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Do behavioural differences help to explain variations in HIV prevalence in adolescents in sub-Saharan Africa?

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dc.contributor.author Chapman, R.
dc.contributor.author White, R. G.
dc.contributor.author Shafer, L. A.
dc.contributor.author Pettifor, A.
dc.contributor.author Mugurungi, O.
dc.contributor.author Ross, D.
dc.contributor.author Pascoe, S.
dc.contributor.author Cowan, F. M.
dc.contributor.author Grosskurth, H.
dc.contributor.author Buvé, A.
dc.contributor.author Hayes, R. J.
dc.date.accessioned 2010-04-21T09:42:30Z
dc.date.available 2010-04-21T09:42:30Z
dc.date.issued 2010
dc.identifier.issn 1360-2276
dc.identifier.doi http://dx.doi.org/10.1111/j.1365-3156.2010.02483.x
dc.identifier.other ITG-M10A
dc.identifier.other MICRO
dc.identifier.other U-HIVSTD
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other UPD20
dc.identifier.other ABSTRACT
dc.identifier.other FTB
dc.identifier.uri http://hdl.handle.net/10390/6107
dc.description.abstract Objective To compare adolescent risk factors for HIV infection in two countries with high adolescent HIV prevalence and two lower prevalence countries with the aim of identifying risk factors that may help explain differences in adolescent HIV prevalence. Methods Data were available from two nationally representative surveys (South Africa, Zimbabwe), two behavioural intervention trials (Tanzania, Zimbabwe) and one population-based cohort (Uganda). Data on variables known or postulated to be risk factors for HIV infection were compared. Results Few risk behaviours were markedly more common in the high HIV prevalence populations. Risk factors more common in high HIV prevalence settings were genital ulcers and discharge, and women were more likely to report older male partners. Discussion Age mixing may be an important determinate of HIV prevalence in adolescents. Potential reasons for the general lack of association between other adolescent risk factors and adolescent HIV prevalence include adult HIV prevalence, misreported behaviour, different survey methods and other unmeasured adolescent behaviours. If adult factors dominate adolescent HIV risk, it would help explain the failure of behavioural interventions targeted at adolescents and suggests future interventions should include adults. en
dc.language English en
dc.publisher Blackwell Publishing
dc.subject Viral diseases en
dc.subject HIV en
dc.subject AIDS en
dc.subject Epidemiology en
dc.subject Prevalence en
dc.subject Variation en
dc.subject Adolescents en
dc.subject Gender distribution en
dc.subject Age distribution en
dc.subject Risk factors en
dc.subject Sexual behavior en
dc.subject Sexual partners en
dc.subject Genital ulcers en
dc.subject Genital discharge en
dc.subject Methodology en
dc.subject South Africa en
dc.subject Zimbabwe en
dc.subject Africa, Southern en
dc.subject Tanzania en
dc.subject Uganda en
dc.subject Africa, East en
dc.title Do behavioural differences help to explain variations in HIV prevalence in adolescents in sub-Saharan Africa? en
dc.type Article en
dc.citation.issue 5 en
dc.citation.jtitle Tropical Medicine and International Health en
dc.citation.volume 15 en
dc.citation.pages 554-566 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/20345559
dc.citation.jabbreviation Trop Med Int Health en


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