Table 3 Percentage distribution, median age at first sex (AFS) and crude and adjusted hazard ratios for first sex in women
VariableN (% of population)†Median (IQR) AFSCrude HR (95% CI)p Value*Adjusted HR (95% CI)‡p Value**
Religion0.0040.01
    Shembe884 (19)18.8 (17.3–20.6)1.01.0
    Zionist1556 (33)18.3 (17.0–20.0)1.20 (1.06 to 1.36)1.18 (1.05 to 1.34)
    West Christian1371 (29)18.5 (17.1–20.3)1.07 (0.94 to 1.22)1.03 (0.91 to 1.18)
    None117 (2)18.0 (16.8–19.6)1.41 (1.07 to 1.86)1.36 (1.03 to 1.80)
    Other331 (7)18.9 (17.9–20.5)0.96 (0.79 to 1.18)0.95 (0.77 to 1.16)
Geographical location0.0070.05
    Rural3297 (70)18.7 (17.2–20.4)1.01.0
    Urban196 (4)18.5 (17.0–19.9)1.11 (0.86 to 1.43)1.13 (0.87 to 1.46)
    Periurban1231 (26)18.2 (17.0–19.9)1.17 (1.06 to 1.29)1.13 (1.02 to 1.25)
Education (grade-for-age)0.2
    Age appropriate3665 (31)18.7 (17.2–N/A)1.0
    Behind by 1 year2809 (24)18.5 (17.0–20.4)1.02 (0.88 to 1.18)
    Behind 2+ years3642 (31)18.5 (17.1–20.3)1.05 (0.91 to 1.20)
    Complete secondary1513 (13)18.4 (17.0–20.0)1.04 (0.85 to 1.27)
School attendance <18 years<0.001
    Attending school7271 (81)(17.3–N/A)1.0
    Not in school298 (3)16.4 (16.0–17.6)3.86 (3.24 to 4.59)
    Complete secondary904 (10)(17.0–N/A)1.17 (0.93 to 1.46)
School attendance 18–21 years<0.001
    Attending school1534 (67)20.3 (19.0–N/A)1.0
    Not in school203 (9)18.9 (18.4–19.7)2.48 (2.07 to 3.00)
    Complete secondary415 (18)19.8 (18.8–N/A)1.34 (1.12 to 1.60)
School attendance 21+ years0.004
    Attending school127 (29)23.4 (22.1–N/A)1.0
    Not in school91 (21)22.7 (21.8–24.7)1.53 (0.92 to 2.53)
    Complete secondary194 (45)22.1 (21.7–24.0)1.98 (1.31 to 3.0)
Mother member of household0.015
    No3947 (34)18.3 (17.0–20.0)1.0
    Yes7784 (66)18.6 (17.2–20.4)0.89 (0.81 to 0.98)
Father member of household0.01
    No6714 (34)18.4 (17.0–20.0)1.0
    Yes5018 (66)18.7 (17.2–20.5)0.89 (0.81 to 0.97)
Mother dead<0.001<0.001
    No9744 (83)18.6 (17.1–20.4)1.01.0
    Yes1645 (14)18.1 (17.0–19.7)1.23 (1.10 to 1.39)1.23 (1.09 to 1.38)
    Missing342 (3)18.0 (16.7–19.4)1.53 (1.22 to 1.92)1.45 (1.15 to 1.82)
Father dead
    No8238 (70)18.6 (17.2–20.4)1.00.06
    Yes2926 (25)18.3 (17.0–20.0)1.10 (1.00 to 1.21)
Ever taken alcohol0.0020.02
    No2547 (54)18.7 (17.2–20.4)1.01.0
    Yes111 (2)17.4 (16.6–19.1)1.50 (1.17 to 1.92)1.42 (1.10 to 1.82)
Missed 2003 survey2066 (44)18.4 (17.0–20.0)1.14 (1.04 to 1.25)1.13 (1.03 to 1.25)
Community in danger0.04
    No/don’t know1262 (27)18.8 (17.2–20.5)1.0
    Yes1401 (30)18.4 (17.1–20.3)1.12 (1.00 to 1.26)
Know relatives who have/had AIDS§0.0060.03
    No2457 (52)18.7 (17.2–20.5)1.01.0
    Yes (1+)198 (4)18.0 (16.6–19.4)1.32 (1.08 to 1.60)1.26 (1.03 to 1.53)
HIV is transmitted by sharing utensils¶0.89
    No1874 (40)18.6 (17.2–20.4)1.0
    Yes/don’t know874 (17)18.5 (17.0–20.4)0.99 (0.87 to 1.12)
  • 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 4724 virgins. For time-varying characteristics it is based on person-years and one individual could contribute to different categories during the study period.

  • ‡N = 4724. 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. School attendance was not considered for multivariable analyses.

  • §The variable “knowing people with HIV” violated the proportional hazards assumption univariately. Knowing relatives with HIV was highly correlated with knowing people and neighbours with HIV, and only the variable “knowing relatives 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.