Journal article

Consistent Provisions Mitigate Exposure to Sexual Risk and HIV Among Young Adolescents in South Africa

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Publication Details

Author list: Toska E, Campeau L, Cluver L, Orkin FM, Berezin MN, Sher L, Laurenzi CA, Bachman G

Publisher: Springer (part of Springer Nature): Springer Open Choice Hybrid Journals

Publication year: 2020

Journal: AIDS and Behavior

Volume number: 24

Issue number: 3

Start page: 903

End page: 913

Total number of pages: 11

ISSN: 1090-7165

eISSN: 1573-3254



Exposure to sexual risk in early adolescence strongly predicts HIV infection, yet evidence for prevention in young adolescents is limited. We pooled data from two longitudinal South African surveys, with adolescents unexposed to sexual risk at baseline (n = 3662). Multivariable logistic regression tested associations between intermittent/consistent access to eight provisions and reduced sexual risk exposure. Participants were on average 12.8 years, 56% female at baseline. Between baseline and follow-up, 8.6% reported sexual risk exposure. Consistent access to caregiver supervision (OR 0.53 95%CI 0.35–0.80 p = 0.002), abuse-free homes (OR 0.55 95%CI 0.37–0.81 p = 0.002), school feeding (OR 0.55 95%CI 0.35–0.88 p = 0.012), and HIV prevention knowledge (OR 0.43, 95%CI 0.21–0.88 p = 0.021) was strongly associated with preventing early sexual risk exposure. While individual factors reduced the odds of sexual risk exposure, a combination of all four resulted in a greater reduction, from 12.9% (95%CI 7.2–18.7) to 1.0% (95%CI 0.2–1.8). Consistent access to provisions in early adolescence may prevent sexual risk exposure among younger adolescents.


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Adolescents, HIV/AIDS, Prevention, Sexual risk, South Africa

Last updated on 2021-14-01 at 17:33