Sexual behavior and HIV risk across the life course in rural South Africa: Trends and comparisons

Brian Houle, Sanyu A. Mojola, Nicole Angotti, Enid Schatz, F. Xavier Gómez-Olivé, Samuel J. Clark, Jill R. Williams, Chodziwadziwa Kabudula, Stephen Tollman, Jane Menken

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

There is limited information about sexual behavior among older Africans, which is problematic given high HIV rates among older adults. We use a population-based survey among people aged 15–80+ to examine the prevalence of sexual risk and protective behaviors in the context of a severe HIV epidemic. We focus on variation across the life course, gender and HIV serostatus to compare the similarities and differences of young, middle aged, and older adults. Younger adults continue to be at risk of HIV, with potential partners being more likely to have been diagnosed with an STI and more likely to have HIV, partner change is high, and condom use is low. Middle aged and older adults engage in sexual behavior that makes them vulnerable at older ages, including extramarital sex, low condom use, and cross-generational sex with people in age groups with the highest rates of HIV. We find insignificant differences between HIV positive and negative adults’ reports of recent sexual activity. This study provides new information on sexual behavior and HIV risk across the life course in rural South Africa to inform HIV prevention and treatment programing.

Original languageEnglish (US)
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume30
Issue number11
DOIs
StatePublished - Apr 28 2018

All Science Journal Classification (ASJC) codes

  • Social Psychology
  • Health(social science)
  • Public Health, Environmental and Occupational Health

Keywords

  • HIV/AIDS
  • Life course
  • Sexual behavior
  • South Africa

Fingerprint Dive into the research topics of 'Sexual behavior and HIV risk across the life course in rural South Africa: Trends and comparisons'. Together they form a unique fingerprint.

  • Cite this

    Houle, B., Mojola, S. A., Angotti, N., Schatz, E., Gómez-Olivé, F. X., Clark, S. J., Williams, J. R., Kabudula, C., Tollman, S., & Menken, J. (2018). Sexual behavior and HIV risk across the life course in rural South Africa: Trends and comparisons. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 30(11). https://doi.org/10.1080/09540121.2018.1468008