Social Protection and HIV risk Factors among Youth in Southern Africa: An Analysis of Cross-sectional Population-based HIV Impact Assessment Surveys.
Poverty fuels risky sexual behaviors associated with HIV infection among youth. Interventions like cash transfers may mitigate HIV risk. We explored the role of broader social protection (including food, educational, and social transfers) in reducing HIV risk among 15-24-year-olds in Southern Africa...
| Publicado en: | AIDS & Behavior Vol. 29; no. 10; pp. 2997 - 3012 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188353285&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188353285 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Oct2025 vid: 29 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 188353285 183404513 188353285 188353285 10.1007/s10461-025-04638-6 188353285 ppf: 2997 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Social Protection and HIV risk Factors among Youth in Southern Africa: An Analysis of Cross-sectional Population-based HIV Impact Assessment Surveys. aug: au: Banougnin, Boladé Hamed Castor, Delivette Baluku, Joseph Baruch Dzumbunu, Silinganisiwe Padline Somefun, Oluwaseyi Dolapo Sene, Waly Chipanta, David Hertzog, Lucas affil: United Nations Population Fund, West and Central African Regional Office, Immeuble Wolle Ndiaye, Almadies, Dakar, Senegal sug: subj: Financial Support Public Policy Africa, Southern HIV Infections Risk Factors HIV Infections Risk Factors Human Funding Source Africa, Southern Lesotho Malawi Namibia Zambia Zimbabwe Male Female Adolescence Young Adult Cross Sectional Studies Random Sample Probability Multiple Logistic Regression Condoms Utilization Unsafe Sex Sexual Partners Sexual Behavior Risk Taking Behavior Food Security Educational Status Sex Factors Geographic Factors Descriptive Statistics Data Analysis Software Odds Ratio Confidence Intervals Adolescent: 13-18 years Male Female ab: Poverty fuels risky sexual behaviors associated with HIV infection among youth. Interventions like cash transfers may mitigate HIV risk. We explored the role of broader social protection (including food, educational, and social transfers) in reducing HIV risk among 15-24-year-olds in Southern Africa. We analyzed Population-based HIV Impact Assessment surveys data from 31,317 youth in eSwatini, Lesotho, Malawi, Namibia, Zambia, and Zimbabwe (2015–2017). Using inverse probability-weighted multivariable logistic regression, we examined associations between types of social protection and condomless sex, multiple partnerships, and high-risk sexual behaviors. Food support was associated with reduced odds of condomless sex (OR 0.71 [95% CI 0.61–0.82]), multiple partnerships (0.77 [0.63–0.95]), and high-risk sex (0.70 [0.60–0.82]). Educational support was associated with reduced odds of condomless sex (0.57 [0.46–0.59]) and high-risk sex (0.59 [0.47–0.73]). Social transfers were associated with reduced odds of condomless sex (0.62 [0.54–0.70]) and high-risk sex (0.50 [0.44–0.56]). The benefits of social protection varied across countries. Educational support was associated with reduced odds of any HIV risk factors in eSwatini, Zambia, and Zimbabwe. However, the protective effect of social transfers was only observed in eSwatini, and the benefit of food support was only significant in Namibia. Furthermore, protective associations were more pronounced among females than males. This study underscores the potential of social protection to strengthen HIV prevention efforts by mitigating poverty-related risk factors, particularly for adolescent girls and young women in Southern Africa. The impact of specific programs appears context-dependent, highlighting the need for tailored interventions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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