Youth health risk behavior: effects of early sexual debut on HIV incidence among Rwandan youth

Dine, Roseline Dzekem; Bamodu, Oluwaseun Adebayo; Ntaganira, Joseph

doi:10.1007/s10389-021-01617-8

Cited by 7 publications

(5 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Existing studies have shown that early sexual debut is a significant risk factor for both unintended pregnancies and HIV infection due to various factors such as limited knowledge about safe sex practices, lack of access to contraceptives, and potential engagement in risky sexual behaviours [38,39]. This may also be linked to adolescent mothers learning of their HIV status for the first time when they confirm that they are pregnant [30,40].…”

Section: Discussionmentioning

confidence: 99%

HIV and Pregnancy among Adolescents in Sub-Saharan Africa: A Scoping Review

Akinsolu,

Adewole,

Lawale

et al. 2024

Preprint

View full text Add to dashboard Cite

The interaction of adolescent pregnancy with HIV is a complex and crucial public health issue worldwide. This is evident in sub-Saharan Africa, where the co-occurrence of HIV and adolescent pregnancies represents a high risk for additional health and social consequences for both adolescent mothers and their children. This study aims to explore literature to provide a clear synthesis of data related to pregnancies among adolescents living with HIV in Sub-Saharan Africa. A literature search was conducted in July 2023 using PubMed, Scopus, CINAHL, Cochrane Library, African Journals Online, and World Health Organization Global Index Medicus. Two authors screened potential studies. Articles selected were those published in or translated into the English language between 2002 and 2022. Among 1,560 identified results, 25 peer-reviewed publications on pregnancy among adolescents living with HIV in Sub-Saharan Africa were included after screening. The studies, included both qualitative and quantitative data, with a total of 178,227 participants in the age range of 12-18 years. The majority of the studies reported quantitative data, while a few presented qualitative or mixed-methods findings. This scoping review highlights disparities in pregnancy prevalence, revealing varied rates among different age groups. The underrepresentation of adolescents in demographic studies suggests diverse vulnerabilities and access to healthcare. The study also emphasizes the need for tailored healthcare services and comprehensive interventions addressing HIV risk, mental health challenges, and socio-economic barriers.

show abstract

Section: Discussionmentioning

confidence: 99%

HIV and Pregnancy among Adolescents in Sub-Saharan Africa: A Scoping Review

Akinsolu,

Adewole,

Lawale

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…In Brazil, among adolescents and young people, mainly males, the number of new HIV cases increased gradually between 2010 and 2020, with a 29 % increase in the age group from 15 to 19 years old and 20.2 % between 20 and 24 years old, whose main transmission route was sexual (3). This situation can reflect the health risk behavior among this population segment, such as precocity for sexual life initiation, resistance to condom use, concurrent partners, and use of licit and illicit drugs (4).…”

Section: Introductionmentioning

confidence: 99%

Treatment Non-Adherence or Abandonment Among Adolescents and Young Individuals Living with HIV/AIDS: A Scoping Review

et al. 2023

View full text Add to dashboard Cite

Objective: to identify and map the scientific literature on the reasons for treatment non-adherence or abandonment among adolescents and young individuals living with HIV/AIDS. Materials and method: a scoping review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) strategy for the presentation of data referring to the reasons for treatment non-adherence or abandonment among adolescents and young people living with HIV/AIDS. Seven information sources were used to search for the articles, namely: Medline via PubMed, Web of Science, LILACS, CINAHL, BDEnf, Scopus, and Embase, without a time frame and with the following search strategy: “patient dropouts” OR “abandonment” OR “lack of medication adherence” AND “adolescent” OR “young adult” AND “Acquired Immunodeficiency Syndrome” OR “HIV” AND “antiretroviral therapy highly active” OR “medication adherence.” Results: eight articles were included in the study, contemplating the reasons for treatment non-adherence or abandonment, which were related to access to health services, sociodemographic, structural, psychosocial and behavioral conditions, and factors associated with the disease or the medication. Conclusions: the findings of this study evidenced how vulnerable adolescents and young people are to the issues inherent to HIV/AIDS treatment and that several reasons can influence its non-adherence or abandonment.

show abstract

“…Early sexual debut de ned sexual intercourse occurring typically before the age of 15 and below has been shown to be associated with higher chances of contacting STIs including HIV (19)(20)(21)(22). Knowing the effect of early sexual debut will help design interventions that target AGYW with elevated risk.…”

Section: Introductionmentioning

confidence: 99%

Assessing the effect of age at sexual debut on HIV acquisition among Adolescents Girls and Young Women in Malawi: Evidence from Malawi Population-based HIV Impact Assessment

Moyo¹,

Nyasulu

Govindasamy

2022

Preprint

View full text Add to dashboard Cite

Background Adolescent girls and young women (AGYW) constitute the highest proportion of all new HIV infections in sub-Saharan Africa. Age at sexual debut is one of the sexual behavior factors that predict HIV among AGYW. We aim to assess the effect of age at sexual debut on HIV acquisition among AGYW in Malawi using 2016 Malawi population-based HIV impact assessment (MPHIA). Methods We analyzed HIV data on 1,921 AGYW from the 2016 MPHIA. Associations between HIV infection and predictor variables were assessed using both univariate and multivariate logistic regression. The effect of age at sexual debut on HIV acquisition was assessed using binary logistic regression model with random adjustment of standard errors. Results The weighted HIV prevalence among AGYW was estimated at 4.7%. The prevalence was high for AGYW from southern region (7.8%) compared to the central (2.3%) and the northern region (2.1%). AGYW from urban areas had twice as much the prevalence of HIV compared to those from rural areas (9.1% versus 3.7% for urban and rural respectively). This study has identified 9 behavior and contextual factors that are associated with HIV infection among AGYW, and these are: region (p < 0.001), residence (p < 0.001), age (p = 0.008), age at first sex (p = 0.001), age at marriage (p0.0131), marital status (p < 0.001), education (p = 0.002), wealth quintile (p = 0.05) and partner at last sex (p < 0.001). AGYW who started sex before the age of 15 were more than two times (OR 2.47, 95% CI 1.52–4.05) likely to be test HIV positive compared to those who started after the age of 15. Conclusion This study concludes that early sexual debut occurring before the age of 15 significantly predict HIV among AGYW in Malawi. To reduce their risk to acquiring HIV, such AGYW should be linked to HIV PreP services to minimize risk of HIV transmission.

show abstract

Youth health risk behavior: effects of early sexual debut on HIV incidence among Rwandan youth

Cited by 7 publications

References 32 publications

HIV and Pregnancy among Adolescents in Sub-Saharan Africa: A Scoping Review

HIV and Pregnancy among Adolescents in Sub-Saharan Africa: A Scoping Review

Treatment Non-Adherence or Abandonment Among Adolescents and Young Individuals Living with HIV/AIDS: A Scoping Review

Assessing the effect of age at sexual debut on HIV acquisition among Adolescents Girls and Young Women in Malawi: Evidence from Malawi Population-based HIV Impact Assessment

Contact Info

Product

Resources

About