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Social and structural factors associated with vulnerability to HIV infection among young adults in South Africa

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dc.date.accessioned 2014-07-21 en
dc.date.accessioned 2016-12-04T14:20:00Z
dc.date.available 2016-12-04T14:20:00Z
dc.date.issued 2015-08-25 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/2329
dc.description.abstract There is increasing focus on social and structural factors following the marginal success of individual-level strategies for HIV prevention. While there is evidence of decreased HIV prevalence among young individuals in South Africa, there is still a need to monitor HIV incidence and prevalence in this vulnerable group as well as track and prevent high-risk sexual behavior(s). This study investigated the social and structural factors that shape the context of vulnerability to increased risk of exposure to HIV infection. A mixed-methods approach including qualitative and quantitative design components was employed. Young adults in the age group 18-24 were interviewed from four provinces in South Africa. The qualitative results produced strong support for the effectiveness of loveLife's HIV prevention programs. The household-based survey results showed that the strongest predictors of self-reported HIV infection (indicating a greater chance of being infected) using adjusted odds ratios (aOR) are: being diagnosed with an STI in a lifetime (aOR 13.68 95% Confidence Interval (CI) [4.61-40.56]; p < .001), inconsistent condom use (aOR 6.27 95% CI [2.08-18.84]; p < .01), and difficulty in accessing condoms (aOR 2.86 95% CI [1.04-7.88]; p < .05). The strongest predictors that indicated a decreased chance of being infected with the HI virus are: talking with partner about condom use in the past 12 months (aOR .08 95% CI [.02-.36]; p < .001) and having a grade 8 (aOR .04 95% CI [.01-.66]; p < .05) and higher educational level (aOR .04 95% CI [.01-.43]). These results show that social and structural factors serve as risk and protective factors for HIV prevention among young people. Intervention programs need to continue to focus on effective communication strategies and healthy relationships. Structural adjustments have to be made to encourage school attendance. Finally, social/health policies and health service delivery have to also be refined so that young people have access to youth friendly health services. en
dc.format.medium Print en
dc.publisher Routledge en
dc.subject ADULTS en
dc.subject HIV/AIDS en
dc.title Social and structural factors associated with vulnerability to HIV infection among young adults in South Africa en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume July en
dc.BudgetYear 2014/15 en
dc.ResearchGroup Human and Social Development en
dc.ResearchGroup HIV/AIDS, STIs and TB en
dc.ResearchGroup Population Health, Health Systems and Innovation en
dc.SourceTitle Psychology, Health & Medicine en
dc.PlaceOfPublication Abingdon, UK en
dc.ArchiveNumber 8280 en
dc.PageNumber Online en
dc.outputnumber 7008 en
dc.bibliographictitle Naidoo, P., Chirinda, W., Mchunu, G., Swartz, S. & Anderson, J. (2014) Social and structural factors associated with vulnerability to HIV infection among young adults in South Africa. <i>Psychology, Health & Medicine</i>. July:Online. en
dc.publicationyear 2014 en
dc.contributor.author1 Naidoo, P. en
dc.contributor.author2 Chirinda, W. en
dc.contributor.author3 Mchunu, G. en
dc.contributor.author4 Swartz, S. en
dc.contributor.author5 Anderson, J. en

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