Author:
MAGADI MONICA A.,UCHUDI JOSEPH
Abstract
SummaryThis paper examines the effect of orphanhood and HIV status of adults in a household on onset of sexual activity among adolescent girls and boys aged 15–17 years in sub-Saharan Africa. Multilevel logistic regression models were applied to pooled Demographic and Health Surveys data from nineteen countries of sub-Saharan Africa where HIV test data were collected during 2003–2008 from nationally representative samples of men and women of reproductive age. The results highlight increased vulnerability among adolescent boys and girls living in households where an adult is infected with HIV, and adolescent boys who are paternal orphans. On average, adolescent boys and girls living in households where at least one adult is HIV-positive have about 25% higher odds of having initiated sexual activity compared with their counterparts of similar characteristics in households where no adult is HIV-positive. Furthermore, adolescent boys who are paternal orphans have about 25% higher odds of having initiated sexual activity than their non-orphan counterparts of similar individual characteristics. Further analysis reveals that household circumstances relating to living arrangements and poverty are important pathways through which household HIV/AIDS status is linked to adolescent sexual debut. The findings underscore the importance of international efforts in the sub-Saharan Africa region to address the plight of other children in HIV/AIDS-affected households, beyond orphans.
Publisher
Cambridge University Press (CUP)
Subject
Public Health, Environmental and Occupational Health,General Social Sciences
Reference38 articles.
1. WHO (2008) Promoting Adolescent Sexual and Reproductive Health Through Schools in Low Income Countries: An Information Brief. WHO, Geneva. URL: http://whqlibdoc.who.int/hq/2009/WHO_FCH_CAH_ADH_09.03_eng.pdf (accessed 21st February 2014).
2. Livelihoods, care and the familial relations of orphans in eastern Africa
3. The dynamics of intergenerational sexual relationships: the experience of schoolgirls in Botswana
4. Youth Assets and Sexual Risk Behavior: The Importance of Assets for Youth Residing in One-Parent Households
5. “Main" girlfriends, girlfriends, marriage, and money: the social context of HIV risk behavior in Sub-Saharan Africa;Meekers;Health Transition Review,1997
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