Sexual Violence and Reproductive Health Outcomes Among South African Female Youths: A Contextual Analysis.

Speizer, IS; Pettifor, A; Cummings, S; Macphail, C; Kleinschmidt, I; Rees, HV; (2009) Sexual Violence and Reproductive Health Outcomes Among South African Female Youths: A Contextual Analysis. American journal of public health, 99 Suppl 2. S425-31. ISSN 0090-0036 DOI:

Full text not available from this repository.


OBJECTIVES: We studied whether female youths from communities with higher sexual violence were at greater risk of negative reproductive health outcomes. METHODS: We used data from a 2003 nationally representative household survey of youths aged 15-24 years in South Africa. The key independent variable was whether a woman had ever been threatened or forced to have sex. We aggregated this variable to the community level to determine, with control for individual-level experience with violence, whether the community-level prevalence of violence was associated with HIV status and adolescent pregnancy among female, sexually experienced, never-married youths. RESULTS: Youths from communities with greater sexual violence were significantly more likely to have experienced an adolescent pregnancy or to be HIV-positive than were youths from communities experiencing lower sexual violence. Youths from communities with greater community-level violence were also less likely to have used a condom at their last sexual encounter. Individual-level violence was only associated with condom nonuse. CONCLUSIONS: Programs to reduce adolescent pregnancies and HIV risk in South Africa and elsewhere in sub-Saharan Africa must address sexual violence as part of effective prevention strategies.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Tropical Epidemiology Group
PubMed ID: 19372525
Web of Science ID: 271218800034


Download activity - last 12 months
Downloads since deposit
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item