Partner Age-Disparity and HIV Incidence Risk for Older Women in Rural South Africa

AIDS and Behavior

Volumn 19, Issue 7, 2015, Pages 1317-1326

  Harling, Guy ^a   Newell, Marie Louise ^b,c   Tanser, Frank ^b   Bärnighausen, Till ^a,b  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b UNIVERSITY OF KWAZULU NATAL   (South Africa)

^c UNIVERSITY OF SOUTHAMPTON   (United Kingdom)

Author keywords

Age disparities; HIV acquisition; South Africa; Women

Indexed keywords

ADOLESCENT; ADULT; AGE; AGED; FEMALE; HIV INFECTIONS; HUMAN; INCIDENCE; LONGITUDINAL STUDY; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; QUESTIONNAIRE; RISK FACTOR; RURAL POPULATION; SEXUAL BEHAVIOR; SEXUALITY; SOUTH AFRICA; YOUNG ADULT;

ADOLESCENT; ADULT; AGE FACTORS; AGED; FEMALE; HIV INFECTIONS; HUMANS; INCIDENCE; LONGITUDINAL STUDIES; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; RISK FACTORS; RURAL POPULATION; SEXUAL BEHAVIOR; SEXUAL PARTNERS; SOUTH AFRICA; SURVEYS AND QUESTIONNAIRES; YOUNG ADULT;

EID: 84937976152     PISSN: 10907165     EISSN: 15733254     Source Type: Journal    
DOI: 10.1007/s10461-014-0952-3     Document Type: Article

References (40)

1. UNAIDS. 2013 Report on the Global AIDS Epidemic. Geneva, Switzerland: Joint United Nations Programme on HIV/AIDS; 2013.
2. Jennings JM, Luo RF, Lloyd LV, Gaydos C, Ellen JM, Rietmeijer CA. Age-bridging among young, urban, heterosexual males with asymptomatic Chlamydia trachomatis. Sex Transm Infect. 2007;83(2):136–41.
3. Spicknall IH, Aral SO, Holmes KK, Foxman B. Sexual networks are diverse and complex: prevalence of relationships bridging population subgroups in the Seattle Sex Survey. Sex Transm Dis. 2009;36(8):465–72.
4. Hurt CB, Matthews DD, Calabria MS, et al. Sex with older partners is associated with primary HIV infection among men who have sex with men in North Carolina. J Acquir Immune Defic Syndr. 2010;54(2):185–90.
5. Garnett GP, Anderson RM. Factors controlling the spread of HIV in heterosexual communities in developing countries: patterns of mixing between different age and sexual activity classes. Philos Trans R Soc Lond B Biol Sci. 1993;342(1300):137–59.
6. Hope R. Addressing Cross-Generational Sex: a desk review of research and programs. Washington, DC: Population Reference Bureau; 2007.
7. Leclerc-Madlala S. Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability. AIDS. 2008;22(Suppl 4):S17–25.
8. Luke N. Age and economic asymmetries in the sexual relationships of adolescent girls in sub-Saharan Africa. Stud Fam Plann. 2003;34(2):67–86.
9. Luke N. Economic status, informal exchange, and sexual risk in Kisumu, Kenya. Econ Dev Cult Change. 2008;56(2):375–96.
10. Woolf SE, Maisto SA. Gender differences in condom use behavior? The role of power and partner-type. Sex Roles. 2008;9–10(58):689–701.
11. Wingood GM, DiClemente RJ. Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Educ Behav. 2000;27(5):539–65.
12. Baird SJ, Garfein RS, McIntosh CT, Ozler B. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial. Lancet. 2012;379(9823):1320–9.
13. Dupas P. Do teenagers respond to HIV risk information? Evidence from a field experiment in Kenya. Am Econ J Appl Econ. 2011;3(1):1–34.
14. Gregson S, Nyamukapa CA, Garnett GP, et al. Sexual mixing patterns and sex-differentials in teenage exposure to HIV infection in rural Zimbabwe. Lancet. 2002;359(9321):1896–903.
15. Kelly RJ, Gray RH, Sewankambo NK, et al. Age differences in sexual partners and risk of HIV-1 infection in rural Uganda. J Acquir Immune Defic Syndr. 2003;32(4):446–51.
16. Luke N. Confronting the ‘sugar daddy’ stereotype: age and economic asymmetries and risky sexual behavior in urban Kenya. Int Fam Plan Perspect. 2005;31(1):6–14.
17. Pettifor AE, Rees HV, Kleinschmidt I, et al. Young people’s sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household survey. AIDS. 2005;19(14):1525–34.
18. Harling G, Newell M-L, Tanser F, Kawachi I, Subramanian SV, Bärnighausen T. Do age-disparate relationships drive HIV incidence in young women? Evidence from a population cohort in rural KwaZulu-Natal, South Africa. J Acquir Immune Defic Syndr. 2014;66(4):443–51.
19. KwaZulu-Natal Department of Health. Sugar Daddy Campaign. 2012; http://www.kznhealth.gov.za/sugardaddy.htm. Accessed 2 Sept, 2014.
20. PSI. Cross-Generational Sex. http://www.psi.org/our-work/healthy-lives/interventions/cross-generational-sex. Accessed 2 Sept, 2014.
21. Mossong J, Grapsa E, Tanser FC, Bärnighausen T, Newell M-L. Modelling HIV incidence and survival from age-specific seroprevalence after antiretroviral treatment scale-up in rural South Africa. AIDS. 2013;27(15):2471–9.
22. Gomez-Olive FX, Angotti N, Houle B, et al. Prevalence of HIV among those 15 and older in rural South Africa. AIDS Care. 2013;25(9):1122–8.
23. Bor J, Herbst AJ, Newell M-L, Bärnighausen T. Increases in adult life expectancy in rural South Africa: valuing the scale-up of HIV treatment. Science. 2013;339(6122):961–5.
24. Helleringer S, Kohler HP. Sexual network structure and the spread of HIV in Africa: evidence from Likoma Island, Malawi. AIDS. 2007;21(17):2323–32.
25. Hosegood V, McGrath N, Moultrie T. Dispensing with marriage: marital and partnership trends in rural KwaZulu-Natal, South Africa 2000–2006. Demogr Res. 2009;20:279–312.
26. Hunter M. The changing political economy of sex in South Africa: the significance of unemployment and inequalities to the scale of the AIDS pandemic. Soc Sci Med. 2007;64(3):689–700.
27. Seekings J. Race, Class, and Inequality in the South African City. In: Bridge G, Watson S, editors. The New Blackwell Companion to the City. Oxford, UK: Wiley-Blackwell; 2011.
28. Camlin CS, Snow RC, Hosegood V. Gendered patterns of migration in rural South Africa. Popul, Space Place. 2013;20(6):528–51.
29. Russell MC. Are urban Black families nuclear? A comparative study of Black and White South African family norms. Soc Dyn. 2003;29(2):153–76.
30. Posel D, Rudwick S, Casale D. Is marriage a dying institution in South Africa? Exploring changes in marriage in the context of ilobolo payments. Agenda. 2011;25(1):102–11.
31. Shisana OR, Simbayi LC, Thomas, Zuma K, et al. South African national HIV prevalence, incidence, behaviour and communication survey 2008: a turning tide among teenagers? Cape Town: HSRC Press; 2009.
32. Macro ICF. HIV Prevalence Estimates from the Demographic and Health Surveys. Calverton, MD: ICF Macro; 2010.
33. Ardington C, Case A, Hosegood V. Labor supply responses to large social transfers: longitudinal evidence from South Africa. Am Econ J Appl Econ. 2009;1:22–48.
34. Tanser F, Hosegood V, Bärnighausen T, et al. Cohort profile: Africa Centre Demographic Information System (ACDIS) and population-based HIV survey. Int J Epidemiol. 2008;37(5):956–62.
35. Bärnighausen T, Tanser F, Newell M-L. Lack of a decline in HIV incidence in a rural community with high HIV prevalence in South Africa, 2003–2007. AIDS Res Hum Retrovir. 2009;25(4):405–9.
36. World Health Organization, UNAIDS. Guidelines for using HIV testing technologies in surveillance: selection, evaluation and implementation—2009 update. Geneva: World Health Organization; 2009.
37. Harling G, Tanser F, Mutevedzi T, Bärnighausen T. Assessing the validity of respondents’ reports of their partners’ ages in a rural South African population. BMJ Open. 2014. doi:10.1136/bmjopen-2014-005638.
38. Boily MC, Baggaley RF, Wang L, et al. Heterosexual risk of HIV-1 infection per sexual act: systematic review and meta-analysis of observational studies. Lancet Infect Dis. 2009;9(2):118–29.
39. Ott MQ, Bärnighausen T, Tanser F, Lurie MN, Newell M-L. Age-gaps in sexual partnerships: seeing beyond ‘sugar daddies’. AIDS. 2011;25(6):861–3.
40. Zaidi J, Grapsa E, Tanser F, Newell M-L, Bärnighausen T. Dramatic increase in HIV prevalence after scale-up of antiretroviral treatment. AIDS. 2013;27(10):2301–5.