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.
Adolescent
Adult
Cross-Sectional Studies
Educational Status
Female
HIV
/ pathogenicity
HIV Infections
/ epidemiology
Herpesvirus 2, Human
/ pathogenicity
Humans
Linear Models
Logistic Models
Risk Factors
Rural Population
/ statistics & numerical data
Sexual Behavior
/ statistics & numerical data
Social Support
South Africa
Young Adult
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
16
03
2018
accepted:
29
12
2018
entrez:
18
1
2019
pubmed:
18
1
2019
medline:
19
10
2019
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 30653540
doi: 10.1371/journal.pone.0210632
pii: PONE-D-18-08151
pmc: PMC6336295
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, N.I.H., Intramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0210632Subventions
Organisme : NIAID NIH HHS
ID : UM1 AI069423
Pays : United States
Organisme : NICHD NIH HHS
ID : R24 HD050924
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI068613
Pays : United States
Organisme : Wellcome Trust
ID : 069683/Z/02/Z
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 085477/Z/08/Z
Pays : United Kingdom
Organisme : NIAID NIH HHS
ID : UM1 AI068619
Pays : United States
Organisme : Wellcome Trust
ID : 058893/Z/99/A
Pays : United Kingdom
Organisme : NICHD NIH HHS
ID : P2C HD050924
Pays : United States
Organisme : Wellcome Trust
ID : 085477/B/08/Z
Pays : United Kingdom
Organisme : NIAID NIH HHS
ID : UM1 AI068617
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH087118
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI050410
Pays : United States
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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