The Journal of the Association of Nurses in AIDS Care : JANAC · 2026
Prevalence and Correlates of Violence Among Adolescents and Young Adults Living With HIV in Western Kenya: A Cross-Sectional Analysis.
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Badia Jacinta, Dyer Jessica, Agot Kawango, Wilson Kate, Jiang Wenwen, Beima-Sofie Kristin, Kibugi James, Inwani Irene, Kohler Pamela, Stewart Grace John
Аннотация
Violence against adolescents is underreported due to stigma and fear of retribution. This analysis used data from the Data-informed Stepped Care study. Young adults living with HIV (YLH) ages 10-24 years attending nine health care facilities in Western Kenya were enrolled. Behavioral survey data were collected at baseline and at 6-month follow-up. Among 1,384 YLH, prevalence of lifetime violence was 24% and 25% in female and male patients <20 years, and 48% and 42%, respectively, among those 20+ years. Among female patients <20 years, violence was associated with depression (prevalence ratio [PR] 3.10, 95% confidence intervals [CI] 1.92%-4.85%), stigma (PR 1.65, 95% CI 1.17-2.20), orphanhood (PR 1.74, 95% CI 1.10-2.87), and transactional sex (PR 3.27, 95% CI 1.32-5.90). During the COVID-19 pandemic, recent violence declined. Prevalence of violence was substantial, particularly among female YLH and associated with depression, stigma, orphanhood, and transactional sex.