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Description:Kleinschmidt et al 2 have reported that lowest levels of infection are found in inland rural areas of the Western Cape and the highest in northwestern parts of KwaZulu Natal, southern Mpumalanga, and eastern Free State. Attempting to explore the factors that are associated with high HIV prevalence among South African young women is a daunting task, mostly because of the following reasons: For instance, studies designed to explore the role of individual-level determinants of infection eg, lifetime number of sexual partners, concurrent partners, history of STIs may not give due recognition to group-level factors, such as percentage of the population living in poverty within a community, racial distribution,, the role of legislation on intimate partner violence, contraceptive use, or availability of health services; b limitation in access to communities: For instance, in most of Africa, there is evidence that education level of an individual may be associated with the risk of HIV infection. However, education may be an important factor in one setting but not in another, or the effect of education as an explanatory factor may change over time in the same setting depending on the stage of the epidemic, a factor such as education may have different associations , or a variable may be measured differently from study to study. For instance, when education is the main variable some studies measure the number of years of schooling completed while other study measure the level of education attained.

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