Does schooling protect sexual health? the association between three measures of education and STIs among adolescents in Malawi
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Authors
Mensch, Barbara S.
Grant, Monica J.
Soler-Hampejsek, Erica
Kelly, Christine A.
Chalasani, Satvika
Hewett, Paul C.
Issue Date
2019-10-17
Type
Article
Language
en_US
Keywords
HIV , HSV-2 , Sexually Transmitted Infections , School Enrolment , Education , Grade Attainment , Literacy , Numeracy , Adolescents , Malawi
Alternative Title
Abstract
While multiple studies have documented shifting educational gradients in HIV prevalence, less attention has been given to the effect of school participation and academic skills on infection during adolescence. Using the Malawi Schooling and Adolescent Study, a longitudinal survey that followed 2,649 young people aged 14–17 at baseline from 2007 to 2013, we estimate the effect of three education variables: school enrolment, grade attainment, and academic skills—numeracy and Chichewa literacy—on herpes simplex virus type 2 (HSV-2) and HIV incidence using interval-censored survival analysis. We find that grade attainment is significantly associated with lower rates of both HSV-2 and HIV among girls, and is negatively associated with HSV-2 but not HIV among boys. School enrolment and academic skills are not significantly associated with sexually transmitted infections (STIs) for boys or girls in our final models. Efforts to encourage school progression in high-prevalence settings in sub-Saharan Africa could well reduce, or at least postpone, acquisition of STIs.
Description
Citation
Mensch, B. S., Grant, M. J., Soler-Hampejsek, E., Kelly, C. A., Chalasani, S., & Hewett, P. C. (2020). Does schooling protect sexual health? The association between three measures of education and STIs among adolescents in Malawi. Population studies, 74(2), 241–261. https://doi.org/10.1080/00324728.2019.1656282
Publisher
Population Studies