Sex in the shadow of HIV: A systematic review of prevalence, risk factors, and interventions to reduce sexual risk-taking among HIV-positive adolescents and youth in Sub-Saharan Africa

Autor: Roxanna Haghighat, Franziska Meinck, Elona Toska, Marija Pantelic, Katharina Keck, Lucie Cluver
Rok vydání: 2017
Předmět:
Male
Safe Sex
RNA viruses
Pediatrics
Maternal Health
Psychological intervention
lcsh:Medicine
Human sexuality
HIV Infections
Adolescents
Pathology and Laboratory Medicine
Geographical Locations
Database and Informatics Methods
0302 clinical medicine
Immunodeficiency Viruses
Pregnancy
Risk Factors
Prevalence
Medicine and Health Sciences
030212 general & internal medicine
Young adult
Database Searching
10. No inequality
lcsh:Science
Child
education.field_of_study
Multidisciplinary
Obstetrics and Gynecology
Research Assessment
Checklist
3. Good health
Systematic review
Sexual Partners
Contraception
Infectious Diseases
Medical Microbiology
Viral Pathogens
Viruses
Female
Pathogens
0305 other medical science
Research Article
medicine.medical_specialty
Adolescent
Systematic Reviews
Sexual Behavior
Population
Sexually Transmitted Diseases
Transactional sex
Research and Analysis Methods
Microbiology
03 medical and health sciences
Social support
Young Adult
Risk-Taking
Retroviruses
medicine
Humans
Female Contraception
education
Microbial Pathogens
Africa South of the Sahara
030505 public health
business.industry
lcsh:R
Lentivirus
Organisms
Social Support
Biology and Life Sciences
HIV
Age Groups
People and Places
Africa
Women's Health
lcsh:Q
Population Groupings
business
Demography
Zdroj: PLoS ONE
PLoS ONE, Vol 12, Iss 6, p e0178106 (2017)
Toska, E, Pantelic, M, Meinck, F, Keck, K, Haghighat, R & Cluver, L 2017, ' Sex in the shadow of HIV : A systematic review of prevalence, risk factors, and interventions to reduce sexual risk-taking among HIVpositive adolescents and youth in sub-Saharan Africa ', PLoS ONE, vol. 12, no. 6, e0178106 . https://doi.org/10.1371/journal.pone.0178106
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0178106
Popis: Background Evidence on sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa is urgently needed. This systematic review synthesizes the extant research on prevalence, factors associated with, and interventions to reduce sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa. Methods Studies were located through electronic databases, grey literature, reference harvesting, and contact with researchers. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Quantitative studies that reported on HIV-positive participants (10-24 year olds), included data on at least one of eight outcomes (early sexual debut, inconsistent condom use, older partner, transactional sex, multiple sexual partners, sex while intoxicated, sexually transmitted infections, and pregnancy), and were conducted in sub-Saharan Africa were included. Two authors piloted all processes, screened studies, extracted data independently, and resolved any discrepancies. Due to variance in reported rates and factors associated with sexual risk-taking, meta-analyses were not conducted. Results 610 potentially relevant titles/abstracts resulted in the full text review of 251 records. Forty-two records (n=35 studies) reported one or multiple sexual practices for 13,536 HIV-positive adolescents/youth from 13 sub-Saharan African countries. Seventeen cross-sectional studies reported on individual, relationship, family, structural, and HIV-related factors associated with sexual risk-taking. However, the majority of the findings were inconsistent across studies, and most studies scored Conclusions Sexual risk-taking among HIV-positive adolescents and youth is high, with inconclusive evidence on potential determinants. Few known studies test secondary HIV-prevention interventions for HIV-positive youth. Effective and feasible low-cost interventions to reduce risk are urgently needed for this group.
Databáze: OpenAIRE
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