Abstract:
:We assessed prevalence of human immunodeficiency virus (HIV) risk behaviors and depressive symptoms among adolescent girls and young women (AGYW) aged 15-24 years attending four public family planning clinics in Western Kenya from January to June 2019. Moderate-to-severe depression (MSD) was defined as a Center for Epidemiologic Studies Depression Scale (CESD-10) score ≥10. Among 487 AGYW, the median age was 22 years (interquartile range 20-23), and 59 (12%) AGYW reported MSD. MSD was more prevalent among AGYW without a current partner (p = 0.001) and associated with HIV risk factors including partner ≥10 years older, recent transactional sex, forced sex, intimate partner violence, and alcohol use (each p ≤ 0.005). Thirty-four percent of AGYW with MSD had a high HIV risk score corresponding to 5 to 15 incident HIV cases per 100 person-years. Overlapping high prevalence of depression and HIV risk among AGYW underscores the need for integrated mental health and HIV services in family planning clinics.
journal_name
Int J STD AIDSjournal_title
International journal of STD & AIDSauthors
Larsen A,Kinuthia J,Lagat H,Sila J,Abuna F,Kohler P,John-Stewart G,Pintye Jdoi
10.1177/0956462420920423subject
Has Abstractpub_date
2020-06-01 00:00:00pages
652-664issue
7eissn
0956-4624issn
1758-1052journal_volume
31pub_type
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