Effects of Early Social Bonds on Adolescent Trajectories of Sexual Risk Behaviors Among South African Girls.

The goal of this manuscript is to advance HIV risk behavior prevention efforts for South African adolescent girls by identifying distinct trajectory patterns across multiple behavioral domains for adolescent and young adults. We draw from a sample of N = 1070 adolescent girls from South Africa who w...

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Publicado en:AIDS & Behavior Vol. 26; no. 4; pp. 1173 - 1183
Autores principales: Gottfredson, Nisha C., Bhushan, Nivedita L., Reyes, H. Luz McNaughton, Pettifor, Audrey E., Kahn, Kathleen
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2022
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      pub: Springer Nature
      place: New York, New York
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        atl: Effects of Early Social Bonds on Adolescent Trajectories of Sexual Risk Behaviors Among South African Girls.
      aug:
        au:
          Gottfredson, Nisha C.
          Bhushan, Nivedita L.
          Reyes, H. Luz McNaughton
          Pettifor, Audrey E.
          Kahn, Kathleen
        affil: Center for Communication Science, RTI International, Durham, NC, USA
      sug:
        subj:
          Social Behavior In Adolescence
          Unsafe Sex In Adolescence
          Risk Taking Behavior In Adolescence
          Women's Health
          HIV Infections Prevention and Control
          Human
          Female
          Adolescence
          South Africa
          Descriptive Statistics
          Preventive Health Care
          Health Promotion
          Socioeconomic Factors
          Monitoring, Physiologic
          Adolescent Health
          Adolescent: 13-18 years
          Female
      ab: The goal of this manuscript is to advance HIV risk behavior prevention efforts for South African adolescent girls by identifying distinct trajectory patterns across multiple behavioral domains for adolescent and young adults. We draw from a sample of N = 1070 adolescent girls from South Africa who were between the ages of 13–15 at baseline. Participants were followed across 6 waves of data collection between 2011 and 2019. We focus on predicting trajectories between ages 15 and 21. All participants were HIV negative and had not experienced sexual debut at baseline. We examine group-based multi-variable trajectories across several known HIV risk behaviors: earlier age of sexual debut, engaging in unprotected sex, engaging in transactional sex, earlier age at first pregnancy, and exposure to physical IPV. We characterized three prototypical joint trajectories: abstainers (54%), early unprotected sex (36%), and high-risk sexually active (11%). We then predicted membership based on the following baseline risk and protective factors: household expenditures, bonding to school, parental monitoring, number of close friends, and community engagement. We found that school bonding and parental monitoring were the strongest predictor of sexual risk, and that, among those in both the early unprotected sex and high-risk groups, risky behaviors like unprotected and transactional sex most frequently occurred early in adolescence. These findings suggest that interventions should target girls early in adolescence, and that interventions focused at improving school bonding and promoting parental involvement may be most effective at preventing risky sexual behavior.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
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        Journal Article
      ougenre: Article
    language: English
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