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Objectives: To assess the effect of educational attainment and other factors on the risk of HIV in pregnant South African women. Design: Repeated cross-sectional surveys. Methods: Pregnant women attending public antenatal clinics were tested for HIV annually between 2000 and 2005, and provided demographic information. Logistic regression models were applied separately to the data collected in each year, to identify factors associated with HIV infection. Data from all years were combined in a logistic regression model that tested for trends in HIV prevalence. …
Sexual violence is a significant problem in South Africa. Such encounters bring psychological trauma, social stigma, and the risk of pregnancy, human immunodeficiency virus (HIV) and sexually transmitted infections (STIs). Existing qualitative research indicates that survivors have difficulty concentrating on school-work, with many reportedly losing interest and some leaving school. The relationship between these experiences and school enrolment and educational attainment has not been quantified in sub-Saharan Africa. …
There is much evidence showing an association between sexual behavior and both attendance and attainment. Experimental evidence that school attendance leads to safer sexual behavior is currently under review. Studies suggest several pathways through which sexual behavior, and consequently the risk of HIV infection, may be influenced by schooling. Students attending school have a smaller sexual network and a stronger motivation to avoid the consequences of unprotected sex - both pregnancy and HIV infection - than their out-of-school peers.
