| Autor: |
Elzette Rousseau, Linxuan Wu, Renee Heffron, Jared M. Baeten, Connie L. Celum, Danielle Travill, Sinead Delany-Moretlwe, Linda-Gail Bekker, Elizabeth Bukusi, Victor Omollo, Ariane van der Straten, Gabrielle O’Malley, Jessica E. Haberer, Jennifer F. Morton, Rachel E. Johnson, Sarah T. Roberts |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
Frontiers in Reproductive Health, Vol 5 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2673-3153 |
| DOI: |
10.3389/frph.2023.1073103 |
| Popis: |
IntroductionGendered power inequalities impact adolescent girls’ and young women's (AGYW) sexual and reproductive health (SRH) outcomes. We investigated the influence of sexual relationship power on AGYW's SRH outcomes, including HIV pre-exposure prophylaxis (PrEP) persistence.MethodsThe POWER study in Kisumu, Kenya, and Cape Town and Johannesburg, South Africa provided PrEP to 2,550 AGYW (aged 16–25). AGYW's perceived power in their primary sexual relationship was measured among the first 596 participants enrolled using the Sexual Relationship Power Scale's (SRPS) relationship control sub-scale. Multivariable regression was used to test for (1) key sociodemographic and relationship characteristics associated with relationship power; and (2) the association of relationship power with SRH outcomes including PrEP persistence.ResultsIn this cohort, the mean SRPS score was 2.56 (0.49), 542 (90.9%) initiated PrEP; 192 (35.4%) persisted with PrEP at 1 month of which 46 (24.0% of 192) persisted at 6 months. SRPS were significantly lower among AGYW who cohabited with their sex partner (−0.14, 95% CI: −0.24 to −0.04, p = 0.01), or had ≥1 sex partner (−0.10, 95% CI: −0.19 to −0.00, p = 0.05). AGYW with lower SRPS were more likely to not know their partner's HIV status (aOR 2.05, 95% CI: 1.27 to 3.33, p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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