Predictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban South Africa.

<h4>Background</h4>Evidence suggests that multiple concurrent sexual partnering may be a key driver of the high HIV prevalence among young women in South Africa. However, little is known about whether and to what extent women who have multiple sexual partners also engage in other high ri...

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Autores principales:	Yanga Z Zembe, Loraine Townsend, Anna Thorson, Anna Mia Ekström
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0bd1de25120743c3a78b819a8b1d57d1
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spelling	oai:doaj.org-article:0bd1de25120743c3a78b819a8b1d57d12021-11-18T08:04:20ZPredictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban South Africa.1932-620310.1371/journal.pone.0051998https://doaj.org/article/0bd1de25120743c3a78b819a8b1d57d12012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23284847/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Evidence suggests that multiple concurrent sexual partnering may be a key driver of the high HIV prevalence among young women in South Africa. However, little is known about whether and to what extent women who have multiple sexual partners also engage in other high risk sexual behaviors such as inconsistent condom use. And yet, multiple concurrent sexual partnering is of little epidemiological relevance if all partners in these sexual networks use condoms consistently. This study assesses the prevalence of sexual risk behaviors and HIV, and predictors of inconsistent condom use among women aged 16-24 with multiple sexual partners in a peri-urban setting in South Africa.<h4>Methods</h4>We used Respondent Driven Sampling, a sampling strategy for hard-to-reach populations to recruit 259 women aged 16-24 in a bio-behavioral cross-sectional survey in the Western Cape province. Estimates of population proportions and 95% confidence intervals (CIs) were calculated using the Respondent-Driven Sampling Analysis Tool 5.6 (RDSAT). The primary outcome was inconsistent condom use in the past three months.<h4>Results</h4>Young women reported an average of 7 partners in the past 3 months and a high prevalence of sexual risk behaviors: concurrency (87%), transactional sex (91%) and age mixing (59%). Having >5 sexual partners in the last 3 months doubled the risk of unprotected sex (OR 2.43, CI 1.39-4.25). HIV prevalence was 4% among 16-19 year olds, increasing threefold (12%) at age 20-24.<h4>Discussion</h4>Multiple sexual partnering, where a high number of partners are acquired in a short space of time, is a fertile context for unprotected and risky sexual behavior. The young women featured in this survey present with a constellation of high-risk sexual behaviors that cluster to form a risk syndrome. Carefully tailored repeat bio-behavioral surveillance surveys are recommended for this sub-population.Yanga Z ZembeLoraine TownsendAnna ThorsonAnna Mia EkströmPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 12, p e51998 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yanga Z Zembe Loraine Townsend Anna Thorson Anna Mia Ekström Predictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban South Africa.
description	<h4>Background</h4>Evidence suggests that multiple concurrent sexual partnering may be a key driver of the high HIV prevalence among young women in South Africa. However, little is known about whether and to what extent women who have multiple sexual partners also engage in other high risk sexual behaviors such as inconsistent condom use. And yet, multiple concurrent sexual partnering is of little epidemiological relevance if all partners in these sexual networks use condoms consistently. This study assesses the prevalence of sexual risk behaviors and HIV, and predictors of inconsistent condom use among women aged 16-24 with multiple sexual partners in a peri-urban setting in South Africa.<h4>Methods</h4>We used Respondent Driven Sampling, a sampling strategy for hard-to-reach populations to recruit 259 women aged 16-24 in a bio-behavioral cross-sectional survey in the Western Cape province. Estimates of population proportions and 95% confidence intervals (CIs) were calculated using the Respondent-Driven Sampling Analysis Tool 5.6 (RDSAT). The primary outcome was inconsistent condom use in the past three months.<h4>Results</h4>Young women reported an average of 7 partners in the past 3 months and a high prevalence of sexual risk behaviors: concurrency (87%), transactional sex (91%) and age mixing (59%). Having >5 sexual partners in the last 3 months doubled the risk of unprotected sex (OR 2.43, CI 1.39-4.25). HIV prevalence was 4% among 16-19 year olds, increasing threefold (12%) at age 20-24.<h4>Discussion</h4>Multiple sexual partnering, where a high number of partners are acquired in a short space of time, is a fertile context for unprotected and risky sexual behavior. The young women featured in this survey present with a constellation of high-risk sexual behaviors that cluster to form a risk syndrome. Carefully tailored repeat bio-behavioral surveillance surveys are recommended for this sub-population.
format	article
author	Yanga Z Zembe Loraine Townsend Anna Thorson Anna Mia Ekström
author_facet	Yanga Z Zembe Loraine Townsend Anna Thorson Anna Mia Ekström
author_sort	Yanga Z Zembe
title	Predictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban South Africa.
title_short	Predictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban South Africa.
title_full	Predictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban South Africa.
title_fullStr	Predictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban South Africa.
title_full_unstemmed	Predictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban South Africa.
title_sort	predictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban south africa.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/0bd1de25120743c3a78b819a8b1d57d1
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Predictors of inconsistent condom use among a hard to reach population of young women with multiple sexual partners in peri-urban South Africa.

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