Factors associated with HIV infection among sexually experienced adolescents in Africa: A pooled data analysis

Research output: Contribution to journalArticle

Abstract

The article examines the factors associated with HIV status among adolescents aged 15-19 years in 13 African countries: Côte d'Ivoire, Democratic Republic of Congo, Guinea, Kenya, Liberia, Mali, Malawi, Rwanda, Sierra Leone, Swaziland, Tanzania, Zambia and Zimbabwe. The data were derived from demographic and health surveys or AIDS indicator surveys conducted between 2004 and 2009. The levels of HIV prevalence among adolescents varied considerably across the countries. There was significantly higher HIV prevalence among female adolescents as compared with their male counterparts. For male adolescents, circumcision was the only variable significantly associated with HIV status. Nonetheless, the data suggest that the association between male circumcision and HIV status may be exaggerated. Indeed, regional-level random effects became insignificant once male circumcision was introduced into the estimated models, indicating a strong correlation between unmeasured regional-level factors and male circumcision. For female adolescents, multiple sexual partnerships, time elapsed since sexual debut, marital status, household wealth, and the regional prevalence of male circumcision were strongly and positively associated with HIV status. Moreover, for female adolescents there appear to be significant unmeasured variables operating at the regional level which influence the levels of HIV infection. The implications of the findings for HIV-prevention programming, policy and research are discussed.

Original languageEnglish (US)
Pages (from-to)403-414
Number of pages12
JournalAfrican Journal of AIDS Research
Volume10
Issue number4
DOIs
StatePublished - 2011

Fingerprint

HIV Infections
Male Circumcision
HIV
Swaziland
Liberia
Sierra Leone
Rwanda
Guinea
Mali
Zambia
Democratic Republic of the Congo
Malawi
Zimbabwe
Tanzania
Kenya
Marital Status
Acquired Immunodeficiency Syndrome
Demography
Research

Keywords

  • Circumcision
  • Early sexual debut
  • HIV/AIDS
  • Models
  • Multiple partnerships
  • Prevalence
  • Proximate determinants framework
  • Random effects
  • Surveillance

ASJC Scopus subject areas

  • Infectious Diseases
  • Public Health, Environmental and Occupational Health
  • Virology

Cite this

@article{3a99661329164a29b5c24ea125c0957d,
title = "Factors associated with HIV infection among sexually experienced adolescents in Africa: A pooled data analysis",
abstract = "The article examines the factors associated with HIV status among adolescents aged 15-19 years in 13 African countries: C{\^o}te d'Ivoire, Democratic Republic of Congo, Guinea, Kenya, Liberia, Mali, Malawi, Rwanda, Sierra Leone, Swaziland, Tanzania, Zambia and Zimbabwe. The data were derived from demographic and health surveys or AIDS indicator surveys conducted between 2004 and 2009. The levels of HIV prevalence among adolescents varied considerably across the countries. There was significantly higher HIV prevalence among female adolescents as compared with their male counterparts. For male adolescents, circumcision was the only variable significantly associated with HIV status. Nonetheless, the data suggest that the association between male circumcision and HIV status may be exaggerated. Indeed, regional-level random effects became insignificant once male circumcision was introduced into the estimated models, indicating a strong correlation between unmeasured regional-level factors and male circumcision. For female adolescents, multiple sexual partnerships, time elapsed since sexual debut, marital status, household wealth, and the regional prevalence of male circumcision were strongly and positively associated with HIV status. Moreover, for female adolescents there appear to be significant unmeasured variables operating at the regional level which influence the levels of HIV infection. The implications of the findings for HIV-prevention programming, policy and research are discussed.",
keywords = "Circumcision, Early sexual debut, HIV/AIDS, Models, Multiple partnerships, Prevalence, Proximate determinants framework, Random effects, Surveillance",
author = "Stella Babalola",
year = "2011",
doi = "10.2989/16085906.2011.646655",
language = "English (US)",
volume = "10",
pages = "403--414",
journal = "African Journal of AIDS Research",
issn = "1608-5906",
publisher = "Taylor and Francis Ltd.",
number = "4",

}

TY - JOUR

T1 - Factors associated with HIV infection among sexually experienced adolescents in Africa

T2 - A pooled data analysis

AU - Babalola, Stella

PY - 2011

Y1 - 2011

N2 - The article examines the factors associated with HIV status among adolescents aged 15-19 years in 13 African countries: Côte d'Ivoire, Democratic Republic of Congo, Guinea, Kenya, Liberia, Mali, Malawi, Rwanda, Sierra Leone, Swaziland, Tanzania, Zambia and Zimbabwe. The data were derived from demographic and health surveys or AIDS indicator surveys conducted between 2004 and 2009. The levels of HIV prevalence among adolescents varied considerably across the countries. There was significantly higher HIV prevalence among female adolescents as compared with their male counterparts. For male adolescents, circumcision was the only variable significantly associated with HIV status. Nonetheless, the data suggest that the association between male circumcision and HIV status may be exaggerated. Indeed, regional-level random effects became insignificant once male circumcision was introduced into the estimated models, indicating a strong correlation between unmeasured regional-level factors and male circumcision. For female adolescents, multiple sexual partnerships, time elapsed since sexual debut, marital status, household wealth, and the regional prevalence of male circumcision were strongly and positively associated with HIV status. Moreover, for female adolescents there appear to be significant unmeasured variables operating at the regional level which influence the levels of HIV infection. The implications of the findings for HIV-prevention programming, policy and research are discussed.

AB - The article examines the factors associated with HIV status among adolescents aged 15-19 years in 13 African countries: Côte d'Ivoire, Democratic Republic of Congo, Guinea, Kenya, Liberia, Mali, Malawi, Rwanda, Sierra Leone, Swaziland, Tanzania, Zambia and Zimbabwe. The data were derived from demographic and health surveys or AIDS indicator surveys conducted between 2004 and 2009. The levels of HIV prevalence among adolescents varied considerably across the countries. There was significantly higher HIV prevalence among female adolescents as compared with their male counterparts. For male adolescents, circumcision was the only variable significantly associated with HIV status. Nonetheless, the data suggest that the association between male circumcision and HIV status may be exaggerated. Indeed, regional-level random effects became insignificant once male circumcision was introduced into the estimated models, indicating a strong correlation between unmeasured regional-level factors and male circumcision. For female adolescents, multiple sexual partnerships, time elapsed since sexual debut, marital status, household wealth, and the regional prevalence of male circumcision were strongly and positively associated with HIV status. Moreover, for female adolescents there appear to be significant unmeasured variables operating at the regional level which influence the levels of HIV infection. The implications of the findings for HIV-prevention programming, policy and research are discussed.

KW - Circumcision

KW - Early sexual debut

KW - HIV/AIDS

KW - Models

KW - Multiple partnerships

KW - Prevalence

KW - Proximate determinants framework

KW - Random effects

KW - Surveillance

UR - http://www.scopus.com/inward/record.url?scp=84862979974&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84862979974&partnerID=8YFLogxK

U2 - 10.2989/16085906.2011.646655

DO - 10.2989/16085906.2011.646655

M3 - Article

C2 - 25865374

AN - SCOPUS:84862979974

VL - 10

SP - 403

EP - 414

JO - African Journal of AIDS Research

JF - African Journal of AIDS Research

SN - 1608-5906

IS - 4

ER -