A tale of two countries: rethinking sexual risk for HIV among young people in South Africa and the United States.
J Adolesc Health
; 49(3): 237-243.e1, 2011 Sep.
Article
em En
| MEDLINE
| ID: mdl-21856514
ABSTRACT
PURPOSE:
To compare the sexual behaviors of young people in South Africa (SA) and the United States (US) with the aim to better understand the potential role of sexual behavior in HIV transmission in these two countries that have strikingly different HIV epidemics.METHODS:
Nationally representative, population-based surveys of young people aged 18-24 years from SA (n = 7,548) and the US (n = 13,451) were used for the present study.RESULTS:
The prevalence of HIV was 10.2% in SA and <1% in the US. Young women and men in the US reported an earlier age of first sex than those in SA (mean age of coital debut for women US [16.5], SA [17.4]; for men US [16.4], SA [16.7]). The median number of lifetime partners is higher in the US than in SA women US (4), SA (2); men US (4), SA (3). The use of condom at last sex is reported to be lower in the US than in SA women US (36.1%), SA (45.4%); men US (48%), SA (58%). On average, young women in SA report greater age differences with their sex partners than young women in the US.CONCLUSION:
Young people in the US report riskier sexual behaviors than young people in SA, despite the much higher prevalence of HIV infection in SA. Factors above and beyond sexual behavior likely play a key role in the ongoing transmission of HIV in South African youth, and thus should be urgently uncovered to develop maximally effective prevention strategies.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Assunção de Riscos
/
Comportamento Sexual
/
Atitude Frente a Saúde
/
Infecções por HIV
/
Relações Interpessoais
Tipo de estudo:
Etiology_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
Africa
/
America do norte
Idioma:
En
Revista:
J Adolesc Health
Assunto da revista:
PEDIATRIA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos