ArticleJournal of the International AIDS Society2019
Contextual drivers of HIV risk among young African women.
Article in Journal of the International AIDS Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Women's sexual scripting in the context of universal access to antiretroviral treatment-findings from the HPTN 071 (PopART) trial in South Africa.BMC women's health · 2021Trial
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- Article
- Reaching Out-of-school Adolescent Girls and Young Women at Risk for HIV Through Their Social Networks.AIDS and behavior · 2024Article
- Exploring HIV risk perception mechanisms among youth in a test-and-treat trial in Kenya and Uganda.PLOS global public health · 2024Article
- Gender Norms and Structural Barriers to Use of HIV Prevention in Unmarried and Married Young Women in Manicaland, Zimbabwe: An HIV Prevention Cascade Analysis.Gates open research · 2024Article
- Dyspareunia, signs of epithelial disruption, sexual abstinence, and HIV status in female sex workers in Nairobi: a cross-sectional study.BMC infectious diseases · 2023Article
- Association of sexual relationship power with PrEP persistence and other sexual health outcomes among adolescent and young women in Kenya and South Africa.Frontiers in reproductive health · 2023Article
- Young migrant men managing risk and seeking protection in a small town in Southern Uganda.Journal of migration and health · 2023Article
- There are no equal opportunity infectors: Epidemiological modelers must rethink our approach to inequality in infection risk.PLoS computational biology · 2022Article
- Changes over time in HIV testing and counselling uptake and associated factors among youth in Zambia: a cross-sectional analysis of demographic and health surveys from 2007 to 2018.BMC public health · 2021Article
- Factors associated with age of first sex among women screened for an observational contraceptive vaginal ring study in Kisumu, Kenya, 2014.African journal of reproductive health · 2021Observational
- Fertility Desire, Knowledge of Prevention of MCT of HIV and Associated Factors Among Men and Women Attending ART Clinic at Public Health Institutions of West Shoa Zone, Oromia, Ethiopia, 2020.HIV/AIDS (Auckland, N.Z.) · 2021Article
- Maximizing the impact of HIV prevention technologies in sub-Saharan Africa.Journal of the International AIDS Society · 2019Article
- Contextual drivers of HIV risk among young African women.Journal of the International AIDS Society · 2019Article
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2 authors.
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Abstract
introductionSignificant progress has been made in the African HIV pandemic; however, the pace of incidence decline has slowed or stalled in many East and Southern African countries, especially among young women. This stall is worrying because many countries have burgeoning youth populations. There is an important window of opportunity to halt the epidemic as well as the potential for millions more infections if primary prevention efforts are not strengthened. DISCUSSION: Many hyper-endemic settings have been exposed to numerous interventions; however, HIV incidence among young women has remained high. In this paper, we characterize the intervention context and examine how it can be strategically utilized to maximize HIV prevention interventions among young women. We begin by examining how contextual dynamics drive HIV risk. We illustrate how epidemiological contexts, gendered normative and economic contexts, and environmental contexts work synergistically to make young women especially vulnerable to HIV infection. We then examine how these contexts can undermine HIV prevention interventions. Finally, we discuss the importance of fully mapping out the intervention context to enhance the effectiveness of HIV prevention interventions.
conclusionsUnderstanding an intervention context, and how its features work together to amplify young women's risk in hyper-endemic settings can contribute to sustained momentum in reducing HIV incidence among young women and help to limit the reach of the HIV pandemic into new generations of Africans.
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