The Intersection of Alcohol Use, Gender Based Violence and HIV: Empirical Findings among Disadvantaged Service-Seeking Youth in Kampala, Uganda

Autor: Monica H Swahn, Jennifer A. Wagman, Rogers Kasirye, Rachel Culbreth, Laura F. Salazar, Katherine E. Masyn
Rok vydání: 2021
Předmět:
Male
Pediatric AIDS
HIV Infections
Youth risk behaviors
Gender-Based Violence
Substance use
Alcohol Use and Health
0302 clinical medicine
Syndemic
Uganda
030212 general & internal medicine
Sexual violence
Multinomial logistic regression
Violence Research
Pediatric
Substance Abuse
Gender Equality
Justice and Strong Institutions
AIDS
Alcoholism
Health psychology
Infectious Diseases
Public Health and Health Services
HIV/AIDS
Female
Public Health
Alcohol use
0305 other medical science
Psychology
Typology
Social Work
medicine.medical_specialty
Adolescent
Social Psychology
Youth violence
Vulnerable Populations
03 medical and health sciences
Acquired immunodeficiency syndrome (AIDS)
Clinical Research
Behavioral and Social Science
medicine
Humans
Sex work
Peace
030505 public health
Prevention
Public health
Public Health
Environmental and Occupational Health
HIV
medicine.disease
Sex Work
Good Health and Well Being
Cross-Sectional Studies
Demography
Zdroj: AIDS and behavior, vol 25, iss 10
ISSN: 1573-3254
1090-7165
DOI: 10.1007/s10461-021-03301-0
Popis: The SAVA syndemic is frequently used to describe the co-occurrence of HIV, gender-based violence (GBV), and substance use. In this study we determine the extent to which the typologies of the SAVA syndemic can be described and utilized for intervention strategies among youth living in the slums of Kampala, Uganda. We analyzed the "Kampala Youth Survey 2014," a cross-sectional survey conducted in the spring of 2014, consisting of a convenience sample (N = 1134) of urban youth (12-18years of age). Descriptive statistics were computed for hypothesized risk factors and demographic variables among the 8 typologies of GBV, HIV, and alcohol use. Multinomial logistic regression was conducted to determine statistically significant correlates with each typology. The overall prevalence of GBV was 31.7%, whereas the overall prevalence of alcohol use in the past 12months was 31.2%. HIV-Positive youth comprised 10.5% of the total sample. Females comprised the majority of the typology with no SAVA components compared to males (55% vs. 45%, respectively), as well as the SAVA syndemic typology (GBV + HIV + ALC +) (58% vs. 42%, respectively). Engaging in commercial sex work (36%), witnessing parental abuse (61%), and depression/suicidality (81%) were all highly prevalent among youth in the SAVA syndemic typology (GBV, HIV, and alcohol use). Sex work and observing parental abuse were associated with the SAVA syndemic typology in the multivariable model. In our study, alcohol rarely coexisted without GBV among the typologies. Therefore, prevention efforts including structural interventions may be particularly warranted in vulnerable populations to address alcohol use, which may directly or indirectly impact GBV and HIV.
Databáze: OpenAIRE
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