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dc.contributor.authorHumphries, Hilton
dc.contributor.authorOsman, Farzana
dc.contributor.authorKnight, Lucia
dc.contributor.authorKarim, Quarraisha Abdool
dc.date.accessioned2018-04-18T10:43:20Z
dc.date.available2018-04-18T10:43:20Z
dc.date.issued2018
dc.identifier.citationHumphries, H. et al. (2018). Exploratory analysis of the ecological variables associated with sexual health profiles in high-risk, sexually-active female learners in rural KwaZulu-Natal. PLOS one, 13(4): e0195107.en_US
dc.identifier.urihttp://dx.doi.org/10.1371/journal. pone.0195107
dc.identifier.urihttp://hdl.handle.net/10566/3597
dc.description.abstractPURPOSE Young women are at high risk for negative sexual health outcomes. Despite their high risk, many sexually-active women never experience negative sexual health outcomes. This study explored the ecological risk factors associated with the risk profiles of sexually-active female high school-learners in rural KwaZulu-Natal, South Africa. METHODS Using baseline data from N = 596 sexually-active school-going women, we explored the ecological factors associated with being sexually-active and managing risk successfully [SARS] or unsuccessfully [SARU]. Generalised estimated equations (GEE) were applied to data collected at multiple levels while adjusting for school and other included variables. GEE were used to calculate probability of being SARU. RESULTS Amongst SARU learners, 21.9% had HIV, 38.6% had HSV-2, 12.5% were pregnant, 28.7% self-reported STI symptoms and 51.9% reported a previous pregnancy. Individual-level factors had the greatest impact on being SARU. Univariate and multivariate analysis highlighted several important partner factors associated with SARU. Age was significantly associated with the risk profiles (p<0.0001), a greater proportion of SARU learners were 18 or older compared to the SARS learners. The odds of being SARU decreased when 18 years (aOR = 0.2577, 95% CI 0.1462±0.4542) or if not falling pregnant was important (aOR = 0.6343, 95% CI 0.4218±0.9538). Having >1 HIV test (aOR = 2.2161, 95% CI 1.3964±3.5169) increased the odds a SARU profile. CONCLUSION Individual and partner level factors are important for the sexual health profile of an adolescent female. While the exploratory findings require further research; managing multiple sexual health outcomes, tailoring responses around a risk profile and including partners is essential for successful interventions.en_US
dc.language.isoenen_US
dc.publisherPublic Library of Scienceen_US
dc.rights© 2018 Humphries et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.subjectSexual health profilesen_US
dc.subjectHigh-risken_US
dc.subjectSexually-activeen_US
dc.subjectFemale learnersen_US
dc.subjectKwaZulu-Natalen_US
dc.titleExploratory analysis of the ecological variables associated with sexual health profiles in high-risk, sexually-active female learners in rural KwaZulu-Natalen_US
dc.typeArticleen_US
dc.privacy.showsubmitterFALSE
dc.status.ispeerreviewedTRUE


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