학술논문

Multilevel Measures of Education and Pathways to Incident Herpes Simplex Virus Type 2 in Adolescent Girls and Young Women in South Africa
Document Type
article
Source
Journal of Adolescent Health. 65(6)
Subject
Biomedical and Clinical Sciences
Public Health
Health Sciences
Pediatric
Clinical Research
Sexually Transmitted Infections
Infectious Diseases
Prevention
Aetiology
2.2 Factors relating to the physical environment
Infection
Adolescent
Adult
Age Factors
Educational Status
Female
Health Education
Herpes Genitalis
Herpesvirus 2
Human
Humans
Longitudinal Studies
Risk Factors
Schools
Sexual Partners
South Africa
Young Adult
HSV-2
Mediation
Education
Sexual behaviors
Multilevel
Adolescent girls and young women
Medical and Health Sciences
Psychology and Cognitive Sciences
Biomedical and clinical sciences
Health sciences
Psychology
Language
Abstract
PurposeSchooling is associated with a lower risk of Herpes simplex virus type 2 (HSV-2) in adolescent girls and young women, but there is little understanding of the pathways underlying this relationship.MethodsWe used data from adolescent girls and young women in South Africa enrolled in the HIV Prevention Trials Network 068 study. We tested a structural equation model where individual household and community education measures were associated directly and indirectly with incident HSV-2 through HIV knowledge, future aspirations, age-disparate partnerships, sex in the last 12 months, and condomless sex.ResultsCommunity, household, and individual measures of schooling were all associated with incident HSV-2 infection through mediated pathways that increased the likelihood of having sex. Low school attendance (