Gender, peer and partner influences on adolescent HIV risk in rural South Africa

Sexual Health

Volumn 9, Issue 2, 2012, Pages 178-186

  Harrison, Abigail ^a   Smit, Jenni ^b   Hoffman, Susie ^c   Nzama, Thobile ^d   Leu, Cheng Shiun ^c   Mantell, Joanne ^c   Stein, Zena ^c   Exner, Theresa ^c  

^a BROWN UNIVERSITY   (United States)

^b UNIVERSITY OF THE WITWATERSRAND   (South Africa)

^c NEW YORK STATE PSYCHIATRIC INSTITUTE   (United States)

^d DURBAN UNIVERSITY OF TECHNOLOGY   (South Africa)

Author keywords

adolescents; communication; gender; HIV risk behaviour; peer influences; South Africa

Indexed keywords

ADOLESCENT; ARTICLE; CHILD; CONDOM; CROSS-SECTIONAL STUDY; FEMALE; GROUPS BY AGE; HEALTH SURVEY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INFECTION PREVENTION; INTERPERSONAL COMMUNICATION; MAJOR CLINICAL STUDY; MALE; PEER PRESSURE; PREDICTOR VARIABLE; PREGNANCY; RISK FACTOR; RISK REDUCTION; SEX DIFFERENCE; SEXUAL BEHAVIOR; SEXUAL INTERCOURSE; SOCIAL BEHAVIOR; SOUTH AFRICA;

ADOLESCENT; ADOLESCENT BEHAVIOR; ATTITUDE TO HEALTH; CONDOMS; CROSS-SECTIONAL STUDIES; CULTURAL CHARACTERISTICS; FEMALE; HIV INFECTIONS; HUMANS; MALE; PEER GROUP; RISK-TAKING; RURAL POPULATION; SAFE SEX; SEX DISTRIBUTION; SEXUAL BEHAVIOR; SEXUAL PARTNERS; SOUTH AFRICA;

EID: 84859962744     PISSN: 14485028     EISSN: 14498987     Source Type: Journal    
DOI: 10.1071/SH10150     Document Type: Article

References (47)

1. UNAIDS. 2008 Report on the Global AIDS Epidemic. Geneva: Joint United Nations Programme on HIV/AIDS; 2008
2. Shisana O, Rehle T, Simbayi LC, Parker W, Zuma K, Bhana A, et al. South African National HIV prevalence, HIV incidence and behaviour and communication survey, 2008: a turning tide among teenagers? CapeTown: HSRC Press; 2009.
3. Pettifor A, Rees H, Kleinschmidt I, Steffenson AE, MacPhail C, Hlongwa-Madikizela L, et al. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household survey. AIDS 2005; 19: 1525-34. doi:10.1097/01.aids.0000183129.16830.06 (Pubitemid 41400699)
4. Department of Health, Republic of South Africa, Measure DHS, ORC Macro. South Africa demographic and health survey 2003: Preliminary report. Pretoria: Department of Health; 2004.
5. Department of Health, Republic of South Africa. National HIV seroprevalence survey of women attending public antenatal clinics in South Africa, 2009. Summary Report. Pretoria: Department of Health; 2010.
6. Welz T, Hosegood V, Jaffar S, Batzing-feigenbaum J, Herbst K, Newell ML. Continued very high prevalence of HIV infection in rural KwaZulu-Natal, South Africa: a population-based longitudinal study. AIDS 2007; 21: 1467-72. doi:10.1097/QAD.0b013e3280e f6af2 (Pubitemid 46988007)
7. Moyo W, Levandowski B, MacPhail C, Rees H, Pettifor A. Consistent condom use in South African youth's most recent sexual relationships. AIDS Behav 2008; 12: 431-40. doi:10.1007/ s10461-007-9343-3
8. Hendriksen E, Pettifor AE, Lee SJ, Coates TJ, Rees HV. Predictors of condom use among young adults in South Africa: the Reproductive Health and HIV Research Unit National Youth Survey. Am J Public Health 2007; 97: 1241-8. doi:10.2105/AJPH. 2006.086009 (Pubitemid 351182354)
9. Sayles JN, Pettifor A, Wong MD, MacPhail C, Lee SJ, Hendriksen E, et al. Factors associated with self-efficacy for condom use and sexual negotiation among South African youth. J Acquir Immune Defic Syndr 2006; 43: 226-33. doi:10.1097/01.qai.0000230527. 17459.5c (Pubitemid 44454818)
10. Jemmott JB, Heeren G, Ngwane Z, Hewitt N, Jemmott LS, Shell R, et al. Theory of planned behavior predictors of intention to use condoms among Xhosa adolescents in South Africa. AIDS Care 2007; 19: 677-84. doi:10.1080/ 09540120601084308 (Pubitemid 46763736)
11. MacPhail C, Campbell C. "I think condoms are good but, aai, I hate those things": condom use among adolescents and young people in a Southern African township. Soc Sci Med 2001; 52: 1613-27. doi:10.1016/S0277-9536(00) 00272-0 (Pubitemid 32229915)
12. Boulle A, Hilderbrand K, Menten J, Coetzee D, Ford N, Matthys F, et al. Exploring HIV risk perception and behaviour in the context of antiretroviral treatment: results from a township household survey. AIDS Care 2008; 20: 771-81. doi:10.1080/09540120701 660387
13. Kilian AHD, Gregson S, Ndyanabangi B, Walusaga K, Kipp W, Sahlmüller G, et al. Reductions in risk behaviour provide the most consistent explanation for declining HIV-1 prevalence in Uganda. AIDS 1999; 13: 391-8. doi:10.1097/00002030-199902250-00012 (Pubitemid 29095102)
14. Fylkesnes K, Musonda RM, Sichone M, Ndhlovu Z, Tembo F, Monze M. Declining HIV prevalence and risk behaviours in Zambia: evidence from surveillance and population-based surveys. AIDS 2001; 15: 907-16. doi:10.1097/00002030-200105040-00011 (Pubitemid 32424394)
15. Mbulaiteye SM, Mahe C, Whitworth JAG, Ruberantwari A, Nakiyingi JS, Ojwiya A, et al. Declining HIV-1 incidence and associated prevalence over 10 years in a rural population in south-west Uganda: a cohort study. Lancet 2002; 360: 41-6. doi:10.1016/ S0140-6736(02)09331-5
16. Harrison A. Hidden love: Sexual ideologies and relationship ideals among rural South African adolescents in the context of HIV/ AIDS. Cult Health Sex 2008; 10: 175-89. doi:10.1080/136910507 01775068 (Pubitemid 351242528)
17. Eaton L, Flisher AJ, Aaro LE. Unsafe sexual behaviour in South African youth. Soc Sci Med 2003; 56: 149-65. doi:10.1016/S0277- 9536(02)00017-5 (Pubitemid 35341674)
18. Taylor M, Dlamini SB, Kagoro M, Jinabhai CC, De Vries M. Understanding high school students' risk behaviors to help reduce the HIV/AIDS epidemic in KwaZulu-Natal, South Africa. J Sch Health 2003; 73: 97-100. doi:10.1111/j.1746- 1561.2003.tb03580.x (Pubitemid 38880615)
19. Karnell AP, Cupp PK, Zimmerman RS, Feist-Price S, Bennie T. Efficacy of an American alcohol and HIV prevention curriculum adapted for use in South Africa: Results of a pilot study in five township schools. AIDS Educ Prev 2006; 18: 295-310. doi:10.1521/ aeap.2006.18.4.295 (Pubitemid 44379929)
20. Wegner L, Flisher AJ, Caldwell LL, Vergnani T, Smith EA. Healthwise South Africa: cultural adaptation of a school-based risk prevention programme. Health Educ Res 2007; 23: 1085-96. doi:10.1093/her/cym064
21. Mathews C, Aaro LE, Flisher AJ, Mukoma W, Wubs AG, Schaalma H. Predictors of early first sexual intercourse among adolescents in Cape Town, South Africa. Health Educ Res 2009; 24: 1-10. doi:10.1093/her/cym079
22. James S, Reddy P, Ruiter RA, McCauley A, van den Borne B. Impact of an HIV and AIDS life skills program on secondary school students in KwaZulu-Natal, South Africa. AIDS Educ Prev 2006; 18: 281-94. doi:10.1521/aeap.2006.18.4.281 (Pubitemid 44379928)
23. Magnani R, MacIntyre K, Karim AM, Brown L, Hutchinson P, Kaufman C, et al. The impact of life skills education on adolescent sexual risk behaviors in KwaZulu-Natal, South Africa. J Adolesc Health 2005; 36: 289-304. doi:10.1016/j.jadohealth.2004.02.025 (Pubitemid 40381288)
24. Morrell R, Epstein D, Unterhalter E, Bhana D, Moletsane R. Towards Gender Equality? South African Schools during the HIV/AIDS Epidemic. Pietermaritzburg: University of KwaZulu-Natal Press; 2009.
25. Pronyk P, Hargreaves J, Kim JC, Morison LA, Phetla G, Watts C, et al. Effect of a structural intervention for the prevention of intimatepartner violence and HIV in rural South Africa: a cluster randomized trial. Lancet 2006; 368: 1973-83. doi:10.1016/S0140-6736(06) 69744-4 (Pubitemid 44821362)
26. Jewkes R, Nduna M, Levin J, Jama N, Dunkle K, Puren A, et al. Impact of stepping stones on incidence of HIV and HSV-2 and sexual behaviour in rural South Africa: cluster randomised controlled trial. BMJ 2008; 337: a506. doi:10.1136/bmj.a506
27. Statistics South Africa. Census 2001: The people of South Africa population census. Primary Tables, KwaZulu-Natal. Pretoria: Statistics South Africa; 2004.
28. Harrison A. The social dynamics of adolescent risk for HIV: using research findings to design a school-based intervention. Agenda 2002; 53: 43-52.
29. Harrison A, Smit J, Exner T, Hoffman S, Mantell J. Mpondombili Project: gender inequalities and young people's sexual health in rural South Africa. Sex Health Exch 2004; 3/4: 5-8.
30. Mantell J, Harrison A, Hoffman S, Smit J, Stein ZA, Exner T. The Mpondombili Project: preventing HIV/AIDS and unintended pregnancy among rural South African school-going youth. Reprod Health Matters 2006; 14: 113-22. doi:10.1016/S0968-8080(06) 28269-7 (Pubitemid 44708765)
31. Harrison A, Xaba N, Kunene P. Understanding safe sex: gender narratives of HIV and pregnancy prevention by rural South African school-going youth. Reprod Health Matters 2001; 9: 63-71. doi:10.1016/S0968-8080(01)90009-6 (Pubitemid 32971569)
32. Varga CA. Sexual decision-making and negotiation in the midst of AIDS: youth in KwaZulu-Natal, South Africa. Health Transit Rev 1997; 7: 45-67.
33. Wood K, Maforah F, Jewkes RK. "He forced me to love him": putting violence on adolescent sexual health agendas. Soc Sci Med 1998; 47: 233-42. doi:10.1016/S0277-9536(98)00057-4 (Pubitemid 28297260)
34. Kaufman CE, DeWet T, Stadler J. Adolescent pregnancy and parenthood in South Africa. Stud Fam Plann 2001; 32: 147-60. doi:10.1111/j.1728-4465.2001. 00147.x (Pubitemid 32657191)
35. Varga CA. How gender roles influence sexual and reproductive health among South African adolescents. Stud Fam Plann 2003; 34: 160-72. doi:10.1111/j.1728-4465.2003.00160.x (Pubitemid 37422368)
36. Campbell CA. Male gender roles and sexuality: implications for women's AIDS risk and prevention. Soc Sci Med 1995; 41: 197-210. doi:10.1016/0277- 9536(94)00322-K (Pubitemid 26429792)
37. Rivers K, Aggleton P. Adolescent sexuality, gender and the HIV epidemic. New York: United Nations Development Programme; 2000.
38. Liang K, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika 1986; 73: 13-22. doi:10.1093/biomet/73.1.13
39. Jewkes RK, Levin JB, Penn-Kekana LA. Gender inequalities, intimate partner violence and HIV preventive practices: findings of a South African cross-sectional study. Soc Sci Med 2003; 56: 125-34. doi:10.1016/S0277-9536(02) 00012-6 (Pubitemid 35345164)
40. Lloyd C, editor. Growing up Global: The changing transitions to adulthood in developing countries. Washington, DC: National Academies Press; 2005.
41. Magnani RJ, Karim AM, Weiss LA, Bond KC, Lemba M, Morgan GT. Reproductive health and risk and protective factors among youth in Lusaka, Zambia. J Adolesc Health 2002; 30: 76-86. doi:10.1016/ S1054-139X(01)00328-7 (Pubitemid 34037881)
42. Plummer M, Ross D, Wight D, Changalucha J, Mshana G, Wamoyi J, et al. "A bit more truthful": the validity of adolescent sexual behavior data collected in rural northern Tanzania using five methods. Sex Transm Infect 2004; 80: ii49-56. doi:10.1136/sti.2004.011924 (Pubitemid 39627232)
43. Mensch BS, Hewett PC, Erulkar AS. The reporting of sensitive behavior by adolescents: a methodological experiment in Kenya. Demography 2003; 40: 247-68. doi:10.1353/dem.2003.0017 (Pubitemid 38762714)
44. Gregson S, Zhuwau T, Ndlovu L, Nyamakupa CA. Methods to reduce social desirability bias in sex surveys in low-development settings: experience in Zimbabwe. Sex Transm Dis 2002; 29: 568-75. doi:10.1097/00007435-200210000-00002
45. Morojele N, Brook JS, Kachieng'a MA. Perceptions of sexual risk behaviours and substance abuse among adolescents in South Africa: a qualitative investigation. AIDS Care 2006; 18: 215-9. doi:10.1080/ 09540120500456243
46. Hoffman S, O'Sullivan LF, Harrison A, Dolezal C, Monroe-Wise A. HIV risk behaviors and the context of sexual coercion in young adults' sexual interactions: results from a diary study in rural South Africa. Sex Transm Dis 2006; 33: 52-8. doi:10.1097/01.olq. 0000187198.77612.d8 (Pubitemid 43042822)
47. Grant M, Hallman K. Pregnancy-related school drop-out and prior school performance in KwaZulu-Natal, South Africa. Stud Fam Plann 2008; 39: 369-82. doi:10.1111/j.1728-4465.2008.00181.x