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