HIV among out-of-school youth in Eastern and Southern Africa: A review

Koen Stroeken, Pieter Remes, Petra De Koker, Kristien Michielsen, Anke Van Vossole, Marleen Temmerman

Research output: Contribution to journalReview articlepeer-review

28 Citations (Scopus)


The overall decline of the HIV epidemic in Sub-Saharan Africa conceals how the HIV burden has shifted to fall on areas that have been more difficult to reach. This review considers out-of-school youth, a category typically eluding interventions that are school-based. Our review of descriptive studies concentrates on the most affected region, Southern and Eastern Africa, and spans the period between 2000 and 2010. Among the relatively small but increasing number of studies, out-of-school youth was significantly associated with risky sexual behavior (RSB), more precisely with early sexual debut, high levels of partner concurrency, transactional sex, age-mixing, low sexually transmitted infection (STI)/HIV risk perception, a high lifetime number of partners, and inconsistent condom use. Being-in-school not only raises health literacy. The in-school (e.g., age-near) sexual network may also be protective, an effect which the better-studied (and regionally less significant) variable of educational attainment cannot measure. To verify such double effect of being-in-school we need to complement the behavioral research of the past decade with longitudinal cohort analyses that map sexual networks, in various regions.

Original languageEnglish
Pages (from-to)186-194
Number of pages9
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Issue number2
Publication statusPublished - 1 Feb 2012
Externally publishedYes


  • Sub-Saharan Africa
  • out-of-school youth
  • review
  • risky sexual behavior


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