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Pregnant or Positive

Adolescent Childbearing and HIV Risk in KwaZulu Natal, South Africa

Bibliographic Data

ID4844880
AuthorsNaomi Rutenberg (Population Council), Carol E Kaufman (0000-0001-5136-3862, University of Colorado Health), Kate Macintyre (0000-0003-2741-0467, Tulane University), Lisanne Brown (Tulane University), Ali Karim (0000-0001-9423-9626), Ali Mehryar Karim (0000-0002-9396-6861, Tulane University)
Year2003
Volume11
Issue22
Pages122-133
Publication date2003-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueReproductive Health Matters (JOURNAL)
Journal identifiersISSN: 0968-8080 • E-ISSN: 1460-9576
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1016/s0968-8080(03)02298-5
PMID14708403
OpenAlexW2080440027
LanguageEN
Citations received9
References cited29

In communities where early age of childbearing is common and HIV prevalence is high, adolescents may place themselves at risk of HIV because positive or ambivalent attitudes towards pregnancy reduce their motivation to abstain from sex, have sex less often or use condoms. In this study, we analyse cross-sectional survey data from KwaZulu Natal, South Africa, to explore whether an association exists between the desire for pregnancy and perceptions of HIV risk among 1,426 adolescents in 110 local communities. Our findings suggest that some adolescents, girls more than boys, were more concerned about a pregnancy if they lived in environments where youth were perceived to be at high risk of HIV infection. The probability that pregnancy was considered a problem by boys was positively correlated with the proportion of adult community members who thought youth were at risk of acquiring HIV, and for girls by the proportion of peers in the community who thought youth were at risk of HIV. We also found that becoming pregnant would be a bigger problem for the African girls than the white and Indian girls. The analysis suggests that for some adolescents, in addition to effects on educational and employment opportunities, the danger of HIV infection is becoming part of the calculus of the desirability of a pregnancy

Ambivalence · Developing country · Developmental psychology · Environmental health · Family medicine · Fertility · Population · Pregnancy · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Poverty, Education, and Child Welfare · Psychology · Social Psychology

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Unique citing works9
Citations per year0.41
Citation span2004 - 2025 (22)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 8

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