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The role of context: neighbourhood characteristics strongly influence HIV risk in young women in Ndola, Zambia

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dc.contributor.author Gabrysch, S. en_US
dc.contributor.author Edwards, T. en_US
dc.contributor.author Glynn, J. R. en_US
dc.contributor.other Buvé, A. en_US
dc.contributor.other Laga, M. en_US
dc.contributor.other Van Dijck, E. en_US
dc.contributor.other Janssens, W. en_US
dc.contributor.other Heyndricks, L. en_US
dc.date.accessioned 2008-04-07T11:19:15Z
dc.date.available 2008-04-07T11:19:15Z
dc.date.issued 2008
dc.identifier.issn 1360-2276
dc.identifier.doi http://dx.doi.org/10.1111/j.1365-3156.2007.01986.x
dc.identifier.other ITG-M4A en_US
dc.identifier.other ITG-M5A en_US
dc.identifier.other ITG-M6A en_US
dc.identifier.other ITG-M7A en_US
dc.identifier.other ITG-M8A en_US
dc.identifier.other MICRO en_US
dc.identifier.other U-HIVSTD en_US
dc.identifier.other JIF en_US
dc.identifier.other DOI en_US
dc.identifier.other UPD1 en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.other FTB en_US
dc.identifier.uri http://hdl.handle.net/10390/2225
dc.description The definitive version is available at www3.interscience.wiley.com
dc.description.abstract OBJECTIVES: To examine the effect of neighbourhood socioeconomic factors on human immunodeficiency virus (HIV) prevalence in young women (aged 15-24 years) in Zambia. METHODS: Re-analysis of a cross-sectional, population-based sero-survey of nearly 2000 adults conducted in 1997/1998 in Ndola, Zambia. Neighbourhood-level socioeconomic status (SES) was defined using the availability of running water and electricity in addition to educational, employment and occupational characteristics of adults older than 24 years. Neighbourhood-level and individual-level risk factors were analysed with a multivariate multilevel logistic regression model using a hierarchical conceptual framework. RESULTS: Young women living in neighbourhoods of lower or middle SES had higher HIV prevalences than those from higher SES neighbourhoods [lower SES: adjusted odds ratio (OR) 2.4, 95% confidence interval (CI) 1.3-4.5, middle SES: adjusted OR 2.4, 95% CI 1.3-4.7]. Young women living near a market were at increased risk of HIV infection (OR 2.9, 95% CI 1.4-5.9), while proximity to a health centre seemed protective (OR 0.4, 95% CI 0.2-1.0). When controlling for neighbourhood factors, better education was a risk factor for HIV infection (OR 1.5, 95% CI 1.0-2.1), although it was not significant in individual-level analysis. CONCLUSIONS: Community-level factors are as important as individual-level factors in determining HIV infection in young women. Confining analyses to individual-level factors ignores the underlying causes and the modifying effect of context on individual behaviour and may even lead to different conclusions concerning the role of individual-level factors. en_US
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Viral diseases en_US
dc.subject HIV en_US
dc.subject AIDS en_US
dc.subject Women en_US
dc.subject Risk factors en_US
dc.subject Socioeconomic factors en_US
dc.subject Context en_US
dc.subject Community en_US
dc.subject Zambia en_US
dc.subject Africa, Southern en_US
dc.title The role of context: neighbourhood characteristics strongly influence HIV risk in young women in Ndola, Zambia en_US
dc.type Article en_US
dc.citation.issue 2 en_US
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 13 en_US
dc.citation.pages 162-170 en_US
dc.publisher.place Oxford
dc.contributor.corpauthor Study Group on Heterogeneity of HIV Epidemics in African Cities en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/18304261
dc.citation.jabbreviation Trop Med Int Health en_US


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