Economic Resources and HIV Preventive Behaviors among School-Enrolled Young Women in Rural South Africa (HPTN 068)

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Citation

Jennings Mayo-Wilson, Larissa; Pettifor, Audrey E.; Hamilton, Erica L.; Ritchwood, Tiarney D.; Gómez-Olivé, F. Xavier; MacPhail, Catherine Lorne; Hughes, James P.; Selin, Amanda M.; & Khan, Kathleen, for the HPTN 068 Study Team (2017). Economic Resources and HIV Preventive Behaviors among School-Enrolled Young Women in Rural South Africa (HPTN 068). AIDS and Behavior, 21(3), 665-677. PMCID: PMC5136342

Abstract

Individual economic resources may have greater influence on school-enrolled young women's sexual decision-making than household wealth measures. However, few studies have investigated the effects of personal income, employment, and other financial assets on young women's sexual behaviors. Using baseline data from the HIV Prevention Trials Network (HPTN) 068 study, we examined the association of ever having sex and adopting sexually-protective practices with individual-level economic resources among school-enrolled women, aged 13-20 years (n = 2533). Age-adjusted results showed that among all women employment was associated with ever having sex (OR 1.56, 95 % CI 1.28-1.90). Among sexually-experienced women, paid work was associated with changes in partner selection practices (OR 2.38, 95 % CI 1.58-3.58) and periodic sexual abstinence to avoid HIV (OR 1.71, 95 % CI 1.07-2.75). Having money to spend on oneself was associated with reducing the number of sexual partners (OR 1.94, 95 % CI 1.08-3.46), discussing HIV testing (OR 2.15, 95 % CI 1.13-4.06), and discussing condom use (OR 1.99, 95 % CI 1.04-3.80). Having a bank account was associated with condom use (OR 1.49, 95 % CI 1.01-2.19). Economic hardship was positively associated with ever having sex, but not with sexually-protective behaviors. Maximizing women's individual economic resources may complement future prevention initiatives.

URL

http://dx.doi.org/10.1007/s10461-016-1435-5

Reference Type

Journal Article

Year Published

2017

Journal Title

AIDS and Behavior

Author(s)

Jennings Mayo-Wilson, Larissa
Pettifor, Audrey E.
Hamilton, Erica L.
Ritchwood, Tiarney D.
Gómez-Olivé, F. Xavier
MacPhail, Catherine Lorne
Hughes, James P.
Selin, Amanda M.
Khan, Kathleen, for the HPTN 068 Study Team

Article Type

Regular

PMCID

PMC5136342

Data Set/Study

HIV Prevention Trials Network (HPTN)

Continent/Country

South Africa

ORCiD

Pettifor - 0000-0002-3387-0817
Mayo-Wilson - 0000-0001-9349-2283