HIV Risk Among Adolescent Girls and Young Women in Age-Disparate Partnerships: Evidence From KwaZulu-Natal, South Africa

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Brendan Maughan-BrownAyesha B M Kharsany

Abstract

Evidence on the role of age-disparate partnerships in high HIV-infection rates among young women in sub-Saharan Africa remains inconclusive. This study examined the HIV-infection risk associated with age-disparate partnerships among 15- to 24-year-old women in a hyperendemic setting in South Africa. Face-to-face questionnaire, and laboratory HIV and viral load data were collected during 2014-2015 among a representative sample (15-49 years old) in KwaZulu-Natal. The association between age-disparate partnerships (age difference ≥5 years) and HIV status among 15- to 24-year-old women (N = 1459) was assessed using multiple logistic regression analyses. Data from the male sample on all on-going partnerships (N = 1229) involving 15- to 24-year-old women were used to assess whether young women's age-disparate male partners were more likely to have a viral load ≥1000 copies per milliliter, a marker of HIV-infection risk. Women reporting an age disparity in any of their 3 most recent partnerships were more likely to test HIV positive compared to women with only age-similar partners [adjusted odds ratio (aOR): 1.58, 95% confidence interval (CI): 1.20 to 2.09, P < 0.01]. Among partnerships men reported with 15- to 24-year-old women, the ...Continue Reading

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Citations

Dec 7, 2018·Prevention Science : the Official Journal of the Society for Prevention Research·Rosalie CoronaFiroza Haffejee
Jul 30, 2019·Journal of the International AIDS Society·Danielle GiovencoJames P Hughes
Feb 10, 2019·Sexually Transmitted Infections·Brendan Maughan-BrownAyesha B M Kharsany
Nov 27, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ann M DennisWilliam C Miller
Jul 9, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Seema K ShahDavid S Wendler
Dec 30, 2020·Pathogens·Marta GiovanettiAlessandra Borsetti
Jan 29, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Joanna BuszaFrances M Cowan

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