Depression and HIV risk behaviors among adolescent girls and young women seeking family planning services in Western Kenya.

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 AIDS

authors

Larsen A,Kinuthia J,Lagat H,Sila J,Abuna F,Kohler P,John-Stewart G,Pintye J

doi

10.1177/0956462420920423

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

652-664

issue

7

eissn

0956-4624

issn

1758-1052

journal_volume

31

pub_type

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