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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Transactional sex amongst AIDS-orphaned and AIDS-affected adolescents predicted by abuse and extreme poverty
Journal of Acquired Immune Deficiency Syndromes, Volume 58, No. 3, Year 2011
Notification
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Description
Little is known about impacts of familial AIDS on abuse and sexual health outcomes amongst adolescents. Objectives were to determine whether familial AIDS is: (1) associated with severe physical, emotional, and sexual abuse; (2) associated with transactional sexual exploitation; and (3) explore whether relationships between familial AIDS and transactional sex are mediated by extreme poverty and abuse. Design: Adolescent self-report study in deprived South African communities. Methods: A 2009 follow-up of a 2005 study achieved 71% retention (n = 723). The 2009 sample included AIDS-orphaned (n = 236), other-orphaned (n = 231), and non-orphaned (n = 220) adolescents, whose primary caregivers were AIDS sick (n = 109), other sick (n = 147), and healthy (n = 220). Abuse and transactional sex were measured using widely used and validated self-report measures. Results: AIDS orphanhood and parental AIDS sickness predicted emotional and physical abuse and transactional sexual exploitation. Orphanhood or parental sickness by non-AIDS causes, and having healthy caregivers, did not predict any abuse outcomes. Adolescents "dually" affected by AIDS orphanhood and sickness showed a 3-fold likelihood of severe emotional and physical abuse and, amongst girls, a 6-fold likelihood of transactional sexual exploitation, compared with those in healthy families. Heightened risk of transactional sex amongst adolescents in AIDS-affected families was mediated by extreme poverty and abuse exposure. In combination, the effects of familial AIDS, food insecurity, and exposure to abuse raised prevalence of transactional sex amongst girls from 1% to 57%. Conclusions: Adolescents from AIDS-affected families are highly vulnerable to severe physical and emotional abuse and transactional sex. This has implications for policy and programming in child protection and HIV prevention services. © 2011 Lippincott Williams & Wilkins.
Authors & Co-Authors
Cluver, Lucie Dale
United Kingdom, Oxford
University of Oxford
South Africa, Cape Town
University of Cape Town
Orkin, Mark
South Africa, Johannesburg
University of the Witwatersrand
Boyes, Mark E.
United Kingdom, Oxford
University of Oxford
Gardner, Frances E.M.
United Kingdom, Oxford
University of Oxford
Meinck, Franziska
United Kingdom, Oxford
University of Oxford
Statistics
Citations: 156
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1097/QAI.0b013e31822f0d82
ISSN:
15254135
Research Areas
Food Security
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study
Participants Gender
Female