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Sex Transm Infect 85:i49-i55 doi:10.1136/sti.2008.033324
  • Supplement

Age at first sex in rural South Africa

Table 5 Percentage distribution, median age at first sex (AFS) and crude and adjusted hazard ratios for first sex in men
Variable N (% of population)† Median (IQR) AFS Crude HR (95% CI) p Value* Adjusted HR (95% CI)‡ p Value**
Geographical location 0.008 0.04
    Rural 2886 (72) 19.4 (17.2–N/A) 1.0 1.0
    Urban 97 (2) 20.1 (16.9–N/A) 0.96 (0.64 to 1.43) 0.85 (0.57 to 1.26)
    Periurban 1046 (26) 18.6 (16.6–22.9) 1.22 (1.07 to 1.38) 1.16 (1.03 to 1.32)
Education (grade-for-age) <0.001 <0.001
    Age appropriate 2287 (22) 18.5 (16.6–N/A) 1.0 1.0
    Behind by 1 year 2249 (21) 19.6 (17.1–N/A) 0.72 (0.59 to 0.87) 0.73 (0.60 to 0.87)
    Behind 2+ years 5226 (49) 19.4 (17.2–N/A) 0.71 (0.61 to 0.84) 0.71 (0.61 to 0.84)
    Complete secondary 773 (7) 18.5 (16.9–22.1) 0.88 (0.67 to 1.16)
School attendance <0.001 <0.001
    Attending school 8564 (80) 19.5 (17.0–N/A) 1.0 1.0
    Not in school 599 (6) 18.5 (16.8–21.0) 1.55 (1.27 to 1.90) 1.44 (1.17 to 1.77)
    Complete secondary 773 (7) 18.5 (16.9–22.1) 1.22 (0.98 to 1.51) 0.90 (0.71 to 1.15)
Mother member of household 0.003 0.003
    No 3982 (38) 18.9 (16.8–22.1) 1.0 1.0
    Yes 6616 (62) 19.6 (17.2–N/A) 0.84 (0.75 to 0.94) 0.83 (0.74 to 0.94)
Father member of household 0.01
    No 6211 (59) 19.0 (17.0–22.6) 1.0
    Yes 4387 (41) 19.8 (17.2–N/A) 0.86 (0.76 to 0.97)
Mother dead 0.03
    No 8607 (81) 19.3 (17.1–N/A) 1.0
    Yes 1594 (15) 18.7 (16.6–22.1) 1.19 (1.02 to 1.38)
Father dead 0.001 0.002
    No 7282 (69) 19.5 (17.1–N/A) 1.0 1.0
    Yes 2816 (27) 18.7 (16.8–21.9) 1.23 (1.09 to 1.39) 1.21 (1.07 to 1.37)
Ever taken alcohol <0.001 <0.001
    No 1286 (32) 19.8 (17.4–N/A) 1.0 1.0
    Yes 330 (8) 16.3 (14.5–18.6) 1.89 (1.55 to 2.30) 1.60 (1.30 to 1.98)
Missed 2003 survey 2413 (60) 19.2 (17.1–N/A) 1.02 (0.89 to 1.17) 1.46 (1.15 to 1.86)
Ever smoked <0.001 <0.001
    No 1551 (38) 19.3 (16.9–N/A) 1.0 1.0
    Yes 84 (2) 16.9 (16.3–18.3) 2.70 (1.99 to 3.66) 1.99 (1.45 to 2.73)
Community in danger 0.02
    No/don’t know 748 (19) 19.3 (16.8–N/A) 1.0
    Yes 846 (21) 18.9 (16.8–22.8) 1.23 (1.03 to 1.48)
Know people who have/had AIDS§ <0.001 <0.001
    No 1341 (33) 19.4 (17.0–N/A) 1.0 1.0
    Yes (1+) 274 (7) 17.8 (16.4–20.4) 1.74 (1.41 to 2.14) 1.67 (1.36 to 2.06)
HIV is transmitted by utensils¶ 0.01
    No 1027 (25) 18.8 (16.6–22.6) 1.0
    Yes/don’t know 588 (15) 20.3 (17.8–N/A) 0.77 (0.61 to 0.97)
A healthy-looking person can have HIV <0.001 <0.001
    No 374 (9) 20.6 (17.7–N/A) 1.0 1.0
    Yes 1242 (31) 18.6 (16.5–21.9) 1.63 (1.29 to 2.06) 1.48 (1.16 to 1.87)
  • HR, hazard ratio; N/A, not applicable.

  • *Univariate likelihood ratio test p value.

  • †Totals vary because of missing values. The percentage distribution is based on the population of 4029 virgins. For time-varying characteristics it is based on person-years and one individual could contribute to different categories during the study period.

  • ‡N = 4029. Missing indicators were used to represent the individuals with no information in multivariable models, adjusted for all other factors in the column, factors with a likelihood ratio test p value ⩽0.05.

  • §Knowing people with HIV was highly correlated with knowing relatives and neighbours with HIV and only the variable “knowing people with HIV” was considered for the multivariable analysis.

  • ¶Similar non-significant results were attained for the questions about other modes of HIV transmission.

  • **Likelihood ratio test p value for the contribution of the variable to the multivariable model.

  • Note: Hazard ratios >1 indicate that the AFS is younger than the AFS for the reference category.

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