{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:31:42Z","timestamp":1792092702862,"version":"4.4.0"},"reference-count":52,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate risk factors associated with risky sexual behaviors (RSBs) and HIV seropositivity among students from four universities in KwaZulu\u2010Natal, South Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A case\u2010control methodology was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>The sample consisted of 500 students (375 HIV negative students and 125 students living with HIV).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurement<\/jats:title>\n                    <jats:p>Adjusted logistic regression modeling was performed to assess the association of predictors with RSBs and HIV seropositivity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data showed that heavy episodic drinking [aOR: 2.73, (95% CI: 1.38; 5.44),\n                      <jats:italic>p<\/jats:italic>\n                      = 0.004], drugs before sex [aOR: 7.46, (95% CI: 2.11; 27.88),\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003], and a higher number of lifetime sex partners increased students\u2019 likelihood of having multiple concurrent sex partners (2\u20135 lifetime partners) [aOR: 4.22, (95% CI: 1.69; 10.54),\n                      <jats:italic>p<\/jats:italic>\n                      = 0.002] and \u2265 6 lifetime partners [aOR: 16.36, (95% CI: 6.18; 43.28),\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings indicate a need for South African universities to offer HIV prevention programs that inform students of how participation in particular risky activities can result in engagement in specific RSBs, contributing to a heightened HIV infection risk. Re\u2010evaluation and strengthening of these prevention programs can ensure optimal efficiency in the battle against HIV infection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70049","type":"journal-article","created":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T13:09:23Z","timestamp":1764680963000},"page":"217-227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Case\u2010Control Investigation of Factors Associated With Risky Sexual Behaviors Among South African University Students"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0127-2249","authenticated-orcid":false,"given":"Trishka","family":"Pillay","sequence":"first","affiliation":[{"name":"Department of Environmental Health Faculty of Applied and Health Sciences Mangosuthu University of Technology  KwaZulu Natal South Africa"},{"name":"Department of Community Health Studies Faculty of Health Sciences Durban University of Technology  KwaZulu Natal South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4047-6340","authenticated-orcid":false,"given":"Nalini","family":"Govender","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Science Faculty of Health Sciences Durban University of Technology  KwaZulu Natal South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0197-8951","authenticated-orcid":false,"given":"Poovendhree","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Community Health Studies Faculty of Health Sciences Durban University of Technology  KwaZulu Natal South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2181\/036.039.0205"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0210349"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105311410512"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001553"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/4852130"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0020298"},{"key":"e_1_2_10_8_1","unstructured":"Babor T. 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