Pettifor Audrey, MacPhail Catherine, Selin Amanda, Gómez-Olivé F Xavier, Rosenberg Molly, Wagner Ryan G, Mabuza Wonderful, Hughes James P, Suchindran Chirayath, Piwowar-Manning Estelle, Wang Jing, Twine Rhian, Daniel Tamu, Andrew Philip, Laeyendecker Oliver, Agyei Yaw, Tollman Stephen, Kahn Kathleen
Department of Epidemiology, University of North Carolina, McGavran Greenberg Building CB#7435, Chapel Hill, NC, 27599, USA.
MRC/Wits Rural Public Health and Health Transitions Unit, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
AIDS Behav. 2016 Sep;20(9):1863-82. doi: 10.1007/s10461-015-1270-0.
Young women in South Africa are at high risk for HIV infection. Cash transfers offer promise to reduce HIV risk. We present the design and baseline results from HPTN 068, a phase III, individually randomized trial to assess the effect of a conditional cash transfer on HIV acquisition among South African young women. A total of 2533 young women were randomized to receive a monthly cash transfer conditional on school attendance or to a control group. A number of individual-, partner-, household- and school-level factors were associated with HIV and HSV-2 infection. After adjusting for age, all levels were associated with an increased odds of HIV infection with partner-level factors conveying the strongest association (aOR 3.05 95 % CI 1.84-5.06). Interventions like cash transfers that address structural factors such as schooling and poverty have the potential to reduce HIV risk in young women in South Africa.
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