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A Tale of Two Countries: Rethinking Sexual Risk for HIV Among Young People in South Africa and the United States

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TLDR
Factor above and beyond sexual behavior likely play a key role in the ongoing transmission of HIV in South African youth, and thus should be urgently uncovered to develop maximally effective prevention strategies.
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This article is published in Journal of Adolescent Health.The article was published on 2011-09-01 and is currently open access. It has received 39 citations till now. The article focuses on the topics: Population.

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Citations
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The Bite of Administrative Burden: A Theoretical and Empirical Investigation

TL;DR: In this paper, an empirical analysis of the South African Child Support Grant (CSG) evaluation was conducted to investigate how CSG program rules and requirements affected administrative burdens and erected barriers to grant receipt.
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The vaginal microbiota and susceptibility to HIV.

TL;DR: Data in support of the hypothesis that variations in per sex-act transmission probability of HIV may in part be attributed to differences in the composition and function of the vaginal microbiota between different populations are presented.
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HIV prevalence by race co-varies closely with concurrency and number of sex partners in South Africa.

TL;DR: Differences in sexual behavior in general, and the prevalence of concurrency and the number of sexual partners in particular, offer a plausible and parsimonious cause to explain a part of the differing prevalences of HIV between South Africa's racial groups.
Posted Content

Limits to Evidence-Based Health Policymaking: Policy Hurdles to Structural HIV Prevention in Tanzania

TL;DR: In this paper, the authors analyze the political obstacles to policy-uptake of evidence concerning structural HIV prevention and show that the failure to consider the invariably political nature of HIV-related policymaking hampers the formulation of effective, politically informed strategies for positive change.
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Hegemonic African Masculinities and Men’s Heterosexual Lives: Some Uses for Homophobia

TL;DR: Based on two relatively well-reported cases of homophobia in Malawi and South Africa, this paper showed some of the ways in which hegemonic African men and masculinities are unsettled by, but also find ideological use for, the existence of homosexuality and nonheteronormative sexualities.
References
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Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 Trial.

TL;DR: Male circumcision provides a degree of protection against acquiring HIV infection, equivalent to what a vaccine of high efficacy would have achieved in sub-Saharan Africa.
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Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial

TL;DR: In this article, a randomised controlled trial of 2784 men aged 18-24 years in Kisumu, Kenya was conducted to determine whether male circumcision had a protective effect against HIV infection, and to assess safety and changes in sexual behaviour related to this intervention.
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Sexual behaviour in context: a global perspective.

TL;DR: In this article, the authors present original analyses of sexual behaviour data from 59 countries for which they were available, and show substantial diversity in sexual behaviour by region and sex, indicating mainly social and economic determinants of sexual behavior.
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Q1. What have the authors contributed in "A tale of two countries: rethinking sexual risk for hiv among young people in south africa and the united states" ?

Purpose—To compare the sexual behaviors of young people in South Africa ( SA ) and the United States ( US ) with the aim of better understanding the potential role of sexual behavior in HIV transmission in two countries with strikingly different HIV epidemics. Young women and men in the US reported an earlier age of first sex than those in SA ( mean age of coital debut for females: US ( 16. 5 ), SA ( 17. 4 ) ; for males: US ( 16. 4 ), SA ( 16. 7 ) ). Conclusions—Young people in the US report riskier sexual behaviors than young people in SA, despite the much higher prevalence of HIV infection in South Africa. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to their customers the authors are providing this early version of the manuscript. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.