Skip to main content
main-content

08.09.2016 | Original Paper | Ausgabe 9/2017 Open Access

AIDS and Behavior 9/2017

School, Supervision and Adolescent-Sensitive Clinic Care: Combination Social Protection and Reduced Unprotected Sex Among HIV-Positive Adolescents in South Africa

Zeitschrift:
AIDS and Behavior > Ausgabe 9/2017
Autoren:
Elona Toska, Lucie D. Cluver, Mark E. Boyes, Maya Isaacsohn, Rebecca Hodes, Lorraine Sherr
Wichtige Hinweise

Selected classifications

1.002: Condom use; 1.003: Community interventions; 1.009: Prevention policy; 4.001: Adolescents; 5.010: Southern Africa; 1.010: Risk behavior measurement; 1.011: Risk correlates and predictors.

Abstract

Social protection can reduce HIV-risk behavior in general adolescent populations, but evidence among HIV-positive adolescents is limited. This study quantitatively tests whether social protection is associated with reduced unprotected sex among 1060 ART-eligible adolescents from 53 government facilities in South Africa. Potential social protection included nine ‘cash/cash-in-kind’ and ‘care’ provisions. Analyses tested interactive/additive effects using logistic regressions and marginal effects models, controlling for covariates. 18 % of all HIV-positive adolescents and 28 % of girls reported unprotected sex. Lower rates of unprotected sex were associated with access to school (OR 0.52 95 % CI 0.33–0.82 p = 0.005), parental supervision (OR 0.54 95 % CI 0.33–0.90 p = 0.019), and adolescent-sensitive clinic care (OR 0.43 95 % CI 0.25–0.73 p = 0.002). Gender moderated the effect of adolescent-sensitive clinic care. Combination social protection had additive effects amongst girls: without any provisions 49 % reported unprotected sex; with 1–2 provisions 13–38 %; and with all provisions 9 %. Combination social protection has the potential to promote safer sex among HIV-positive adolescents, particularly girls.

Unsere Produktempfehlungen

e.Med Interdisziplinär

Kombi-Abonnement

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de.

Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 9/2017

AIDS and Behavior 9/2017 Zur Ausgabe