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UNESCO HIV and Health Education Clearinghouse

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  1. Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries

    Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, the autors used multivariate analyses to examine the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. …

  2. Gender-based violence in sub-Saharan Africa: a review of demographic and health survey findings and their use in national planning

    Gender-based violence (GBV) is a pervasive human rights issue with public health consequences. The growing body of evidence on violence and HIV/AIDS continues to confirm that violence is a lead factor in the 'feminization' of the global AIDS epidemic and the disproportionately higher rates of HIV-infection among women and girls, who now represent at least half of those infected worldwide and about 60% of those infected in sub-Saharan Africa. The main purposes of this desk review are to: 1. …

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