ArticlePrevention science : the official journal of the Society for Prevention Research2019
HIV Risk Among Displaced Adolescent Girls in Ethiopia: the Role of Gender Attitudes and Self-Esteem.
Article in Prevention science : the official journal of the Society for Prevention Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- Colliding Wars: A Systematic Review on HIV Responses in Conflict-Affected Settings.Public health challenges · 2026Review
- Evaluating the level of knowledge of HIV prevention methods and associated socio-demographic factors among adolescents before and after participating in health education in Nimule town of South Sudan.BMC public health · 2025Article
- HIV Stigma in Awi Zone, Northwest Ethiopia, and a Unique Community Association as a Potential Partner.International journal of environmental research and public health · 2024Article
- Self-esteem and self-concept as correlates of life satisfaction and attitudes toward school among Ghanaian girls.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2024Article
- The effect of self-esteem on the spread of a pandemic. A cross-country analysis of the role played by self-esteem in the spread of the COVID-19 pandemic.Social science & medicine (1982) · 2023Article
- Seeking a "Sponyo": Insights Into Motivations and Risks Around Intergenerational Transactional Sex Among Adolescent Boys and Girls in Kenya.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Article
- Disease Prevention Behavior During the COVID-19 Pandemic and the Role of Self-Esteem: An Extended Parallel Process Model.Psychology research and behavior management · 2021Article
- Attitudes and beliefs of immigrants regarding HIV and AIDS in Mopani district, South Africa.SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance · 2020Article
- Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review.Journal of migration and health · 2020Article
- Development and validity evidence of the multidimensional scale of sexual self-concept in a Spanish-speaking context.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2019Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
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-disparate sex (OR 0.90, CI 0.86-0.94), and transactional sex (OR 0.96, CI 0.93-0.99). The findings suggest acceptance of inequitable gender norms (including those that perpetuate violence against women) and low self-esteem to be associated with common HIV risk factors among refugee adolescents living in Ethiopia. Greater attention towards the intersections of gender equality and self-valuation is needed when seeking to understand HIV risk among refugee adolescent girls in sub-Saharan Africa.
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