Academic Journal

Determining HIV risk for Adolescent Girls and Young Women (AGYW) in relationships with 'Blessers' and age-disparate partners: a cross-sectional survey in four districts in South Africa

التفاصيل البيبلوغرافية
العنوان: Determining HIV risk for Adolescent Girls and Young Women (AGYW) in relationships with 'Blessers' and age-disparate partners: a cross-sectional survey in four districts in South Africa
المؤلفون: Gavin George, Sean Beckett, Tarylee Reddy, Kaymarlin Govender, Cherie Cawood, David Khanyile, Ayesha B. M. Kharsany
المصدر: BMC Public Health, Vol 22, Iss 1, Pp 1-8 (2022)
بيانات النشر: BMC, 2022.
سنة النشر: 2022
المجموعة: LCC:Public aspects of medicine
مصطلحات موضوعية: Public aspects of medicine, RA1-1270
الوصف: Abstract Background HIV incidence among adolescent girls and young women (AGYW) remains high, with their male partners a prominent factor in sustaining these elevated rates. Partnership characteristics remain important metrics for determining HIV risk, with evidence indicating that AGYW engaged in transactional and age-disparate relationships face greater HIV exposure. This study examines the risk posed to AGYW in a relationship with a “Blesser”, defined as male who provides his female partner with their material needs or desires in exchange for a sexual relationship, an age-disparate (5 or more years older) partner, and the potential compounded risk of being a relationship with a partner or partners who are considered both a “Blesser” and age-disparate. Methods A cross -sectional household based representative sample of AGYW (aged between 12–24 years) were enrolled in the study (n = 18 926) from the districts of City of Johannesburg and Ekurhuleni in the Gauteng province and the Districts of eThekwini and uMgungundlovu in the province of KwaZulu-Natal (KZN) in South Africa between March 13, 2017 to June 22, 2018. Participants completed a structured questionnaire and provided finger-prick blood samples for laboratory measurements. Our analysis used descriptive statistics and multiple binary logistic regressions accounting for survey weights, clustering and stratification. Findings The median age of the sample was 21 years old (Interquartile range: 19–23) and nearly three quarters (73.7%) were currently attending school. Whilst all relationships exposed AGYW to potential HIV risk, multiple binary logistic regression analysis revealed that AGYW in a relationship with both a Blesser and an age-disparate partner were more likely to be HIV positive (AOR: 3.12, 95% CI: 1.76–5.53, p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2458
Relation: https://doaj.org/toc/1471-2458
DOI: 10.1186/s12889-022-13394-4
URL الوصول: https://doaj.org/article/e678e66ada2448b48cf8dcff5e7644e4
رقم الانضمام: edsdoj.678e66ada2448b48cf8dcff5e7644e4
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14712458
DOI:10.1186/s12889-022-13394-4