Determinants of HIV infection among adolescent girls and young women aged 15–24 years in South Africa: a 2012 population-based national household survey

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dc.contributor.authorMabaso, Musawenkosi
dc.contributor.authorSokhela, Zinhle
dc.contributor.authorMohlabane, Neo
dc.contributor.authorChibi, Buyisile
dc.contributor.authorZuma, Khangelani
dc.contributor.authorSimbayi, Leickness
dc.date.accessioned2021-10-08T06:54:52Z
dc.date.available2021-10-08T06:54:52Z
dc.date.issued2018
dc.description.abstractBACKGROUND: South Africa is making tremendous progress in the fight against HIV, however, adolescent girls and young women aged 15-24 years (AGYW) remain at higher risk of new HIV infections. This paper investigates socio-demographic and behavioural determinants of HIV infection among AGYW in South Africa. METHODS: A secondary data analysis was undertaken based on the 2012 population-based nationally representative multi-stage stratified cluster random household sample. Multivariate stepwise backward and forward regression modelling was used to determine factors independently associated with HIV prevalence. RESULTS: Out of 3092 interviewed and tested AGYW 11.4% were HIV positive. Overall HIV prevalence was significantly higher among young women (17.4%) compared to adolescent girls (5.6%). In the AGYW model increased risk of HIV infection was associated with being young women aged 20-24 years (OR = 2.30, p = 0.006), and condom use at last sex (OR = 1.91, p = 0.010), and decreased likelihood was associated with other race groups (OR = 0.06, p < 0.001), sexual partner within 5 years of age (OR = 0.53, p = 0.012), tertiary level education (OR = 0.11, p = 0.002), low risk alcohol use (OR = 0.19, p = 0.022) and having one sexual partner (OR = 0.43, p = 0.028). In the adolescent girls model decreased risk of HIV infection was associated with other race groups (OR = 0.01, p < 0.001), being married (OR = 0.07), p = 0.016], and living in less poor household (OR = 0.08, p = 0.002). In the young women's models increased risk of HIV infection was associated with condom use at last sex (OR = 2.09, p = 0.013), and decreased likelihood was associated with other race groups (OR = 0.17, p < 0.001), one sexual partner (OR = 0.6, p = 0.014), low risk alcohol use (OR = 0.17, p < 0.001), having a sexual partner within 5 years of age (OR = 0.29, p = 0.022), and having tertiary education (OR = 0.29, p = 0.022). CONCLUSION: These findings support the need to design combination prevention interventions which simultaneously address socio-economic drivers of the HIV epidemic, promote education, equity and access to schooling, and target age-disparate partnerships, inconsistent condom use and risky alcohol consumption.
dc.identifier.apacitationMabaso, M., Sokhela, Z., Mohlabane, N., Chibi, B., Zuma, K., & Simbayi, L. (2018). Determinants of HIV infection among adolescent girls and young women aged 15–24 years in South Africa: a 2012 population-based national household survey. <i>BMC Public Health</i>, 18(1), 174 - 177. http://hdl.handle.net/11427/34363en_ZA
dc.identifier.chicagocitationMabaso, Musawenkosi, Zinhle Sokhela, Neo Mohlabane, Buyisile Chibi, Khangelani Zuma, and Leickness Simbayi "Determinants of HIV infection among adolescent girls and young women aged 15–24 years in South Africa: a 2012 population-based national household survey." <i>BMC Public Health</i> 18, 1. (2018): 174 - 177. http://hdl.handle.net/11427/34363en_ZA
dc.identifier.citationMabaso, M., Sokhela, Z., Mohlabane, N., Chibi, B., Zuma, K. & Simbayi, L. 2018. Determinants of HIV infection among adolescent girls and young women aged 15–24 years in South Africa: a 2012 population-based national household survey. <i>BMC Public Health.</i> 18(1):174 - 177. http://hdl.handle.net/11427/34363en_ZA
dc.identifier.issn1471-2458
dc.identifier.ris TY - Journal Article AU - Mabaso, Musawenkosi AU - Sokhela, Zinhle AU - Mohlabane, Neo AU - Chibi, Buyisile AU - Zuma, Khangelani AU - Simbayi, Leickness AB - BACKGROUND: South Africa is making tremendous progress in the fight against HIV, however, adolescent girls and young women aged 15-24 years (AGYW) remain at higher risk of new HIV infections. This paper investigates socio-demographic and behavioural determinants of HIV infection among AGYW in South Africa. METHODS: A secondary data analysis was undertaken based on the 2012 population-based nationally representative multi-stage stratified cluster random household sample. Multivariate stepwise backward and forward regression modelling was used to determine factors independently associated with HIV prevalence. RESULTS: Out of 3092 interviewed and tested AGYW 11.4% were HIV positive. Overall HIV prevalence was significantly higher among young women (17.4%) compared to adolescent girls (5.6%). In the AGYW model increased risk of HIV infection was associated with being young women aged 20-24 years (OR = 2.30, p = 0.006), and condom use at last sex (OR = 1.91, p = 0.010), and decreased likelihood was associated with other race groups (OR = 0.06, p < 0.001), sexual partner within 5 years of age (OR = 0.53, p = 0.012), tertiary level education (OR = 0.11, p = 0.002), low risk alcohol use (OR = 0.19, p = 0.022) and having one sexual partner (OR = 0.43, p = 0.028). In the adolescent girls model decreased risk of HIV infection was associated with other race groups (OR = 0.01, p < 0.001), being married (OR = 0.07), p = 0.016], and living in less poor household (OR = 0.08, p = 0.002). In the young women's models increased risk of HIV infection was associated with condom use at last sex (OR = 2.09, p = 0.013), and decreased likelihood was associated with other race groups (OR = 0.17, p < 0.001), one sexual partner (OR = 0.6, p = 0.014), low risk alcohol use (OR = 0.17, p < 0.001), having a sexual partner within 5 years of age (OR = 0.29, p = 0.022), and having tertiary education (OR = 0.29, p = 0.022). CONCLUSION: These findings support the need to design combination prevention interventions which simultaneously address socio-economic drivers of the HIV epidemic, promote education, equity and access to schooling, and target age-disparate partnerships, inconsistent condom use and risky alcohol consumption. DA - 2018 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Public Health LK - https://open.uct.ac.za PY - 2018 SM - 1471-2458 T1 - Determinants of HIV infection among adolescent girls and young women aged 15–24 years in South Africa: a 2012 population-based national household survey TI - Determinants of HIV infection among adolescent girls and young women aged 15–24 years in South Africa: a 2012 population-based national household survey UR - http://hdl.handle.net/11427/34363 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34363
dc.identifier.vancouvercitationMabaso M, Sokhela Z, Mohlabane N, Chibi B, Zuma K, Simbayi L. Determinants of HIV infection among adolescent girls and young women aged 15–24 years in South Africa: a 2012 population-based national household survey. BMC Public Health. 2018;18(1):174 - 177. http://hdl.handle.net/11427/34363.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.sourceBMC Public Health
dc.source.journalissue1
dc.source.journalvolume18
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12889-018-5051-3
dc.subject.otherAdolescent girls
dc.subject.otherDeterminants
dc.subject.otherHIV infection
dc.subject.otherSouth Africa
dc.subject.otherYoung women
dc.subject.otherAdolescent
dc.subject.otherAlcohol Drinking
dc.subject.otherCondoms
dc.subject.otherFemale
dc.subject.otherHIV Infections
dc.subject.otherHumans
dc.subject.otherPrevalence
dc.subject.otherRisk Factors
dc.subject.otherRisk-Taking
dc.subject.otherSexual Behavior
dc.subject.otherSexual Partners
dc.subject.otherSocioeconomic Factors
dc.subject.otherSouth Africa
dc.subject.otherSurveys and Questionnaires
dc.subject.otherYoung Adult
dc.titleDeterminants of HIV infection among adolescent girls and young women aged 15–24 years in South Africa: a 2012 population-based national household survey
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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