HIV risks and vulnerabilities reported among adolescent girls and young women accessing DREAMS services in three Zambian districts: Monze, Mazabuka, and Mongu, 2020–2022
Rattachement africain : us, Zambie, Ouganda, Nigéria. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Adolescent girls and young women (AGYW) in sub-Saharan Africa face socio-economic and gender-related factors that heighten risk of HIV infection. We examined HIV risks and vulnerabilities among AGYW enrolled in the Determined Resilient Empowered AIDS-free Mentored and Safe (DREAMS) program in Zambia. METHODS: AGYW aged 10-24 years were screened at enrollment in DREAMS using a standardized tool assessing exposure to sexual and reproductive health risks, gender-based violence, and orphanhood. We analyzed 24 months of data (October 2020-September 2022) from six centers in Southern and Western Provinces. We characterized age-disaggregated risks and used multivariable logistic regression to examine associations with engagement in HIV-related clinical services. RESULTS: Among 63,118 AGYW screened, 34.9% were aged 10-14 years, 50.7% aged 15-19 years, and 14.4% aged 20-24 years. Emotional or physical violence (78.0%) and orphanhood (22.3%) were most common among girls aged 10-14 years. Among AGYW 15-19 years, top risks included no/irregular condom use (58.1%), orphanhood (29.2%), multiple partners (23.5%), and transactional sex (20.1%). In the 20-24 years group, 83.5% reported no/irregular condom use, with 29.9% reporting multiple partners and 23.0% transactional sex. Clinical service engagement was positively associated with being out of school, sexually active, using drugs/alcohol, and reporting prior pregnancy, STIs, or multiple sexual partners. CONCLUSION: Socio-economic vulnerabilities were common among younger AGYW in Zambia, while older AGYW reported high levels of behavioral HIV risk. DREAMS reached vulnerable and at-risk AGYW in Zambia, representing an opportunity to reduce HIV acquisition through targeted prevention services.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- HIV risks and vulnerabilities reported among adolescent girls and young women accessing DREAMS services in three Zambian districts: Monze, Mazabuka, and Mongu, 2020–2022
- Date Crossref
- 10/02/2026
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Maryland and Biosecurity pays non établi dans la noticeUniversité ou école supérieure
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Centre for Infectious Disease Research in Zambia Zambie (code pays fourni par la source)Organisation à but non lucratif
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Centers for Disease Control and Prevention Ouganda (code pays fourni par la source)Organisme public
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United Nations Children's Fund Zambia Zambie (code pays fourni par la source)Institution
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Institute of Human Virology Nigéria (code pays fourni par la source)Organisme public
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Maryland Global Initiatives Corporation Zambia Lusaka, Zambie (pays nommé en fin d’affiliation)Institution
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Ciheb Zambia Lusaka, Zambie (pays nommé en fin d’affiliation)Institution
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Division of Global HIV and TB Lusaka, Zambie (pays nommé en fin d’affiliation)Institution
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UNICEF Zambia Lusaka, Zambie (pays nommé en fin d’affiliation)Institution
and Biosecurity — University of Maryland, Centre for Infectious Disease Research in Zambia (Zambie) et Centers for Disease Control and Prevention (Ouganda), avec 6 autres affiliations. Pays d’affiliation : Zambie, Ouganda, Nigéria.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.