Trends in HIV and sexual behaviour among young people in southern Africa.
Article Type: Brief article
Subject: HIV infection (Surveys)
HIV infection (Demographic aspects)
Teenagers (Sexual behavior)
Teenagers (Surveys)
Pub Date: 11/01/2009
Publication: Name: Reproductive Health Matters Publisher: Reproductive Health Matters Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2009 Reproductive Health Matters ISSN: 0968-8080
Issue: Date: Nov, 2009 Source Volume: 17 Source Issue: 34
Topic: Canadian Subject Form: Teenage sexual behaviour
Geographic: Geographic Scope: South Africa Geographic Code: 6SOUT South Africa
Accession Number: 225074409
Full Text: This paper investigated the epidemiological patterns and trends of HIV infection and sexual behaviour among 15-24 year olds in the nine countries in southern Africa most affected by HIV. Data on HIV prevalence among young people were obtained from national population-based surveys conducted between 2000 and 2007. Data on sexual behaviour were obtained from repeat surveys between 1994 and 2007. Patterns of HIV infection among young people were similar across the countries. HIV prevalence increased after age 15, more rapidly among young women than young men, reaching a peak among women in their 20s and men in their 30s. HIV prevalence in Malawi in 2004 among young women was 3.7% among 15-19 year olds and 13.2% among 20-24 year olds. In Swaziland, it was 10.2% and 38.2%, respectively, in 2006-07. Between 2000 and 2007 the prevalence of HIV among antenatal clinic attendees was constant in Mozambique and South Africa and declining in Lesotho, Namibia, Swaziland, Zambia, Botswana, Malawi and Zimbabwe. The decline was statistically significant only in the last three. Changes towards safer sexual behaviour were observed over time among both young men and women and were associated with declines in HIV prevalence among antenatal clinic attendees in the six countries with data available. (1)

(1.) Gouws E, Stanecki KA, Lyerla R, et al. The epidemiology of HIV infection among young people aged 15-24 years in southern Africa. AIDS 2008;22(Suppl 4):S5-S16.
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