Effect of Quality of Caregiver–Adolescent Relationship on Sexual Debut, Transactional Sex, and on Age-Disparate Relationships Among Young Women in Rural South Africa Enrolled in HPTN 068. (1st April 2022)
- Record Type:
- Journal Article
- Title:
- Effect of Quality of Caregiver–Adolescent Relationship on Sexual Debut, Transactional Sex, and on Age-Disparate Relationships Among Young Women in Rural South Africa Enrolled in HPTN 068. (1st April 2022)
- Main Title:
- Effect of Quality of Caregiver–Adolescent Relationship on Sexual Debut, Transactional Sex, and on Age-Disparate Relationships Among Young Women in Rural South Africa Enrolled in HPTN 068
- Authors:
- Shangase, Nosipho
Edwards, Jess
Pence, Brian
Aiello, Allison
Hussong, Andrea
Gómez-Olivé, Xavier
Kahn, Kathleen
Stoner, Marie
Pettifor, Audrey - Abstract:
- Abstract : Supplemental Digital Content is Available in the Text. Abstract : Background: Adolescent girls and young women (AGYW) remain burdened by the HIV epidemic. Positive caregiver–child relationships are associated with safe sexual behaviors in young people; yet, this literature often highlights the role of parent–child communication and parental monitoring, neglecting the importance of emotional relationships between a caregiver and adolescent. Setting: We used longitudinal data from HIV Prevention Trial Network 068—conducted among 2533 AGYW (13–20 years) over a period of 5 years in Agincourt, South Africa. Method: Kaplan–Meier and Cox models were used to estimate the effect of quality of caregiver–adolescent relationships (caring and closeness) on sexual debut, and log-binomial models with generalized estimating equations were used to examine the relationship between our exposures and transactional sex and age-disparate relationships. Results: Sexual debut was delayed among those who reported high levels of caregiver caring [hazard ratio: 0.80, 95% confidence interval (CI): 0.69 to 0.93] and caregiver closeness (hazard ratio: 0.80, 95% CI: 0.68 to 0.95). AGYW who reported high quality caregiver–adolescent relationships had a lower risk of transactional sex [caring: risk ratio (RR): 0.67, 95% CI: 0.58 to 0.78; closeness: RR: 0.58; 95% CI: 0.50 to 0.67]. Similarly, those with high-quality caregiver–adolescent relationships were less likely to be in an age-disparateAbstract : Supplemental Digital Content is Available in the Text. Abstract : Background: Adolescent girls and young women (AGYW) remain burdened by the HIV epidemic. Positive caregiver–child relationships are associated with safe sexual behaviors in young people; yet, this literature often highlights the role of parent–child communication and parental monitoring, neglecting the importance of emotional relationships between a caregiver and adolescent. Setting: We used longitudinal data from HIV Prevention Trial Network 068—conducted among 2533 AGYW (13–20 years) over a period of 5 years in Agincourt, South Africa. Method: Kaplan–Meier and Cox models were used to estimate the effect of quality of caregiver–adolescent relationships (caring and closeness) on sexual debut, and log-binomial models with generalized estimating equations were used to examine the relationship between our exposures and transactional sex and age-disparate relationships. Results: Sexual debut was delayed among those who reported high levels of caregiver caring [hazard ratio: 0.80, 95% confidence interval (CI): 0.69 to 0.93] and caregiver closeness (hazard ratio: 0.80, 95% CI: 0.68 to 0.95). AGYW who reported high quality caregiver–adolescent relationships had a lower risk of transactional sex [caring: risk ratio (RR): 0.67, 95% CI: 0.58 to 0.78; closeness: RR: 0.58; 95% CI: 0.50 to 0.67]. Similarly, those with high-quality caregiver–adolescent relationships were less likely to be in an age-disparate relationship (caring: RR: 0.68, 95% CI: 0.58 to 0.79; closeness: RR: 0.77, 95% CI: 0.66 to 0.90). Conclusions: Findings indicate high-quality caregiver–adolescent relationships are associated with delayed sexual debut, a lower risk of transactional sex, and having an older partner. Family-centered interventions are needed to improve relationships between AGYW and caregivers. … (more)
- Is Part Of:
- Journal of acquired immune deficiency syndromes. Volume 89:Number 4(2022)
- Journal:
- Journal of acquired immune deficiency syndromes
- Issue:
- Volume 89:Number 4(2022)
- Issue Display:
- Volume 89, Issue 4 (2022)
- Year:
- 2022
- Volume:
- 89
- Issue:
- 4
- Issue Sort Value:
- 2022-0089-0004-0000
- Page Start:
- 366
- Page End:
- 373
- Publication Date:
- 2022-04-01
- Subjects:
- adolescent girls and young women -- caregiver–adolescent relationships -- sexual behaviors -- South Africa -- transactional sex -- age-disparate relationships
AIDS (Disease) -- Periodicals
Acquired Immunodeficiency Syndrome -- Periodicals
AIDS (Disease)
Periodicals
616.9792005 - Journal URLs:
- http://journals.lww.com/jaids/pages/default.aspx ↗
http://www.jaids.com ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/QAI.0000000000002890 ↗
- Languages:
- English
- ISSNs:
- 1525-4135
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4644.422000
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