Details

Autor(en) / Beteiligte

• Mathur, Sanyukta
• Pilgrim, Nanlesta
• Patel, Sangram Kishor
• Okal, Jerry
• Mwapasa, Victor
• Chipeta, Effie
• Musheke, Maurice
• Mahapatra, Bidhubhusan
• Pulerwitz, Julie

Titel

HIV vulnerability among adolescent girls and young women: a multi-country latent class analysis approach

Ist Teil von

• International journal of public health, 2020-05, Vol.65 (4), p.399-411

Ort / Verlag

Cham: Springer International Publishing

Erscheinungsjahr

2020

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Objectives To stem the HIV epidemic among adolescent girls and young women (AGYW, 15–24 years), prevention programs need to reach AGYW who are most at risk. We examine whether individual- and household-level factors could be used to define HIV vulnerability for AGYW. Methods We surveyed out-of-school AGYW in urban and peri-urban Kenya ( N  = 1014), in urban Zambia ( N  = 846), and in rural Malawi ( N  = 1654) from October 2016 to 2017. LCA identified classes based on respondent characteristics, attitudes and knowledge, and household characteristics. Multilevel regressions examined associations between class membership and HIV-related health outcomes. Results We identified two latent classes—high and low HIV vulnerability profiles—among AGYW in each country; 32% of the sample in Kenya, 53% in Malawi, and 51% in Zambia belonged to the high vulnerability group. As compared to AGYW with a low-vulnerability profile, AGYW with a high-vulnerability profile had significantly higher odds of HIV-related outcomes (e.g., very early sexual debut, transactional sex, sexual violence from partners). Conclusions Out-of-school AGYW had differential vulnerability to HIV. Interventions should focus on reaching AGYW in the high HIV vulnerability profiles.