HIV infection and sexual partnerships and behaviour among adolescent girls in Nairobi, Kenya

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
International Journal of STD & AIDS (Impact Factor: 1.05). 07/2012; 23(7):468-74. DOI: 10.1258/ijsa.2012.011361
Source: PubMed


Early sexual partnerships place young women in sub-Saharan Africa at high risk for HIV. Few studies have examined both individual- and partnership-level characteristics of sexual relationships among adolescent girls. A cross-sectional survey of sexual history and partnerships was conducted among 761 adolescent girls aged 15-19 years in Nairobi, Kenya. Rapid HIV testing was conducted and correlates of HIV infection were determined using multivariate logistic regression. The HIV prevalence was 7% and seropositive adolescents had a younger age at sexual debut (P < 0.01), more sexual partners in 12 months (P = 0.03), and were more likely to report transactional or non-consensual sex (P < 0.01). Girls who reported not knowing their partner's HIV status were 14 times as likely to be HIV-seropositive than girls who knew their partner's status (adjusted odds ratio: 14.2 [1.8, 109.3]). Public health messages to promote HIV testing and disclosure within partnerships could reduce sexual risk behaviours and HIV transmission among adolescents.

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    • "Sexual debut occurred earlier in NCS than in consensual sexual relationship, 13.5 years and 14.4 years respectively even though not statistically significant, P=0.10. this is similarly reported by Rositch et al.,13 In Males among NCS subjects, sexual debut occurred 1.5 years earlier than in those reporting consensual relationship, P=0.045, while in females, it occurs 2.5 years earlier than in those with consensual relationships, P=0.02. "
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