Publications [#253943] of Kathleen J. Sikkema

Journal Articles

1. Dietrich, J; Sikkema, K; Otwombe, KN; Sanchez, A; Nkala, B; de Bruyn, G; Van Der Watt, M; Gray, GE (2013). Multiple Levels of Influence in Predicting Sexual Activity and Condom Use Among Adolescents in Soweto, Johannesburg, South Africa. Journal of Hiv/Aids & Social Services, 12(3-4), 404-423. [doi]
   (last updated on 2021/12/08)

   Abstract:
   HIV prevalence amongst 15-19 year olds in South Africa is 6.7% and 2.5% in females and males respectively. Using an interviewer-administered cross-sectional survey, we examined individual, interpersonal, family and community factors associated with sexual activity and condom use among 506 adolescents 16-18 years from Soweto, Johannesburg. The sample was mainly female (59%, n = 298). Using multivariate logistic regression, males (OR:2.6, CI: 1.4-4.8), older partners (OR:4.5, CI: 1.5-13.8), hazardous alcohol use (OR:2.4, CI: 1.1-5.2) and permissive attitudes about sex (OR:1.6, CI: 1.3-2.1) predicted sexual activity. A first partner at a younger age (OR:1.2, CI: 1.1-1.4) and having older partners (OR:0.29, CI: 0.13-0.68) predicted lack of condom use. For females, increasing age (OR:2.7 CI:1.4-5.5), older partners (OR: 3.3 CI:1.4-7.6), and permissive attitudes about sex (OR: 1.6 CI:1.2-2.1) predicted sexual activity. Multiple levels have to be addressed in developing HIV prevention programs for adolescents in Soweto. © 2013 Copyright Taylor and Francis Group, LLC.