Hope, the Household Environment, and Sexual Risk Behaviors Among Young Women in Rural South Africa (HPTN 068)

被引：6
|
作者：
Hill, Lauren M. [1 ]
Abler, Laurie [1 ]
Maman, Suzanne [1 ]
Twine, Rhian [2 ]
Kahn, Kathleen [2 ]
MacPhail, Catherine [2 ,3 ,4 ]
Pettifor, Audrey [5 ]
机构：
[1] Univ N Carolina, Dept Hlth Behav, Chapel Hill, NC 27599 USA
[2] Univ Witwatersrand, Sch Publ Hlth, MRC Wits Rural Publ Hlth & Hlth Transit Res Unit, Fac Hlth Sci, Johannesburg, South Africa
[3] Univ Witwatersrand, Wits Reprod Hlth & HIV Inst, Johannesburg, South Africa
[4] Univ Wollongong, Sch Hlth & Soc, Wollongong, NSW, Australia
[5] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC USA
来源：
AIDS AND BEHAVIOR | 2018年 / 22卷 / 06期
基金：
美国国家卫生研究院;
关键词：
Hope; Household; Sexual risk; South Africa; Young women; HIV; SOCIOECONOMIC-STATUS; HIV PREVENTION; YOUTH ASSETS; ADOLESCENTS; HEALTH; INCOME; FUTURE; HOPELESSNESS; EXPECTATIONS; EDUCATION;
D O I：
10.1007/s10461-017-1945-9
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
We assessed the psychological trait of hope as an explanatory mediator in the relationship between the home environment and sexual risk behaviors among 2533 young women in rural South Africa. Hope mediated the relationship between average household age and sexual debut (mediated effect = - 0.003, p < 0.05), and between household consumption and sexual debut (mediated effect = - 0.019, p < 0.05). Both higher average household age (beta = 0.01; 95% CI 0.00, 0.01) and greater household consumption (beta = 0.05; 95% CI 0.02, 0.08) were marginally associated with higher hope. In turn, greater hope was associated with lower odds of sexual debut (aOR = 0.62; 95% CI 0.52, 0.74). These results provide important preliminary evidence of the role of the home environment in shaping protective psychological assets and healthy sexual behaviors. Continued exploration of the relationship between hope and the home environment may help to explain why young women in this context have a disproportionate risk for HIV.
引用
收藏
页码：1908 / 1918
页数：11
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