Keep them in school: the importance of education as a protective factor against HIV infection among young South African women
Keep them in school: the importance of education as a protective factor against HIV infection among young South African women
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DOI：
10.1093/ije/dyn131
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发表时间：
2008-12-01
影响因子：
7.7
通讯作者：
Rees, Helen V.
中科院分区：
文献类型：
--
作者：
Pettifor, Audrey E.;Levandowski, Brooke A.;Rees, Helen V.
目的探讨南非1524岁有终生伴侣的年轻女性感染艾滋病毒的危险因素。2003年，我们在南非对11904名年龄在1524岁的年轻人进行了一项具有全国代表性的性行为和艾滋病毒检测家庭调查。本分析的重点是有过性经验的年轻女性，据报道一生只有一个性伴侣（1708年）。方法使用近似决定因素框架和已发表的文献，我们确定了与年轻女性艾滋病毒相关的因素。在多变量logistic回归模型中探讨了这些因素与HIV感染之间的关系。结果在这些年轻女性中，有15人报告其终生伴侣中有一人是艾滋病毒阳性。在多变量分析中，未完成高中学业的年轻女性比完成高中学业的年轻女性更容易感染艾滋病毒（AOR 3.75; 95 CI 1.3410.46）。结论：尽管报告只有一个终生伴侣，但这一人群中的年轻南非妇女感染艾滋病毒的风险很高。很少有个人层面的因素与艾滋病毒感染有关，这强调了制定艾滋病毒预防干预措施以解决结构和伴侣层面的风险因素的重要性。
Objective To identify risk factors for HIV infection among young women aged 1524 years reporting one lifetime partner in South Africa.Design In 2003, we conducted a nationally representative household survey of sexual behaviour and HIV testing among 11 904 young people aged 1524 years in South Africa. This analysis focuses on the subset of sexually experienced young women with only one reported lifetime sex partner (n 1708).Methods Using the proximate determinants framework and the published literature we identified factors associated with HIV in young women. The associations between these factors and HIV infection were explored in multivariable logistic regression models.Results Of the young women, 15 reporting one lifetime partner were HIV positive. In multivariable analyses, young women who had not completed high school were more likely to be infected with HIV compared with those that had completed high school (AOR 3.75; 95 CI 1.3410.46).Conclusions Young South African women in this population were at high risk of HIV infection despite reporting only having one lifetime partner. Few individual level factors were associated with HIV infection, emphasizing the importance of developing HIV prevention interventions that address structural and partner level risk factors.