Adolescent methamphetamine use and sexual risk behaviour in secondary school students in Cape Town, South Africa

Background: Distinct homosexual and heterosexual HIV epidemics have previously been recognised in South Africa. However, linked HIV prevalence and self-reported sexual risk behaviour data have not been reported for men who have sex with men (MSM) in Cape Town since 1986. Methods: We conducted a cross-sectional, anonymous, venue-based HIV risk behaviour and prevalence study of 542 self-identified MSM in greater Cape Town using a self-administered risk questionnaire and the OraSure® testing device to asses HIV-1 prevalence. Results: This sample had an overall HIV prevalence of 10.4% (56/539). We found that self-identifying as gay, homosexual or queer (adjusted odds ratio (AOR) 4.5, 95% confidence interval (CI) 1.0–20.0) and reporting ever having had a sexually transmissible infection diagnosis (AOR 4.3, 95% CI: 2.3–8.3) were significantly predictive of testing HIV-1 positive, while reporting unprotected anal intercourse with a known HIV-negative partner (AOR 0.4, 95% CI: 0.2–0.9) was significantly protective. Conclusion: These data suggest a mature epidemic with consistent high-risk taking among MSM in Cape Town, and significant associations of select self-reported risk behaviours and HIV-1 serostatus. There is a need for continued and robust HIV surveillance along with detailed risk behaviour trends over time to inform the development of targeted risk-reduction interventions for this population.

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I am not ``umqwayito'': A qualitative study of peer pressure and sexual risk behaviour among young adolescents in Cape Town, South Africa

Scandinavian Journal of Public Health ◽

10.1177/1403494809103903 ◽

2009 ◽

Vol 37 (2_suppl) ◽

pp. 107-112 ◽

Cited By ~ 52

Author(s):

Terry-Ann Selikow ◽

Nazeema Ahmed ◽

Alan J. Flisher ◽

Catherine Mathews ◽

Wanjiru Mukoma

Keyword(s):

South Africa ◽

Qualitative Study ◽

Sexual Risk ◽

Cape Town ◽

Peer Pressure ◽

Risk Behaviour ◽

Sexual Risk Behaviour ◽

Young Adolescents

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Methamphetamine Use and Sexual Risk Behavior among High School Students in Cape Town, South Africa

Journal of Child & Adolescent Substance Abuse ◽

10.1080/1067828x.2012.662437 ◽

2012 ◽

Vol 21 (2) ◽

pp. 181-191 ◽

Cited By ~ 7

Author(s):

Andreas Plüddemann ◽

Alan J. Flisher ◽

Rebecca McKetin ◽

Charles D. Parry ◽

Carl J. Lombard

Keyword(s):

South Africa ◽

High School ◽

High School Students ◽

Risk Behavior ◽

Sexual Risk ◽

Sexual Risk Behavior ◽

Cape Town ◽

School Students ◽

Methamphetamine Use

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Prevalence and correlates of anal sex among secondary school students in Cape Town, South Africa

AIDS Care ◽

10.1080/09540121.2018.1426824 ◽

2018 ◽

Vol 30 (7) ◽

pp. 821-829 ◽

Cited By ~ 2

Author(s):

Michele Ybarra ◽

Myeshia Price-Feeney ◽

Kelvin Mwaba

Keyword(s):

South Africa ◽

Secondary School ◽

Secondary School Students ◽

Cape Town ◽

Anal Sex ◽

School Students

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Social Support and Suicide Risk among Secondary School Students in Cape Town, South Africa

Psychological Reports ◽

10.2466/pr0.103.3.653-660 ◽

2008 ◽

Vol 103 (3) ◽

pp. 653-660 ◽

Cited By ~ 7

Author(s):

Karl Peltzer

Keyword(s):

Social Support ◽

South Africa ◽

Secondary School ◽

Parental Support ◽

Suicide Risk ◽

Secondary School Students ◽

Cape Town ◽

Personal Control ◽

Stepwise Logistic Regression ◽

School Students

The aim of this study was to investigate social support including daily activities in a sample of secondary school students at low and high risk for suicide in Cape Town, South Africa. The sample included 1,157 students (Grade 9, 28.2%, Grade 10, 43.3%, and Grade 11, 28.4%); 30.9% were boys and 69.1% were girls, M age= 15.8 yr. ( SD= 1.6). The racial background was mainly Coloured (from mixed descent) (84.6%) with a minority of African Black (10.5%), White, (2.1%), and Indian/Asian (1.8%). Bivariate analyses showed Low Risk more than High Suicide Risk students reported significantly more teacher support, peer support, parental support, and personal control. Stepwise logistic regression indicated for boys none of the four social support variables and personal control associated with suicide risk, while for girls lack of peer and parental support were associated with high suicide risk. Among eight different activities, only for girls was lack of social activities associated with high suicide risk. Interventions influencing the posited mediating variables, i.e., social support resources and personal life skills competences, should be enhanced.

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