Added: Kyndal Sequeira - Date: 06.05.2022 16:16 - Views: 34024 - Clicks: 7691
Among young people in Zimbabwe, the risk of HIV infection rises with the cumulative of sexual partners and decreases with rising age at first intercourse. Data from more than 4, men and women aged indicate that the tendency of young women to have older partners--who are more likely to be infected--is a major factor in this differential. Between July Mature women Zimbabwe Januaryresearchers surveyed households in rural eastern Zimbabwe to determine the risk behaviors associated with HIV infection among adults; all year-old men and women were eligible to take part in the study.
The interviews covered social and demographic information, sexual history age at first sex and lifetime of partners and sexual behavior within the last two relationships in the past month frequency of intercourse, type of relationships, frequency of condom use and partners' characteristics. All respondents provided blood for HIV testing. Overall, 9, men and women participated in the study; 2, men and 2, women were younger than 25 and were included in these analyses.
Male and female respondents did not differ in their median age at first sex Young women reported having had sexual relationships with men who were a median of six years older, while young men reported having had sexual relationships with women who were a median of three years younger. Men were ificantly more likely than women to use condoms consistently odds ratio, 7. This may be partly explained by the fact that women were ificantly more likely than men to be married 9. In bivariate analyses adjusted for age, the risk of HIV infection among year-old women rose with the cumulative of partners and of years by which women were younger than their most recent partner, and declined with rising age at first intercourse.
Moreover, women whose most recent partner had other partners and women who had consistently used condoms with their most recent partner had elevated risks of infection. For men, HIV risk rose with cumulative of partners and age difference with the most recent partner. In the first step of a reverse stepwise multivariate regression analysis, the researchers tested the effects of personal and behavioral factors on the risk of HIV infection among all respondents who had been sexually active in the year.
Being female was the factor most strongly associated with HIV infection odds ratio, 6.
Among both women and men, the risk of infection rose with cumulative of partners and declined with rising age at first intercourse. When the analysis was limited to respondents who had had sex in the month and partner characteristics were entered into the analysis, risk rose slightly with each year by which the respondents were younger than their most recent partner 1.
Age at first intercourse no longer had a ificant effect on women's HIV risk, and no behavioral or personal characteristics continued to have an effect for men. Further restriction of the analysis to respondents who had had sex in the two weeks did not change the effects of personal and behavioral factors; however, HIV risk was elevated among those who had used condoms consistently with their most recent partner 2.
The researchers conclude that the high prevalence of HIV among women in Zimbabwe occurs mainly because the cultural and social norms and economic realities of the region influence female adolescents to have sexual relationships with older men, who are more likely than adolescent males to be HIV-positive. They note that "although it is unrealistic to expect to alter the underlying socioeconomic context quickly, understanding its nature and influence on local patterns of sexual behavior should aid development of more relevant and, therefore, more effective HIV prevention strategies.
Gregson S Mature women Zimbabwe al.
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Food For Thought – The Status of Women in Zimbabwe