Prevalence and correlates of anal sex among secondary school students in Cape Town, South Africa

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dc.contributor.authorYbarra, Michele
dc.contributor.authorPrice-Feeney, Myeshia
dc.contributor.authorMwaba, Kelvin
dc.date.accessioned2018-02-24T13:56:54Z
dc.date.available2018-02-24T13:56:54Z
dc.date.issued2018
dc.description.abstractResearch efforts have overlooked anal sex as a risk factor for adolescents’ acquisition of HIV despite the high rates of HIV among South African youth. Here, we report findings from a survey conducted in 2012 among secondary school youth, ages 16–24, in Cape Town. 937 adolescents completed a pencil-and-paper survey. Eleven and 31% of female and male youth, respectively, reported ever having anal sex. By comparison, 59% and 78% of female and male youth reported ever having vaginal sex. The percentage of youth reporting lifetime rates of anal sex increased with age: 32% of 20-to-24 year olds had anal sex compared to 16% of 16-to-17-year olds. When the sample was stratified by sex, this difference appeared to be driven by older male, but not female, sexual behavior. Despite noted differences in prevalence rates by sex, both boys and girls who had anal sex were more likely than their same-sex peers who had vaginal sex to report sexual coercion victimization and perpetration experiences and inconsistent condom use. Interestingly, some differences in HIV motivation, information, and behavioral skills were noted for youth who had vaginal sex versus youth who had never had sex; scores were largely similar for youth who had anal sex versus youth who had never had sex however. Together, these findings suggest that anal sex is not uncommon and may be an important marker for other HIV risk behaviors in at least one lower income South African community. Anal sex needs to be explicitly discussed in adolescent HIV prevention and healthy sexuality programing, incorporating age-relevant scenarios about negotiating condoms and other healthy relationship behaviors (e.g., refusing sex when it is not wanted).en_US
dc.identifier.citationYbarra, M. et al. (2018). Prevalence and correlates of anal sex among secondary school students in Cape Town, South Africa. AIDS Care, 2018.en_US
dc.identifier.issn0954-0121
dc.identifier.urihttp://dx.doi.org/10.1080/09540121.2018.1426824
dc.identifier.urihttp://hdl.handle.net/10566/3530
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherTaylor & Francisen_US
dc.rightsThis is the author-version of the article published online at: http://dx.doi.org/10.1080/09540121.2018.1426824
dc.status.ispeerreviewedTRUE
dc.subjectHIV preventionen_US
dc.subjectSouth Africaen_US
dc.subjectAdolescentsen_US
dc.subjectSexual behaviorsen_US
dc.subjectAnal sexen_US
dc.subjectYouthen_US
dc.titlePrevalence and correlates of anal sex among secondary school students in Cape Town, South Africaen_US
dc.typeArticleen_US

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