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

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-sch...

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Autores principales: Mathur, Sanyukta, Pilgrim, Nanlesta, Patel, Sangram Kishor, Okal, Jerry, Mwapasa, Victor, Chipeta, Effie, Musheke, Maurice, Mahapatra, Bidhubhusan, Pulerwitz, Julie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274997/
https://www.ncbi.nlm.nih.gov/pubmed/32270233
http://dx.doi.org/10.1007/s00038-020-01350-1
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author Mathur, Sanyukta
Pilgrim, Nanlesta
Patel, Sangram Kishor
Okal, Jerry
Mwapasa, Victor
Chipeta, Effie
Musheke, Maurice
Mahapatra, Bidhubhusan
Pulerwitz, Julie
author_facet Mathur, Sanyukta
Pilgrim, Nanlesta
Patel, Sangram Kishor
Okal, Jerry
Mwapasa, Victor
Chipeta, Effie
Musheke, Maurice
Mahapatra, Bidhubhusan
Pulerwitz, Julie
author_sort Mathur, Sanyukta
collection PubMed
description 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.
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spelling pubmed-72749972020-06-16 HIV vulnerability among adolescent girls and young women: a multi-country latent class analysis approach Mathur, Sanyukta Pilgrim, Nanlesta Patel, Sangram Kishor Okal, Jerry Mwapasa, Victor Chipeta, Effie Musheke, Maurice Mahapatra, Bidhubhusan Pulerwitz, Julie Int J Public Health Original Article 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. Springer International Publishing 2020-04-09 2020 /pmc/articles/PMC7274997/ /pubmed/32270233 http://dx.doi.org/10.1007/s00038-020-01350-1 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Article
Mathur, Sanyukta
Pilgrim, Nanlesta
Patel, Sangram Kishor
Okal, Jerry
Mwapasa, Victor
Chipeta, Effie
Musheke, Maurice
Mahapatra, Bidhubhusan
Pulerwitz, Julie
HIV vulnerability among adolescent girls and young women: a multi-country latent class analysis approach
title HIV vulnerability among adolescent girls and young women: a multi-country latent class analysis approach
title_full HIV vulnerability among adolescent girls and young women: a multi-country latent class analysis approach
title_fullStr HIV vulnerability among adolescent girls and young women: a multi-country latent class analysis approach
title_full_unstemmed HIV vulnerability among adolescent girls and young women: a multi-country latent class analysis approach
title_short HIV vulnerability among adolescent girls and young women: a multi-country latent class analysis approach
title_sort hiv vulnerability among adolescent girls and young women: a multi-country latent class analysis approach
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7274997/
https://www.ncbi.nlm.nih.gov/pubmed/32270233
http://dx.doi.org/10.1007/s00038-020-01350-1
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