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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Sexual and reproductive health risk behaviours among South African university students: results from a representative campus-wide survey
African journal of AIDS research : AJAR, v 16(1)
02 Jan 2017
PMID: 28367750
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Among South African university students, HIV prevalence is lower than in age-peers, but at 3.8% it is not negligible. We examined prevalence of factors potentially associated with HIV risk, focusing on partnership characteristics and consistent condom use. We hypothesised that contraceptive-related factors, for example, desire to prevent pregnancy and not using hormonal contraceptives, would be positively associated with consistent condom use. Data were drawn from a representative interviewer-administered survey of 2nd to 4th year students conducted during registration at a university campus in KwaZulu-Natal. Of 576 students, 218 (83 women, 135 men) reported vaginal intercourse in the past 2 months. Of these, 7% of women and 43% of men reported past-year concurrent partnerships, and 24% knew/ suspected partner non-monogamy. Although reported condom use at last intercourse was 90%, 2-month consistent use was 53% (women) and 73% (men). Reported hormonal contraception use was low (women: 36.8%; men: 16.7%), and 68% used condoms for dual protection. In gender-stratified multivariable analyses, consistent condom use was higher for men who reported their partner did not use (vs. used) hormonal contraception (aOR = 5.84; 95%CI = 2.71, 12.57; p < 0.001) and who reported using condoms for dual protection (vs. single protection) (aOR = 2.46; 95%CI = 1.43, 4.25; p = 0.001). No contraception-related factors were associated with consistent condom use among women. Sexual partnership characteristics potentially place sexually active university students at high HIV risk and should be investigated further. Among men, but not women, contraceptive concerns were associated with consistent condom use. Promoting condoms for dual protection may resonate with students and should be continued.
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Details
- Title
- Sexual and reproductive health risk behaviours among South African university students: results from a representative campus-wide survey
- Creators
- Susie Hoffman - b Department of Epidemiology , Mailman School of Public Health at Columbia University , New York , USA.Michael Levasseur - Drexel UniversityJoanne E. Mantell - a HIV Center for Clinical and Behavioral Studies , New York State Psychiatric Institute and Columbia University , New York , USAMags Beksinska - University of the WitwatersrandZonke Mabude - University of the WitwatersrandClaudia Ngoloyi - University of the WitwatersrandElizabeth A. Kelvin - City University of New YorkTheresa Exner - a HIV Center for Clinical and Behavioral Studies , New York State Psychiatric Institute and Columbia University , New York , USACheng-Shiun Leu - f Department of Biostatistics , Mailman School of Public Health at Columbia University , New York, New York , USA.Lavanya Pillay - University of the WitwatersrandJennifer A. Smit - University of the Witwatersrand
- Publication Details
- African journal of AIDS research : AJAR, v 16(1)
- Publisher
- Taylor & Francis
- Grant note
- R01-HD046351 / National Institute of Child Health and Human Development P30-MH43520; Principal Investigators: Anke A. Ehr / U.S. Department of Health and Human Services (10.13039/100000016)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000399593500001
- Scopus ID
- 2-s2.0-85016776391
- Other Identifier
- 991019168227604721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health