Population Estimates of HIV Risk Factors to Inform HIV Prevention Programming for Adolescent Girls and Young Women.
Ashleigh L HowardLaura ChiangViani PicchettiLiping ZhuJennifer HeglePragna PatelJanet SaulLydia WasulaSophie NantumeRachel CoomerRahimisa KamuingonaRose Patricia OluochTendayi MharadzeMeghan DuffyCaroline A KambonaPuleng RamphallaKamagate Maman FathimGreta M MassettiPublished in: AIDS education and prevention : official publication of the International Society for AIDS Education (2023)
Violence Against Children and Youth Survey (VACS) data from seven countries were analyzed to estimate population-level eligibility for the President's Emergency Plan for AIDS Relief (PEPFAR) Determined, Resilient, Empowered, AIDS-Free, Mentored, and Safe (DREAMS) HIV prevention program for adolescent girls and young women (AGYW). The prevalence of overall eligibility and individual risk factors, including experiences of violence, social, and behavioral risks differ across countries and age groups. A large proportion of AGYW across all countries and age groups examined have at least one risk factor making them eligible for DREAMS. Experiencing multiple risks is also common, suggesting that researchers and programs could work together to identify combinations of risk factors that put AGYW at greatest risk of HIV acquisition, or that explain most new HIV infections, to more precisely target the most vulnerable AGYW. The VACS provides important data for such analyses to refine DREAMS and other youth programming.
Keyphrases
- risk factors
- antiretroviral therapy
- mental health
- hiv infected
- hiv positive
- human immunodeficiency virus
- hiv testing
- hiv aids
- hepatitis c virus
- men who have sex with men
- young adults
- public health
- electronic health record
- physical activity
- human health
- emergency department
- healthcare
- big data
- risk assessment
- south africa
- machine learning
- emergency medical