Accelerating the prevention of HIV and violence in adolescent girls and young women in Zimbabwe through multi-sectoral programming: Cross-sectional analysis of the 2017 violence against children survey
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View abstract on PubMed
Summary
This summary is machine-generated.Protective factors like positive parenting, food security, and equitable gender attitudes significantly reduce adverse outcomes for adolescent girls and young women (AGYW) in Zimbabwe, including HIV risk and violence.
Area Of Science
- Public Health
- Sociology
- Adolescent Health
Background
- Adolescent girls and young women (AGYW) in Zimbabwe face high risks of HIV and gender-based violence.
- Understanding protective factors is crucial for developing effective interventions.
Purpose Of The Study
- To analyze the association between positive parenting, food security, equitable gender attitudes, and adverse outcomes in Zimbabwean AGYW.
- To identify protective factors that can mitigate risks like HIV and gender-based violence.
Main Methods
- Analysis of data from 7,211 AGYW (aged 13-24) from the 2017 Zimbabwe Violence Against Children Survey.
- Multivariable logistic regression and Westfall-Young stepdown procedure for statistical analysis.
- Computation of predicted probabilities for various exposure scenarios.
Main Results
- Equitable gender attitudes were associated with reduced odds of inconsistent condom use (aOR: 0.47) and adolescent pregnancy (aOR: 0.65).
- Positive parenting reduced the likelihood of sexual abuse (aOR: 0.63) and physical intimate partner violence (IPV) (aOR: 0.56).
- Food security was linked to lower odds of physical IPV (aOR: 0.52) and mental distress (aOR: 0.58).
- Combined protective factors showed additive effects on multiple outcomes.
Conclusions
- Positive parenting, food security, and equitable gender attitudes are vital protective factors for AGYW in Zimbabwe.
- Integrating these factors into HIV-centered interventions can improve AGYW well-being.
- Structural, societal, and relational strategies are essential complements to biomedical approaches.
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