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AIDS and Behavior
Published in: AIDS and Behavior 6/2018

01-06-2018 | Original Paper

Hope, the Household Environment, and Sexual Risk Behaviors Among Young Women in Rural South Africa (HPTN 068)

Authors: Lauren M. Hill, Laurie Abler, Suzanne Maman, Rhian Twine, Kathleen Kahn, Catherine MacPhail, Audrey Pettifor

Published in: AIDS and Behavior | Issue 6/2018

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Abstract

We assessed the psychological trait of hope as an explanatory mediator in the relationship between the home environment and sexual risk behaviors among 2533 young women in rural South Africa. Hope mediated the relationship between average household age and sexual debut (mediated effect = − 0.003, p < 0.05), and between household consumption and sexual debut (mediated effect = − 0.019, p < 0.05). Both higher average household age (β = 0.01; 95% CI 0.00, 0.01) and greater household consumption (β = 0.05; 95% CI 0.02, 0.08) were marginally associated with higher hope. In turn, greater hope was associated with lower odds of sexual debut (aOR = 0.62; 95% CI 0.52, 0.74). These results provide important preliminary evidence of the role of the home environment in shaping protective psychological assets and healthy sexual behaviors. Continued exploration of the relationship between hope and the home environment may help to explain why young women in this context have a disproportionate risk for HIV.
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Metadata
Title
Hope, the Household Environment, and Sexual Risk Behaviors Among Young Women in Rural South Africa (HPTN 068)
Authors
Lauren M. Hill
Laurie Abler
Suzanne Maman
Rhian Twine
Kathleen Kahn
Catherine MacPhail
Audrey Pettifor
Publication date
01-06-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 6/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-1945-9

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