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Exposure to comprehensive sexuality education in schools in South Africa : the implications on the uptake of HIV testing services among HIV positive adolescent girls

George, Gavin LU ; Beckett, Sean ; Cawood, Cherie and Kharsany, Ayesha B.M. (2024) In AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV 36(sup1). p.54-59
Abstract

Comprehensive sexuality education (CSE) is seen as a key instrument through which to affect behaviour and improve sexual and reproductive health (SRH) outcomes amongst adolescents. However, few studies have to date evaluated key SRH outcomes following exposure to CSE within a school setting. This study estimates the association between CSE and HIV testing and HIV testing self-efficacy amongst HIV positive adolescent girls. Data were collected from a cross-sectional survey administered in four high HIV prevalence districts. Independent variables included exposure to CSE, with outcome variables measuring uptake of HIV testing in the 12 months preceding the survey, and HIV testing self-efficacy. The sample comprised 505 HIV positive... (More)

Comprehensive sexuality education (CSE) is seen as a key instrument through which to affect behaviour and improve sexual and reproductive health (SRH) outcomes amongst adolescents. However, few studies have to date evaluated key SRH outcomes following exposure to CSE within a school setting. This study estimates the association between CSE and HIV testing and HIV testing self-efficacy amongst HIV positive adolescent girls. Data were collected from a cross-sectional survey administered in four high HIV prevalence districts. Independent variables included exposure to CSE, with outcome variables measuring uptake of HIV testing in the 12 months preceding the survey, and HIV testing self-efficacy. The sample comprised 505 HIV positive adolescent girls aged 12–19. Attending CSE was associated with both; being more confident to get an HIV test (AOR: 2.44, 95% CI: 1.47-4.06, p < 0.001) and having ever tested for HIV (AOR: 2.15, 95% CI: 1.39-3.33, p < 0.001) while controlling for numerous variables. Results suggest CSE can play an important role in not only affecting HIV-related behaviours themselves, but also critical factors that affect HIV behaviours, including self-efficacy.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
adolescents, Comprehensive sexuality education, South Africa
in
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
volume
36
issue
sup1
pages
54 - 59
publisher
Routledge
external identifiers
  • pmid:38295267
  • scopus:85184247302
ISSN
0954-0121
DOI
10.1080/09540121.2024.2308024
language
English
LU publication?
yes
id
38e949ac-bdad-4d55-8e53-a26fce879d91
date added to LUP
2024-02-29 14:12:23
date last changed
2025-04-28 21:22:14
@article{38e949ac-bdad-4d55-8e53-a26fce879d91,
  abstract     = {{<p>Comprehensive sexuality education (CSE) is seen as a key instrument through which to affect behaviour and improve sexual and reproductive health (SRH) outcomes amongst adolescents. However, few studies have to date evaluated key SRH outcomes following exposure to CSE within a school setting. This study estimates the association between CSE and HIV testing and HIV testing self-efficacy amongst HIV positive adolescent girls. Data were collected from a cross-sectional survey administered in four high HIV prevalence districts. Independent variables included exposure to CSE, with outcome variables measuring uptake of HIV testing in the 12 months preceding the survey, and HIV testing self-efficacy. The sample comprised 505 HIV positive adolescent girls aged 12–19. Attending CSE was associated with both; being more confident to get an HIV test (AOR: 2.44, 95% CI: 1.47-4.06, p &lt; 0.001) and having ever tested for HIV (AOR: 2.15, 95% CI: 1.39-3.33, p &lt; 0.001) while controlling for numerous variables. Results suggest CSE can play an important role in not only affecting HIV-related behaviours themselves, but also critical factors that affect HIV behaviours, including self-efficacy.</p>}},
  author       = {{George, Gavin and Beckett, Sean and Cawood, Cherie and Kharsany, Ayesha B.M.}},
  issn         = {{0954-0121}},
  keywords     = {{adolescents; Comprehensive sexuality education; South Africa}},
  language     = {{eng}},
  number       = {{sup1}},
  pages        = {{54--59}},
  publisher    = {{Routledge}},
  series       = {{AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV}},
  title        = {{Exposure to comprehensive sexuality education in schools in South Africa : the implications on the uptake of HIV testing services among HIV positive adolescent girls}},
  url          = {{http://dx.doi.org/10.1080/09540121.2024.2308024}},
  doi          = {{10.1080/09540121.2024.2308024}},
  volume       = {{36}},
  year         = {{2024}},
}