HIV Risk Among Displaced Adolescent Girls in Ethiopia: the Role of Gender Attitudes and Self-Esteem

Prevention Science : the Official Journal of the Society for Prevention Research
Laura Gauer BermudezLindsay Stark

Abstract

Adolescent girls in sub-Saharan Africa have been deemed one of the most critical populations to address in the campaign for an HIV-free generation. Experiences of intimate partner violence (IPV), harmful gender norms, diminished personal agency, and age-disparate sex have been identified as factors in the increasing rate of new infections among this population. Using baseline data from a cluster-randomized controlled trial in three refugee camps in Benishangul-Gumuz Regional State in Ethiopia, our study quantitatively examined the associations between HIV risk factors, attitudes on gender inequality, IPV acceptability, and self-esteem for female adolescent refugees primarily from Sudan and South Sudan (n = 919). In multivariate models, adjusting for age and education, results showed girls who were more accepting of gender inequitable norms and IPV had greater odds of ever experiencing forced (OR 1.40, CI 1.15-1.70; OR 1.66, CI 1.42-1.94) or transactional sex (OR 1.28, CI 1.05-1.55; OR 1.59, CI 1.37-1.85) compared to girls who demonstrated less approval. Higher self-esteem was associated with increased odds of condom use (OR 1.13, CI 1.02-1.24) as well as decreased odds of adolescent marriage (OR 0.93, CI 0.90-0.95), age-dispara...Continue Reading

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Citations

Feb 7, 2020·Psicologia, Reflexão E Crítica : Revista Semestral Do Departamento De Psicologia Da UFRGS·Rodrigo Ferrer-UrbinaDébora Alejandra Llewellyn-Alvarado
Nov 12, 2020·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Lunic B KhozaMygirl P Lowane
Feb 20, 2021·Psychology Research and Behavior Management·Hsien-Cheng Lin, Chia-Chen Chen
Nov 23, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Sophia Zamudio-HaasHong-Ha M Truong

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