Operario Don, Pettifor Audrey, Cluver Lucie, MacPhail Catherine, Rees Helen
Department of Social Policy and Social Work, University of Oxford, Oxford, United Kingdom.
J Acquir Immune Defic Syndr. 2007 Jan 1;44(1):93-8. doi: 10.1097/01.qai.0000243126.75153.3c.
This study estimated the prevalence and sociodemographic characteristics of young people in South Africa who have experienced parental death and examined associations between parental death and young people's HIV status and sexual behaviors.
Data were from a cross-sectional nationally representative household survey of 11,904 15- to 24-year-old South Africans. Surveys included items on sexual behavior and family composition, and oral fluid samples were collected to test for HIV status.
The prevalence of parental death was 27.3% overall: 22.4% reported a father deceased, 7.9% reported a mother deceased, and 3.0% reported both parents deceased. Parental death was disproportionately associated with black ethnicity, impoverished household living conditions, lack of an adult guardian in the home, and not completing compulsory education levels. Controlling for sociodemographic factors, parental death among female participants was significantly associated with HIV-positive status (odds ratio [OR] = 1.25, 95% confidence interval [CI]: 1.08 to 1.44), ever having had oral sex (OR = 1.23, 95% CI: 1.02 to 1.49), ever having had vaginal sex (OR = 1.38, 95% CI: 1.19 to 1.60), and having more than 1 sex partner during the past year (OR = 1.33, 95% CI: 1.07 to 1.64). Among male participants, parental death was significantly associated with ever having had vaginal sex (OR = 1.19, 95% CI: 1.04 to 1.36) and having unprotected sex at the last sexual episode (OR = 1.23, 95% CI: 1.07 to 1.42).
More than one quarter of young South Africans have experienced parental death. Death of a parent is associated with young female South Africans' HIV status and sexual behaviors among young female and male South Africans. HIV prevention interventions are necessary to address the specific needs of young South Africans who have experienced parental death.
本研究估计了南非经历过父母死亡的年轻人的患病率及社会人口学特征，并研究了父母死亡与年轻人的艾滋病毒感染状况及性行为之间的关联。
数据来自对11904名15至24岁南非人进行的具有全国代表性的横断面家庭调查。调查内容包括性行为和家庭构成项目，并采集口腔液样本检测艾滋病毒感染状况。
总体而言，父母死亡的患病率为27.3%：22.4%报告父亲去世，7.9%报告母亲去世，3.0%报告父母双亡。父母死亡与黑人种族、贫困的家庭生活条件、家中缺乏成年监护人以及未完成义务教育程度的关联不成比例。在控制社会人口学因素后，女性参与者中的父母死亡与艾滋病毒阳性状态（优势比[OR]=1.25，95%置信区间[CI]：1.08至1.44）、曾有口交行为（OR=1.23，95%CI：1.02至1.49）、曾有阴道性交行为（OR=1.38，95%CI：从1.19至1.60）以及在过去一年中有多个性伴侣（OR=1.33，置信区间95%：1.07至1.64）显著相关。在男性参与者中，父母死亡与曾有阴道性交行为（OR=1.19，95%CI：1.04至1.36）以及在最近一次性行为中有无保护性行为（OR=1.23，95%CI：1.07至1.42）显著相关。
超过四分之一的南非年轻人经历过父母死亡。父母死亡与南非年轻女性的艾滋病毒感染状况以及南非年轻女性和男性的性行为有关。有必要开展艾滋病毒预防干预措施，以满足经历过父母死亡的南非年轻人的特殊需求。
