HIV Risk Perceptions and First Sexual Intercourse Among Youth in Cape Town South Africa

Anderson, Kermyt G.; Beutel, Ann M.; Maughan-Brown, Brendan

doi:10.1363/3309807

Cited by 70 publications

(65 citation statements)

References 33 publications

(67 reference statements)

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“…The lower perception of risk among those who were dating may be explained by the trust, as this appeared in studies with other populations, associated with feelings of invulnerability (Albuquerque et al 2010;Oltramari & Camargo, 2010). It was also observed that the adolescents underestimate their own risk in comparison with their peers, indicating that AIDS is seen as a disease of the other, a possibility projected in the exterior world, as found in other studies (Anderson et al, 2007;Camargo et al, 2010;Mwale, 2008).…”

Section: Discussionsupporting

confidence: 57%

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Romantic Relationships, Adolescence and HIV: Love as an Element of Vulnerability

Aguiar

Camargo

2014

Paidéia (Ribeirão Preto)

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This study investigated the relation between love and different romantic relationships with variable vulnerability to HIV, such as sexual behavior and risk perception. Sternberg’s Triangular Love Scale and a structured questionnaire were used to ask 301 high school students about: romantic relationships, sexual behavior and risk perceptions. It was identified that the adolescents underestimate their own risk of contagion when they compare themselves with other individuals and also when they consider past and future possible HIV contagion. Love does not appear to be directly associated with the self-perception of risk, however, in conjunction with dating, it is a complicating factor for protected sex and was also related to the underestimation of risk of the partner. It was observed that stable relationships and love increase the students’ vulnerability to acquire HIV, because of the association of these with trust in the partner and the justification of risky practices, such as the non-use of condoms.

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Section: Discussionsupporting

confidence: 57%

“…Referring directly to the young, studies indicate that they tend to underestimate their risks of infection by HIV and to overestimate the risks of their peers (Anderson, Beutel, & Maughan-Brown, 2007;Mwale, 2008). In addition, aspects of peoples' relationships can influence their perceptions of risk in relation to HIV.…”

mentioning

confidence: 99%

Romantic Relationships, Adolescence and HIV: Love as an Element of Vulnerability

Aguiar

Camargo

2014

Paidéia (Ribeirão Preto)

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“…The lower retention rate amongst whites is typical of survey research in South Africa, and is thought to be related to a higher rate of moving out of the area and higher opportunity costs involved in completing the questionnaire (Anderson, Beutel & Maughan-Brown, 2007). For a complete details of sampling methodology, non-response and attrition rates, see Lam, Seekings and Spark (2006).…”

Section: Methodsmentioning

confidence: 99%

“I don't use a condom (with my regular partner) because I know that I'm faithful, but with everyone else I do”: The cultural and socioeconomic determinants of sexual partner concurrency in young South Africans

Kenyon

Boulle

Badri

et al. 2010

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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35 AbstractFinding ways to reduce the high rates of sexual partner concurrency is increasingly believed to be vital to controlling HIV spread in southern Africa. We describe the frequency and correlates of sexual partner concurrency in a representative sample of 3 324 young South Africans aged 14-25. Of the 2 468 individuals who were sexually active 21% had engaged in concurrent sexual partnerships. Multivariate analysis revealed that concurrency was more common with males, Africans, those who knew their partner had another partner, early age of sexual debut, four or more lifetime sexual partners, alcohol consumption, and self-perception of being at high risk for acquisition of HIV. If the respondent's partner knew his or her friends (termed high structural embeddedness) this was associated with a 52% reduction in concurrency rates. There are significant differences in both the rates of concurrency and the risk factors underpinning these in the different racial/ethnic groups. Analysis of these underlying determinants suggests that cultural rather than socioeconomic factors predominate, which has important implications for the design and targeting of prevention efforts. RésuméTrouver des moyens de réduire les taux élevés de concomitance de partenaires sexuels (une même personne ayant deux ou plusieurs relations se chevauchant sur le moyen terme) est de plus en plus considéré comme vital pour contrôler la propagation du VIH en Afrique australe. Nous décrivons la fréquence et les corrélats de la concomitance des partenaires sexuels dans un échantillon représentatif de 3 324 jeunes Sud-Africains âgés de 14 à 25 ans. Sur les 2 468 individus qui étaient sexuellement actifs, 21% d' entre eux étaient impliqués dans des relations sexuelles concomitantes. L'analyse multivariée a révélé que la concomitance était plus fréquente chez les hommes, les noirs africains, ceux qui savaient que leur partenaire avait un autre partenaire, ceux qui ont eu leurs premiers rapports sexuels à un jeune âge, ceux qui ont eu plus de trois partenaires dans leur vie. La concomitance dépendait aussi de la consommation d'alcool et de la perception d' être ou non une personne à risque à l' égard de la contamination par le VIH. Le fait pour la personne interrogée de connaître les amis de son partenaire (appelé haut niveau d' encastrement structurel -'embeddedness') a été associé à une réduction de 52% des taux de concomitance. Il existe des différences significatives dans à la fois les taux de concomitance et les facteurs de risque pouvant expliquer ces taux dans les différents groupes raciaux/ethniques. L'analyse de ces déterminants sousjacents suggère que ce sont davantage les facteurs culturels que les déterminants socioéconomiques qui prédominent, ce qui a des implications importantes pour la conception et le ciblage d'une politique de prévention.

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“…11,12 Previous studies that examined the timing of first sexual intercourse among youth, including our own work, have focused largely on individual-level variables. [13][14][15][16] Although a few studies have acknowledged the relevance of structural and community variables, they have rarely established empirical connections between these variables and sexual debut. 4,[17][18][19] This study, which applies multilevel discrete-time hazard models to data collected from youth in Nyanza, fills an important research gap by examining the association of both individual-level and school-and community-level variables with the timing of first sexual intercourse.…”

mentioning

confidence: 99%

“…4,12,42 Such counterintuitive findings may largely be a result of the contemporaneous nature of the data, which makes it difficult to establish temporal order between variables that have reciprocal relationships; 4,16,25 longitudinal data are better suited for disentangling these complex, potentially causal connections. 13,16,26 Communication with relatives about AIDS might be expected to lead to positive behavioral outcomes, including delay of sexual initiation. In Sub-Saharan Africa, parentchild communication about sex (including the risks that HIV poses) is relatively uncommon; when it does occur, it often is the result of the parent discovering that the adolescent is sexually active, 43 which may explain the positive relationship between communication and sexual behavior in our analysis.…”

mentioning

confidence: 99%

Individual- and Community-Level Influences on the Timing of Sexual Debut Among Youth in Nyanza, Kenya

Tenkorang¹,

Maticka‐Tyndale²

2014

IPSRH

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HIV Risk Perceptions and First Sexual Intercourse Among Youth in Cape Town South Africa

Abstract: International Family Planning Perspectives, 2007, 33(3):98-105

Cited by 70 publications

References 33 publications

Romantic Relationships, Adolescence and HIV: Love as an Element of Vulnerability

Romantic Relationships, Adolescence and HIV: Love as an Element of Vulnerability

“I don't use a condom (with my regular partner) because I know that I'm faithful, but with everyone else I do”: The cultural and socioeconomic determinants of sexual partner concurrency in young South Africans

Individual- and Community-Level Influences on the Timing of Sexual Debut Among Youth in Nyanza, Kenya

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