How do new crises impact HIV risk behaviour – exploring HIV risk behaviour according to COVID-19-related orphanhood status in South Africa?
| Autor: | Mawoyo, Tatenda, Steventon Roberts, Kathryn J., Laurenzi, Christina, Skeen, Sarah, Toit, Stefani Du, Hisham, Ramsha, Cluver, Lucie, Sherr, Lorraine, Tomlinson, Mark |
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| Předmět: |
HIV infection risk factors
ORPHANS RISK assessment CHILDREN'S health RISK-taking behavior RESEARCH funding ADOLESCENT health HUMAN sexuality INTERVIEWING DESCRIPTIVE statistics ORPHANAGES SEX customs TEENAGERS' conduct of life COMPARATIVE studies COVID-19 pandemic CHILD behavior WELL-being ADOLESCENCE |
| Zdroj: | AIDS Care; 2024 Suppl 1, Vol. 36, p126-136, 11p |
| Abstrakt: | The COVID-19 pandemic resulted in high death rates globally, and over 10.5 million children lost a parent or primary caregiver. Because HIV-related orphanhood has been associated with elevated HIV risk, we sought to examine HIV risk in children affected by COVID-19 orphanhood. Four hundred and twenty-one children and adolescents were interviewed, measuring seven HIV risk behaviours: condom use, age-disparate sex, transactional sex, multiple partners, sex associated with drugs/alcohol, mental health and social risks. Approximately 50% (211/421) experienced orphanhood due to COVID-19, 4.8% (20/421) reported living in an HIV-affected household, and 48.2% (203/421) did not know the HIV status of their household. The mean age of the sample was 12.7 years (SD:2.30), of whom 1.2% (5/421) were living with HIV. Eighty percent (337/421) reported at least one HIV risk behaviour. HIV sexual risk behaviours were more common among children living in HIV-affected households compared to those not living in HIV-affected households and those with unknown household status (35.0% vs. 13.6% vs.10.8%, X2 = 9.25, p = 0.01). Children living in HIV-affected households had poorer mental health and elevated substance use (70.0% vs. 48.5%, X2 = 6.21, p = 0.05; 35.0% vs. 19.9%, X2 = 4.02, p = 0.1306, respectively). HIV-affected households may require specific interventions to support the health and well-being of children and adolescents. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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