| Titre : | Influenza preparedness and response. Sexual Violence and Reproductive Health Outcomes Among South African Female Youths : A Contextual Analysis. (2009) |
| Auteurs : | Ilene-S SPEIZER ; Stirling CUMMINGS ; Immo KLEINSCHMIDT ; Catherine MACPHAIL ; Audrey PETTIFOR ; Helen-V REES |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 99, 2009) |
| Pagination : | S425-S431 |
| Langues: | Anglais |
| Mots-clés : | Abus sexuel ; Violence ; Femme enceinte ; Femme ; Grossesse ; Pronostic ; Evolution ; République sud africaine ; Grossesse adolescente ; Adolescent ; Victime ; Homme ; Afrique ; Maltraitance |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xsq7rm. Diffusion soumise à autorisation]. 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. |
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