| From: |
joya banerjee [ profile ] |
| Subject: |
Fwd: Pettifor article: A tale of two countries: rethinking sexualrisk for HIV among young people in South Africa and the United States
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| Sent: |
Dec 14th, 2011 - 10:23:59 |
| Attachments: |
Pettifor.pdf
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An interesting article!
Best,
Joya
>
>> ------------------------------**--------------
>>
>> J Adolesc Health. 2011 Sep;49(3):237-243.e1. Epub 2011 Mar 23.
>> A tale of two countries: rethinking sexual risk for HIV among young
>> people
>> in South Africa and the United States.
>> Pettifor AE, Levandowski BA, Macphail C, Miller WC, Tabor J, Ford C,
>> Stein
>> CR, Rees H, Cohen M.
>> Source
>> Department of Epidemiology, University of North Carolina, Chapel Hill,
>> North
>> Carolina, USA. apettif (at) email.unc.edu
>>
>
> 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 > 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 cond^om 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.
>>
>> Comment: one factor may be the high circumcision rate in USA, especially
>> amongst Anglophile Americans.
>>
>>
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