HIV infection and sexual partnerships and behaviour among adolescent girls in Nairobi, Kenya

A. F. Rositch, P. Cherutich, P. Brentlinger, J. N. Kiarie, R. Nduati, C. Farquhar

Research output: Contribution to journalArticlepeer-review

Abstract

Early sexual partnerships place young women in sub-Saharan Africa at high risk for HIV. Few studies have examined both individual- and partnership-level characteristics of sexual relationships among adolescent girls. A cross-sectional survey of sexual history and partnerships was conducted among 761 adolescent girls aged 15-19 years in Nairobi, Kenya. Rapid HIV testing was conducted and correlates of HIV infection were determined using multivariate logistic regression. The HIV prevalence was 7% and seropositive adolescents had a younger age at sexual debut (P>0.01), more sexual partners in 12 months (P = 0.03), and were more likely to report transactional or non-consensual sex (P>0.01). Girls who reported not knowing their partner's HIV status were 14 times as likely to be HIV-seropositive than girls who knew their partner's status (adjusted odds ratio: 14.2 [1.8, 109.3]). Public health messages to promote HIV testing and disclosure within partnerships could reduce sexual risk behaviours and HIV transmission among adolescents.

Original languageEnglish (US)
Pages (from-to)468-474
Number of pages7
JournalInternational Journal of STD and AIDS
Volume23
Issue number7
DOIs
StatePublished - Jul 2012

Keywords

  • Adolescents
  • HIV
  • Partnerships
  • Risk factors
  • Sexual behaviour
  • Sub-Saharan Africa
  • Young women

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

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