The relationship of unsafe sexual behavior and the characteristics of sexual partners of HIV infected and HIV uninfected adolescent females

“…Worldwide, about 50% of new HIV infections are among young people (UNAIDS 2002) and about half of young people living with HIV (YLH) continue to engage in risk acts Sturdevant et al 2001), making effective prevention programs for YLH a critical global priority. This global context is mirrored in Uganda, where 1.9 million people are living with HIV/AIDS (UNAIDS 2006) and AIDS is the leading cause of death among 15 to 49 year olds (Uganda AIDS Commission 2000).…”

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confidence: 99%

Efficacy of a Culturally Adapted Intervention for Youth Living with HIV in Uganda

Lightfoot¹,

Kasirye²,

Comulada³

et al. 2007

Prev Sci

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This study examined whether a culturally adapted version of a previously evaluated efficacious HIV prevention program reduced sexual risk behaviors of youth living with HIV (YLH) in Uganda. YLH, 14 to 21 years, were randomized to intervention (N=50) or control (N=50) conditions. Significantly more YLH in the intervention used condoms consistently and decreased their number of sexual partners in comparison to the control condition. Western interventions can be culturally adapted to retain efficacy in reducing the sexual risk behavior of YLH.

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“…[1][2][3][6][7][8] The studies that have examined associations between partners' age differences and contraceptive behavior have concentrated on adolescent females' nonmarital relationships and on whether protection was used against STIs (especially HIV). [1][2][3][4][7][8][9][10][11][12][13][14][15][16][17] The emphasis on adolescents and on nonmarital relationships may divert attention from more common age asymmetries and from the risks that may exist in such relationships. For instance, age differences in marital relationships are usually of little public interest, unlike situations involving unmarried adolescents.…”

mentioning

confidence: 99%

“…[19][20][21][22][23][24][25][26] Moreover, in a patriarchal context, pronatal views tend to be stronger among men than among women, and husbands' real or perceived opposition to family planning may prevent wives who want to delay or stop childbearing from using contraceptives. 3,16,[27][28][29][30][31][32] The situation is no different in Nigeria, a patriarchal society where decision-making powers are traditionally vested in males. Nigeria is the most populous country in Africa, and women have an average of about six children, a level that has remained stable over the past two decades.…”

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confidence: 99%

Is Age Difference Between Partners Associated with Contraceptive Use Among Married Couples in Nigeria?

Ibisomi¹

2014

IPSRH

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An age difference between sexual partners is a social norm in most societies; typically, the man is older than the woman. The acceptability of unions in which the husband is considerably older than his wife is more variable, although relatively large age differences are found in patriarchal societies. Large age gaps are often accompanied by differences in maturity, life experiences, social position and financial resources, which may make relationships inherently unequal and a source of risk for women's health.1-5 For instance, asymmetries in age, education and economic circumstances compromise women's ability to negotiate safer sexual behavior. [1][2][3][6][7][8] The studies that have examined associations between partners' age differences and contraceptive behavior have concentrated on adolescent females' nonmarital relationships and on whether protection was used against STIs (especially HIV). [1][2][3][4][7][8][9][10][11][12][13][14][15][16][17] The emphasis on adolescents and on nonmarital relationships may divert attention from more common age asymmetries and from the risks that may exist in such relationships. For instance, age differences in marital relationships are usually of little public interest, unlike situations involving unmarried adolescents. Furthermore, there is the need to examine the role that contraceptive use may play in preventing unintended pregnancy in age-asymmetric relationships, given that contraception has been found to be an effective means of fertility control for various health, economic and social reasons. 18Examination of age differences between marital partners is of particular importance in Sub-Saharan Africa, where, as a result of gender imbalances and cultural influences, males are frequently in charge of what happens (or does not happen) within relationships, including sexual interactions and decisions regarding family size and contraceptive use. The limited decision-making power of women in this setting often impedes their ability to achieve their fertility goals. [19][20][21][22][23][24][25][26] Moreover, in a patriarchal context, pronatal views tend to be stronger among men than among women, and husbands' real or perceived opposition to family planning may prevent wives who want to delay or stop childbearing from using contraceptives.

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The relationship of unsafe sexual behavior and the characteristics of sexual partners of HIV infected and HIV uninfected adolescent females

Cited by 66 publications

References 27 publications

The Next Generation of HIV Prevention for Adolescent Females in the United States: Linking Behavioral and Epidemiologic Sciences to Reduce Incidence of HIV

The Next Generation of HIV Prevention for Adolescent Females in the United States: Linking Behavioral and Epidemiologic Sciences to Reduce Incidence of HIV

Efficacy of a Culturally Adapted Intervention for Youth Living with HIV in Uganda

Is Age Difference Between Partners Associated with Contraceptive Use Among Married Couples in Nigeria?

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