Pregnancy Intimate partner violence Sexual behavior South Africa HIV prevention Adolescent mothers HIV risk Postpartum
The aim of the study was to characterize sexual relationships in pregnancy and HIV risk behavior in the first 14 weeks postpartum among adolescent (aged <18 years), young adult (aged 18-24 years), and adult women (>24 years).
We use bivariate and multivariate statistical tests to describe differences across adolescent (n = 29), young adult (n = 263), and adult women (n = 207).
In pregnancy, adolescents were in significantly less stable relationships and had higher risk partners than young adult or adult women. At 14 weeks postpartum, adolescents were significantly more likely to think their partners were having concurrent relationships since delivery and were likely to have lower relationship power than adult women. Furthermore, young adults were significantly more likely to return to sex and report physical intimate partner violence in the first 14 weeks postpartum than adult women.
Adolescent mothers may benefit from interventions that promote empowerment and the development of healthy relationship skills. Young adult women may benefit from interventions to delay early postpartum engagement in unprotected sex and prevent intimate partner violence exposure. All women, regardless of age group, may benefit from interventions that increase access to pre-exposure prophylaxis and partner's access to HIV testing during the perinatal period.
Describing Relationship Characteristics and Postpartum HIV Risk Among Adolescent, Young Adult, and Adult Women in South Africa
Creators
Allison K Groves - Drexel University
Luwam T Gebrekristos - Drexel University
Luz McNaughton Reyes - Department of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina
Dhayendre Moodley - University of KwaZulu-Natal
Suzanne Maman - University of North Carolina at Chapel Hill
Publication Details
Journal of adolescent health, v 67(1), pp 123-126
Publisher
Elsevier
Grant note
R03 HD089837 / NICHD NIH HHS
Resource Type
Journal article
Language
English
Academic Unit
Dana and David Dornsife School of Public Health; Community Health and Prevention
Web of Science ID
WOS:000580644000024
Scopus ID
2-s2.0-85078250015
Other Identifier
991019168300704721
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