Decline in Sexual Risk Behaviours among Young People in Zambia (2000-2009): Do Neighbourhood Contextual Effects Play a Role?

PLoS ONE

Volumn 8, Issue 5, 2013, Pages

  Kayeyi, Nkomba ^a,b   Fylkesnes, Knut ^a   Wiium, Nora ^a   Sandøy, Ingvild F ^a  

^a UNIVERSITY OF BERGEN   (Norway)

^b UNIVERSITY OF ZAMBIA   (Zambia)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; ATTITUDE TO HEALTH; CONCURRENT SEXUAL PARTNERSHIP; CONDOM USE; CONTROLLED STUDY; EDUCATIONAL STATUS; FEMALE; HIGH RISK BEHAVIOR; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS; MALE; NEIGHBORHOOD; PREMARITAL SEX; RISK ASSESSMENT; RISK FACTOR; URBAN POPULATION; ZAMBIA;

ADOLESCENT; CONDOMS; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; MALE; RISK-TAKING; SAFE SEX; SEXUAL PARTNERS; URBAN POPULATION; YOUNG ADULT; ZAMBIA;

EID: 84878133072     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0064881     Document Type: Article

References (57)

1. UNAIDS WHO (2011) Global report 2011: UNAIDS report on the global AIDS epidemic. Geneva: UNAIDS and World Health Organisation.
2. Kayeyi N, Fylkesnes K, Michelo C, Makasa M, Sandøy FI, (2012) Decline in HIV prevalence among young women in Zambia: National-level estimates of trends mask geographical and socio-demographic differences. Plos One 7: e33652.
3. Michelo C, Sandøy FI, Dzekedzeke K, Siziya S, Fylkesnes K, (2006) Steep HIV prevalence declines among young people in selected Zambian communities: population-based observations (1995- 2003). BMC Public Health 6: 279.
4. Stringer ME, Chintu TN, Levy Wj, Sinkala M, Chi HB, et al. (2008) Declining HIV prevalence among young pregnant women in Lusaka, Zambia. Bulletin of the World Health Organisation 89.
5. Sandøy FI, Michelo C, Siziya S, Fylkesnes K, (2007) Associations between sexual behaviour change in young people and decline in HIV prevalence in Zambia. BMC Public Health 7: 1-16.
6. Ghys PD, Gouws E, Lyerla R, Garcia-Calleja JM, Barrerre B, et al. (2010) Trends in HIV prevalence and sexual behaviour among young people aged 15-24 years in countries most affected by HIV. Sex Transm Infect 86: ii72-ii83.
7. UNICEF (2011) Opportunity in crisis preventing HIV from early adolescence to young adulthood. New York: United Nations Children's Fund.
8. MOH NAC (2010) Zambia Country Report (UNGASS): Monitoring the declaration of commitment on HIV and AIDS and the Universal access- Biennial Report January 2008- Decemer 2009. Lusaka: Ministry of Health & National AIDS Council Zambia.
9. MOH NAC (2012) Zambia Country Report (UNGASS): Monitoring the declaration of commitment on HIV and AIDS and the Universal access- Biennial Report January 2010- Decemer 2011. Lusaka: Ministry of Health & National AIDS Council Zambia.
10. Slaymaker E, (2004) A critique of international indicators of sexual risk behaviour. Sex Transm Infect 80: ii13-ii21.
11. MEASURE DHS (2011) HIV/AIDS survey Indicators Database.
12. Magnani RJ, Karim AM, Weiss LA, Bond KC, Lemba M, et al. (2002) Reproductive Health Risk and Protective Factors among Youth in Lusaka, Zambia. Journal of Adolescent Health 30: 76-86.
13. Cleland J, Boerma JT, Carael M, Weir SS, (2004) Monitoring sexual behaviour in the general population: a synthesis of lessons of the past decade. Sex Transm Infect 80: ii1-ii7.
14. Hallett T, Aberle-Grasse J, Bello G, Boulos L, Cayemittes M, et al. (2006) Declines in HIV prevalence can be associated with changing sexual behaviour in Uganda, urban Kenya, Zimbabwe, and urban Haiti. Sex Transm Infect 82: i1-i8.
15. Marston C, King E, (2006) Factors that shape young people's sexual behaviour: A systematic review. Lancet 368: 1581-1586.
16. Rwenge M (2000) Sexual Risk Behaviours among Young People in Bamenda, Cameroon. International Family Planning Perspectives 26: 118 - 123.
17. Slaymaker E, Buckner B, (2004) Monitoring Trends in Sexual Behaviour in Zambia. Sex Transm Infect 80: ii85-ii90.
18. Gregson S, Garnett PG, Nyamukapa AC, Hallett BT, Lewis JCJ, et al. (2006) HIV decline associated with behaviour change in Eastern Zimbabwe. Science 311.
19. Billy OGJ, Karin LB, William RG, (1994) Contextual Effects on Sexual Behaviour of Adolescent Women. Journal of Marriage and the Family 56: 387-404.
20. Brewster LK, (1994) Neighbourhood context and the transition to sexual activity among young black women. Demography 31: 603-614.
21. Brewster LK, Billy OGJ, William RG, (1993) Social Context and Adolescent Behaviour: The Impact of Community on the Transition to Sexual Activity. Social Forces 71: 713-740.
22. Burgard AS, Susan ML-R, (2009) Community Characteristics, Sexual Initiation, and Condom Use among Young Black South Africans. Journal of Health and Social Behaviour 50: 293-309.
23. Corcoran J, (2000) Ecological factors associated with adolescent sexual activity. Social Work in Health Care 30: 93-111.
24. Stephenson R, (2009) Community Influences on Young People's Sexual Behaviour in 3 African Countries. Am J Public Health 99: 102-109.
25. Benefo DK, (2010) Determinants of condom use in Zambia: A multi-level analysis. Studies in Family Planning 4: 19-30.
26. Kayeyi N, Sandøy FI, Fylkesnes K, (2009) Effects of neighbourhood-level educational attainment on HIV prevalence among young women in Zambia. BMC 9: 310.
27. Gabrysch S, Edwards T, Glynn JR, (2008) The role of context: neighbourhood characteristics strongly influence HIV risk in young women in Ndola, Zambia. Trop Med Int Health 13: 162-170.
28. CSO (2011) Zambia: 2010 Census of Population and Housing- preliminary population Figures. Lusaka: Central Statistical Office.
29. Central Statistical Office C, Ministry of Health M, Tropical Diseases Research Centre T, University of Zambia, Macro International Inc. (2009) Zambia Demographic and Health Survey 2007. Calverton, Maryland, USA: CSO and Macro International Inc.
30. CSO MOH, PHI, Measure Evaluation (1998) 1998 Sexual Behaviour Survey Report. Lusaka: Central Statisitics Office, Ministry of Zambia, Project Concern International, MEASURE Evaluation.
31. CSO MOH, Measure Evaluation (2000) 2000 Sexual Behaviour Survey Report. Lusaka: Central Statisitics Office, Ministry of Zambia, MEASURE Evaluation.
32. CSO MOH, Measure Evaluation (2003) 2003 Sexual Behaviour Survey Report. Lusaka: Central Statisitics Office, Ministry of Zambia, MEASURE Evaluation.
33. CSO MOH, Measure Evaluation (2005) 2005 Sexual Behaviour Survey Report. Lusaka: Central Statisitics Office, Ministry of Zambia, MEASURE Evaluation.
34. CSO MOH, NAC UNZA, Measure Evaluation (2010) 2009 Sexual Behaviour Survey Report. Lusaka: Central Statisitics Office, Ministry of Zambia, National HIV/AIDS/STI/TB Council, University of Zambia, MEASURE Evaluation.
35. Bongaarts J, Judith B, (1995) The Causes of Unmet Need of Contraception and the Social Content of Services. Studies in Family Planning 26: 57-95.
36. Small AS, Luster T, (1994) Adolescent sexual activity: An ecological, risk-factor approach. Journal of Marriage and Family 56: 181-192.
37. Singh S, Darroch EJ, Frost JJ, (2001) Socioeconomic disadvantage and adolescent women's sexual and reproductive behaviour: the case of five developed countries. Family Planning Perspectives 33: 251-258.
38. Chiao C, (2010) Community context and the prevalence of premarital sex among young women in Kenya and Phillippines: Trends and differences from 1993 to 2003. Health & Place 16: 512-522.
39. Diez-Roux VA, (1998) Bringing context back into epidemiology: variables and fallacies in multilevel analysis. American Journal of Public Health 88: 216-222.
40. Hox JJ (2010) Multi-level Analysis: Techniques and Applications. New York: Routledge.
41. Snijder T, Bosker R (1999) Multilevel analysis: an introduction to basic and advanced multilevel modeling. New Delhi: SAGE.
42. Hox JJ (2010) Multilevel Analysis: Techniques and Application. New York: Routledge.
43. Halperin TD, Mugurungi O, Hallett BT, Muchini B, Campbell B, et al. (2011) A surprising prevention success: why did the HIV epidemic decline in Zimbabwe? Plos Medicine 8: e1000414.
44. United Nations (2011) The Millennium Development Goals Report 2011. New York: United Nations Agencies.
45. Sandøy FI, Zyaambo C, Michelo C, Fylkesnes K, (2012) Targeting condom distribution at high risk places increases condom utilization-evidence from an intervention study in Livingstone, Zambia. BMC Public Health 12: 3-12.
46. Agha S, Kusanthan T, (2003) Equity in access to condoms in urban Zambia. Health Policy and Planning 18: 299-305.
47. Browning RC, Leventhal T, Brooks-Gunn J, (2004) Neighbourhood context and racial differences in early adolescent sexual activity. Demography 41: 697-720.
48. Lindstrom M (2008) Social capital and health-related behaviours. In: Kawachi I, Subramarian SV, Kim D, editors. Social capital and health. New York: Springer. pp. 215-238.
49. Crosby AR, Holtgrave RD, DiClemente JR, Wingood MG, Gayle AJ, (2003) Social capital as a predictor of adolescents' sexual risk behaviour: a state-level exploratory study. AIDS and Behaviour 7: 245-252.
50. Abraham C, Sheeran P, Orbell S, (1998) Can social cognitive models contribute to the effectiveness of HIV-preventive behavioural interventions? A brief review of the literature and a reply to Joffe (1996; 1997) and Fife-Schaw (1997). British Journal of Medical Psychology 71: 297-310.
51. Coates JT, Richter L, Caceres C (2008) Behavioural strategies to reduce HIV transmission: how to make them work better. Lancet.
52. Kirby D (2007) Emerging answers 2007: Research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy.
53. Nnko S, Boerma JT, Urassa M, Mwaluko G, Zaba B, (2008) Secretive females or swaggering males? An assessment of the quality of sexual partnership reporting in rural Tanzania. Social Science & Medicine 59: 299-310.
54. Gregson S, Zhuwau T, Ndlovu J, Nyamukapa AC, (2002b) Methods to reduce social desirebility bias in sex surveys in low-development settings: Experience in Zimbabwe. Sex Transm Infect 29: 568-575.
55. Hewett PC, Mensch BS, Erulkar AS, (2004) Consistency in the reporting of sexual behaviour by adolescent girls in Kenya: A comparison of interviewing methods. Sex Transm Infect 80: ii43-ii48.
56. Gerressu M, Stephenson MJ, (2008) Sexual behaviour in young people. Infectious Diseases 21: 37-41.
57. Morris M, (1993) Telling tails explain the discrepancy in sexual partner reports. Nature 365: 437-440.