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Sexual Violence and Reproductive Health Outcomes Among South African Female Youths: A Contextual Analysis.

  • Autores: Ilene S. Speizer, Audrey Pettifor, Stirling Cummings, Catherine MacPhail, Immo Kleinschmidt, Helen V. Rees
  • Localización: American journal of public health, ISSN 0090-0036, Vol. 99, Nº. 0, 2009, págs. 425-431
  • Idioma: inglés
  • Texto completo no disponible (Saber más ...)
  • Resumen
    • Objectives. We studied whether female youths from communities with higher sexual violence were at greater risk of negative reproductive health outcomes. Methods. We used data from a 2003 nationally representative household survey of youths aged 15-24 years in South Africa. The key independent variable was whether a woman had ever been threatened or forced to have sex. We aggregated this variable to the community level to determine, with control for individual-level experience with violence, whether the community-level prevalence of violence was associated with HIV status and adolescent pregnancy among female, sexually experienced, never-married youths. Results. Youths from communities with greater sexual violence were significantly more likely to have experienced an adolescent pregnancy or to be HIV-positive than were youths from communities experiencing lower sexual violence. Youths from communities with greater community-level violence were also less likely to have used a condom at their last sexual encounter. Individual-level violence was only associated with condom nonuse. Conclusions. Programs to reduce adolescent pregnancies and HIV risk in South Africa and elsewhere in sub-Saharan Africa must address sexual violence as part of effective prevention strategies. (Am J Public Health. 2009;99:S425-S431. doi: 10.2105/AJPH.2008.136606) [ABSTRACT FROM AUTHOR]


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