Let us fight and support one another: adolescent girls and young women on contributors and solutions to HIV risk in Zambia
| Autor: | Violeta J. Rodriguez, Stephen M. Weiss, Lauren Parmley, Deborah L. Jones, Maria L. Alcaide, Stefani A. Butts, Annette Kayukwa, Ndashi Chitalu |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
sub-Saharan Africa
Population Human immunodeficiency virus (HIV) Psychological intervention International Journal of Women's Health Zambia Context (language use) medicine.disease_cause Hiv risk 03 medical and health sciences adolescent girls 0302 clinical medicine 5. Gender equality prevention Environmental health Maternity and Midwifery medicine 030212 general & internal medicine 10. No inequality education Original Research education.field_of_study Government 030505 public health Poverty business.industry 1. No poverty Obstetrics and Gynecology virus diseases HIV Focus group 3. Good health Oncology women 0305 other medical science business |
| Zdroj: | International Journal of Women's Health |
| ISSN: | 1179-1411 |
| Popis: | Stefani A Butts,1 Lauren E Parmley,1 Maria L Alcaide,1 Violeta J Rodriguez,1 Annette Kayukwa,2 Ndashi Chitalu,2 Stephen M Weiss,1 Deborah L Jones1 1Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA; 2Department of Pediatrics, University of Zambia, Lusaka, Zambia Abstract: In Zambia, adolescent girls and young women (AGYW) are disproportionately affected by human immunodeficiency virus (HIV), social, cultural and economic factors making them particularly vulnerable. This study was designed to understand the context in which AGYW are at risk and to identify perceived drivers of the epidemic and potential strategies to reduce HIV risk. Focus group discussions were conducted with AGYW in Zambian districts with the highest HIV prevalence from February through August 2016. The focus group guide addressed HIV risk factors and strategies for HIV prevention in AGYW. Focus group discussions were recorded, translated and transcribed, themes identified and responses coded. Results suggest that gender inequality undermined potentially protective factors against HIV among AGYW. Poverty and stigmatization were major barriers to accessing available HIV prevention services as well as primary risk factors for HIV infection. Sponsorship to support AGYW school attendance, programs for boys and girls to foster gender equality and financial assistance from the government of Zambia to support AGYW most in need were proposed as strategies to reduce HIV risk. Results highlight the utility of using community-based research to guide potential interventions for the affected population. Future research should explore the use of multilevel interventions to combat HIV among AGYW. Keywords: HIV, sub-Saharan Africa, prevention, adolescent girls, women, Zambia |
| Databáze: | OpenAIRE |
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