Abstract：
Socioeconomic determinants of risky sexual behaviors in sub-Saharan Africa are well known. The socioeconomic determinants of the sexual behaviors of university students, however, remain unclear. This case control study aimed to investigate the socioeconomic determinants of risky sexual behavior and HIV seropositivity among university students in KwaZulu-Natal (KZN), South Africa. Participants (N = 500; 375 HIV uninfected and 125 HIV infected) from four public higher educational institutions in KZN were recruited, using a non-randomized strategy. Socioeconomic status was assessed by food insecurity, access to the government loan scheme, and sharing of the bursary/loan with family. The findings of this study suggest that students reporting food insecurity were 1.87 times more likely to have multiple sexual partners; 3.18 times more likely to engage in transactional sex for money; and presented a fivefold higher risk of engaging in transactional sex for basic needs other than money. Accessing the government financing for education and sharing of the bursary/loan with family was also significantly associated with an increased risk of having an HIV seropositive status. A significant association between socioeconomic measures, risky sexual behavior, and HIV seropositivity is demonstrated in this study. Moreover, the socioeconomic risks and drivers when determining and/or developing HIV prevention interventions, including preexposure prophylaxis use, should be considered by healthcare providers based at campus health clinics.
摘要：
在撒哈拉以南非洲，危险性行为的社会经济决定因素是众所周知的。大学生性行为的社会经济决定因素,然而,仍然不清楚。这项病例对照研究旨在调查夸祖鲁-纳塔尔省（KZN）大学生中危险性行为和HIV血清阳性的社会经济决定因素，南非。招募了来自KZN四个公立高等教育机构的参与者（N=500；375个未感染艾滋病毒和125个感染艾滋病毒），使用非随机策略。通过粮食不安全评估社会经济地位，获得政府贷款计划，并与家人分享助学金/贷款。这项研究的结果表明，报告食物不安全的学生有多个性伴侣的可能性是1.87倍；为金钱从事交易性行为的可能性是3.18倍；并且为除金钱以外的基本需求从事交易性行为的风险高出五倍。获得政府教育经费和与家人分享助学金/贷款也与艾滋病毒血清呈阳性的风险增加密切相关。社会经济措施之间的显著关联，危险的性行为,在这项研究中证明了HIV血清阳性。此外，确定和/或制定艾滋病毒预防干预措施时的社会经济风险和驱动因素，包括暴露前预防使用，应该由基于校园健康诊所的医疗保健提供者考虑。
