Evidence map›Paper›PMID 31748938›Full record

ArticleAIDS and behavior2020

Consistent Provisions Mitigate Exposure to Sexual Risk and HIV Among Young Adolescents in South Africa.

Elona Toska, Laurence Campeau, Lucie Cluver, F Mark Orkin, McKenzie N Berezin, Lorraine Sherr, Christina A Laurenzi, Gretchen Bachman

Abstract read
In one paragraph

Article in AIDS and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Accelerating achievement for Africa's adolescents.Contemporary social science · 2025
    Article
  3. Article
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  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elona ToskaAIDS and Society Research Unit, University of Cape Town, Cape Town, South Africa. Elona.Toska@uct.ac.za.ORCID http://orcid.org/0000-0002-3800-3173
Laurence CampeauDepartment of Social Policy and Intervention, University of Oxford, Oxford, UK.
Lucie CluverDepartment of Social Policy and Intervention, University of Oxford, Oxford, UK.
F Mark OrkinSAMRC Developmental Pathways for Health Research Unit, School of Clinical Medicine, University of Witwatersrand, Johannesburg, South Africa.
McKenzie N BerezinDepartment of Social Policy and Intervention, University of Oxford, Oxford, UK.
Lorraine SherrInstitute of Global Health, University College London, London, UK.
Christina A LaurenziInstitute for Life Course Health Research, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.
Gretchen BachmanOffice of HIV/AIDS, United States Agency for International Development, Arlington, VA, USA.

Funding

Undetectable and Untransmittable: reducing HIV transmission among young women living with HIV, their partners and children in South AfricaK43TW011434 · FIC · UNIVERSITY OF CAPE TOWN · PI TOSKA, ELONA · 2019 to 2023
$720k
Claude Leon Foundation F08 559/CEconomic and Social Research Council, U.K. IAA-MT13- 003FIC NIH HHS K43 TW011434Health Economics and HIV/AIDS Research Division (HEARD) at the University of KwaZulu-Natal R14304/AA002International AIDS Society 155-Hod; 2018/625-TOSJohn Fell Fund, University of Oxford 103/757 & 161/033Leverhulme Trust PLP-2014-095Medical Research Council MR/R022372/1National Institutes of Health Research (NIHR) MR/R022372/1Nuffield Foundation CPF/41513; OPD/31598Oak Foundation R46194/AA001South African National Department of Social Development 27/2011/11 HIV AND AIDSSouth African National Research Foundation RES-062-23-2068United States Agency for International Development AID-OAA-LA-13-00001University of Oxford's ESRC Impact Acceleration Account K1311-KEA-004 & 1602-KEA-189
6 · The paper itself

Abstract

Exposure to sexual risk in early adolescence strongly predicts HIV infection, yet evidence for prevention in young adolescents is limited. We pooled data from two longitudinal South African surveys, with adolescents unexposed to sexual risk at baseline (n = 3662). Multivariable logistic regression tested associations between intermittent/consistent access to eight provisions and reduced sexual risk exposure. Participants were on average 12.8 years, 56% female at baseline. Between baseline and follow-up, 8.6% reported sexual risk exposure. Consistent access to caregiver supervision (OR 0.53 95%CI 0.35-0.80 p = 0.002), abuse-free homes (OR 0.55 95%CI 0.37-0.81 p = 0.002), school feeding (OR 0.55 95%CI 0.35-0.88 p = 0.012), and HIV prevention knowledge (OR 0.43, 95%CI 0.21-0.88 p = 0.021) was strongly associated with preventing early sexual risk exposure. While individual factors reduced the odds of sexual risk exposure, a combination of all four resulted in a greater reduction, from 12.9% (95%CI 7.2-18.7) to 1.0% (95%CI 0.2-1.8). Consistent access to provisions in early adolescence may prevent sexual risk exposure among younger adolescents.

Indexed as

CaregiversParentingSchoolsAdolescentAdolescent BehaviorChildCoitusCondomsEducationFemaleHealth EducationHIV InfectionsHumansIncomeLogistic ModelsLongitudinal StudiesAdolescentsHIVPreventionSexual riskSouth Africa

Identifiers

PMID31748938
PMCPMC7018679

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.