处于不利地位，生殖健康结果也很差。我们招募了一个方便的样本，200名女孩在津巴布韦的城市周边地区，以检查孤儿身份（相比非孤儿）的家庭组成，教育，风险行为，怀孕和流行的艾滋病毒和HSV-2感染的影响。在我国人口中，母亲孤儿更有可能生活在自己或兄弟姐妹为户主的家庭中，性行为活跃，患有性传播感染，怀孕和感染艾滋病毒。父亲的孤儿更有可能无家可归和失学。我们的研究结果表明，孕产妇护理和支持对于艾滋病毒预防非常重要。这一发现证实了以前在津巴布韦的研究，并对孤儿女孩的干预战略产生了影响。
The AIDS epidemic has contributed to a drastic increase in the number of orphans in Zimbabwe. Orphans (whether orphaned by AIDS or other causes) have been shown to have economic and educational disadvantages as well as poor reproductive health outcomes. We recruited a convenience sample of 200 girls in a peri-urban area of Zimbabwe to examine the impact of orphan status (compared to non-orphans) on household composition, education, risk behaviour, pregnancy and prevalent HIV and HSV-2 infection. In our population, maternal orphans were more likely to be in households headed by themselves or a sibling, to be sexually active, to have had an STI, to have been pregnant and to be infected with HIV. Paternal orphans were more likely to have ever been homeless and to be out of school. Our findings suggest that maternal care and support is important for HIV prevention. This finding corroborates previous research in Zimbabwe and has implications for intervention strategies among orphan girls.