Document Detail


Does community clustering mitigate the negative effect of poverty on adolescent condom use in South Africa?
MedLine Citation:
PMID:  18957354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: It is important to examine whether youth from disadvantaged households are less likely than others to use a condom at first sex, even after correcting for shared characteristics within communities. METHODS: Baseline survey data from the Transitions to Adulthood in the Context of AIDS in South Africa study in KwaZulu-Natal were used. Random effects logistic regression assessed the relationship between poverty and 14-22-year-olds' use of condoms at first sex, correcting for shared characteristics of adolescents within each community. RESULTS: Twenty-three percent of young people had used a condom at first sex. Poor and extremely poor females had about one-third the odds of nonpoor females of using a condom at first sex, even after adjusting for community clustering; among males; however, there was no association between poverty and condom use, after adjusting for background factors and community clustering. CONCLUSIONS: The importance of community clustering of neighborhood-level characteristics differs by gender in South Africa. Poverty remains a central risk factor for HIV among young women, regardless of the surrounding context, but not among men.
Authors:
Amara L Robinson; Eric E Seiber
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International family planning perspectives     Volume:  34     ISSN:  0190-3187     ISO Abbreviation:  Int Fam Plan Perspect     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-10-29     Completed Date:  2009-01-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7907371     Medline TA:  Int Fam Plan Perspect     Country:  United States    
Other Details:
Languages:  eng     Pagination:  121-6     Citation Subset:  IM    
Affiliation:
amararobinson@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Behavior*
Adult
Cluster Analysis
Condoms / economics,  utilization*
Data Collection
Female
HIV Infections / economics,  prevention & control
Health Knowledge, Attitudes, Practice*
Humans
Interviews as Topic
Logistic Models
Male
Odds Ratio
Poverty*
Residence Characteristics
Risk Factors
Sexual Behavior / ethnology,  statistics & numerical data*
Socioeconomic Factors
South Africa
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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