Article

AIDS and Behavior

, Volume 10, Issue 6, pp 627-635

Sexual Risk Behavior among South African Adolescents: Is Orphan Status a Factor?

  • Tonya R. ThurmanAffiliated withDepartment of International Health and Development, Tulane School of Public Health and Tropical Medicine Email author 
  • , Lisanne BrownAffiliated withDepartment of International Health and Development, Tulane School of Public Health and Tropical Medicine
  • , Linda RichterAffiliated withHuman Sciences Research Council and University of KwaZulu-Natal
  • , Pranitha MaharajAffiliated withSchool of Development Studies, University of KwaZulu-Natal
  • , Robert MagnaniAffiliated withFamily Health International

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

There is concern that orphans may be at particular risk of HIV infection due to earlier age of sexual onset and higher likelihood of sexual exploitation or abuse; however, there is limited empirical evidence examining this phenomenon. Utilizing data from 1694 Black South African youth aged 14–18, of whom 31% are classified as orphaned, this analysis explores the relationship between orphan status and sexual risk. The analysis found both male and female orphans significantly more likely to have engaged in sex as compared to non-orphans (49% vs. 39%). After adjusting for socio-demographic variables, orphans were nearly one and half times more likely than non-orphans to have had sex. Among sexually active youth, orphans reported younger age of sexual intercourse with 23% of orphans having had sex by age 13 or younger compared to 15% of non-orphans. Programmatic implications of these findings for the care and protection of orphans are discussed.

Key words

Orphans South Africa First sex Sexual abuse HIV risk behavior Survival sex Transactional sex