Does community clustering mitigate the negative effect of poverty on adolescent condom use in South Africa?

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 Sou...

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Publicado en:International Family Planning Perspectives Vol. 34; no. 3; pp. 121 - 127
Autores principales: Robinson AL, Seiber EE
Formato: research tables/charts Journal Article
Publicado: Guttmacher Institute, Inc. Sep2008
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Guttmacher Institute, Inc.
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        atl: Does community clustering mitigate the negative effect of poverty on adolescent condom use in South Africa?
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          Robinson AL
          Seiber EE
      sug:
        subj:
          Community Role South Africa
          Condoms Utilization
          Sex Factors
          Adolescence
          Adult
          Bivariate Statistics
          Cluster Sample
          Sexual Intercourse
          Correlational Studies
          Descriptive Statistics
          Female
          HIV Infections Risk Factors
          Logistic Regression
          Male
          Multivariate Analysis
          Poverty
          Secondary Analysis
          South Africa
          Surveys South Africa
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
          Male
      ab: 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-Natalwere 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 non poor 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.
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    language: English
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