Determinants of intergenerational sexual relationships and HIV risk among South African women outpatients in Gauteng

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dc.contributor.author McCloskey, Laura Ann
dc.contributor.author Eloff, Irma
dc.contributor.author Doran, Kelly
dc.date.accessioned 2021-02-11T13:59:09Z
dc.date.issued 2021
dc.description.abstract Age-discrepant sexual relationships may place women at risk for HIV infection in South Africa. Results are based on medical records and case–control interview data of 889 sexually experienced women outpatients aged 15–29 in a Gauteng township. Women with partners at least ten years older (intergenerational) show an elevated chance of having an early sexual debut, concurrent and transactional partners, and intimate partner violence. Hardship during childhood including parental loss, food insecurity and abuse are related to age asymmetric relationships. HIV is two times more likely (aOR=1.96) with an intergenerational partner. Transactional sex increases the odds of HIV independently (aOR=1.76) as does intimate partner violence (aOR=1.6). To the extent that transactional and intergenerational sex overlap the chance of contracting HIV increases more than two-fold (uOR=4.57). Girls (15–19) with intergenerational partners face the highest chance of HIV (uOR=8.55) compared to other age groups. They are also five times more likely than controls to have lived with a cross-age partner. Our findings indicate there are multiple pathways emanating from childhood leading to women’s choice of intergenerational partners, and the link to HIV is strongest among the youngest women. en_ZA
dc.description.department Educational Psychology en_ZA
dc.description.embargo 2021-09-09
dc.description.librarian hj2021 en_ZA
dc.description.uri http://www.tandfonline.com/loi/caic20 en_ZA
dc.identifier.citation McCloskey, L.A., Eloff, I. & Doran, K. 2021, 'Determinants of intergenerational sexual relationships and HIV risk among South African women outpatients in Gauteng', AIDS Care2020, Ahead-of-print, 1-9 https://doi-org.uplib.idm.oclc.org/10.1080/09540121.2020.1823311. en_ZA
dc.identifier.issn 0954-0121 (print)
dc.identifier.issn 1360-0451 (online)
dc.identifier.other 10.1080/09540121.2020.1823311
dc.identifier.uri http://hdl.handle.net/2263/78445
dc.language.iso en en_ZA
dc.publisher Taylor and Francis en_ZA
dc.rights © 2020 Informa UK Limited, trading as Taylor & Francis Group. This is an electronic version of an article published in AIDS Care, vol. , no. , pp. , 2021. doi : 10.1080/09540121.2020.1823311. AIDS Care is available online at : http://www.tandfonline.comloi/caic20. en_ZA
dc.subject Age-discordant sex en_ZA
dc.subject Transactional sex en_ZA
dc.subject Intimate partner violence (IPV) en_ZA
dc.subject Human immunodeficiency virus (HIV) en_ZA
dc.subject African women en_ZA
dc.subject Behavioral risk en_ZA
dc.subject Adverse childhood experiences (ACEs) en_ZA
dc.subject Africa en_ZA
dc.title Determinants of intergenerational sexual relationships and HIV risk among South African women outpatients in Gauteng en_ZA
dc.type Postprint Article en_ZA


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