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
| dc.contributor.author | Nosipho Shangase | |
| dc.contributor.author | Jess Edwards | |
| dc.contributor.author | Brian Pence | |
| dc.contributor.author | Allison Aiello | |
| dc.contributor.author | Andrea Hussong | |
| dc.contributor.author | Xavier Gómez-Olivé | |
| dc.contributor.author | Kathleen Kahn | |
| dc.contributor.author | Marie Stoner | |
| dc.contributor.author | Audrey Pettifor | |
| dc.date.accessioned | 2024-04-10T12:53:38Z | |
| dc.date.available | 2024-04-10T12:53:38Z | |
| dc.date.issued | 2022-04-01 | |
| dc.description.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. | |
| dc.description.librarian | PM2023 | |
| dc.faculty | Faculty of Health Sciences | |
| dc.identifier.uri | https://hdl.handle.net/10539/38355 | |
| dc.language.iso | en | |
| dc.school | Public Health | |
| dc.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 | |
| dc.type | Article |