Hope, the Household Environment, and Sexual Risk Behaviors among Young Women in Rural South Africa (HPTN 068)

Citation

Hill, Lauren M.; Abler, Laurie A.; Maman, Suzanne; Twine, Rhian; Kahn, Kathleen; MacPhail, Catherine Lorne; & Pettifor, Audrey E. (2018). Hope, the Household Environment, and Sexual Risk Behaviors among Young Women in Rural South Africa (HPTN 068). AIDS and Behavior, 22(6), 1908-1918. PMCID: PMC5920793

Abstract

We assessed the psychological trait of hope as an explanatory mediator in the relationship between the home environment and sexual risk behaviors among 2533 young women in rural South Africa. Hope mediated the relationship between average household age and sexual debut (mediated effect = - 0.003, p < 0.05), and between household consumption and sexual debut (mediated effect = - 0.019, p < 0.05). Both higher average household age (beta = 0.01; 95% CI 0.00, 0.01) and greater household consumption (beta = 0.05; 95% CI 0.02, 0.08) were marginally associated with higher hope. In turn, greater hope was associated with lower odds of sexual debut (aOR = 0.62; 95% CI 0.52, 0.74). These results provide important preliminary evidence of the role of the home environment in shaping protective psychological assets and healthy sexual behaviors. Continued exploration of the relationship between hope and the home environment may help to explain why young women in this context have a disproportionate risk for HIV.

URL

http://dx.doi.org/10.1007/s10461-017-1945-9

Reference Type

Journal Article

Year Published

2018

Journal Title

AIDS and Behavior

Author(s)

Hill, Lauren M.
Abler, Laurie A.
Maman, Suzanne
Twine, Rhian
Kahn, Kathleen
MacPhail, Catherine Lorne
Pettifor, Audrey E.

PMCID

PMC5920793

ORCiD

Pettifor - 0000-0002-3387-0817