Examining Associations Between Resilience and Sexual Health Among South African Girls and Young Women Living With and Without HIV.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Aids Education and Prevention Pub Date : 2023-02-01 DOI:10.1521/aeap.2023.35.1.1

Ashleigh LoVette, Adam Sullivan, Caroline Kuo, Don Operario, Abigail Harrison, Catherine Mathews

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Abstract

Resilience, or multilevel processes related to thriving, offers a strengths-based approach to reducing HIV and sexual risk behaviors among girls and young women. Processes of resilience may change based on the experience of living with HIV. However, little is known about how resilience and serologically verified HIV status influence sexual health. Using weighted cross-sectional data collected during 2017-2018 from South African girls and young women aged 15-24 (N = 7237), this article examines associations between resilience and three sexual risk behaviors among those living with and without HIV. Logistic regression models indicated greater resilience scores were associated with reduced odds of engaging in transactional sex and early sexual debut. Results also identified differing associations between resilience and sexual risk behaviors by HIV status. Findings provide implications for programming to prevent HIV and improve sexual health while underscoring the need for tailored resilience-promoting interventions for South African girls and young women living with HIV.

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研究感染和未感染艾滋病毒的南非女孩和年轻妇女的复原力与性健康之间的关系。

复原力，或与茁壮成长相关的多层次过程，提供了一种基于优势的方法，以减少女孩和年轻妇女的艾滋病毒和性风险行为。复原过程可能会根据感染艾滋病毒的经历而改变。然而，人们对恢复能力和血清学验证的艾滋病毒状态如何影响性健康知之甚少。本文使用2017-2018年从南非15-24岁的女孩和年轻女性(N = 7237)收集的加权横截面数据，研究了艾滋病毒感染者和非感染者的复原力与三种性风险行为之间的关系。逻辑回归模型表明，较高的弹性得分与较低的交易性行为几率和较早的初次性行为有关。结果还确定了艾滋病毒感染状况与适应力和性风险行为之间的不同关联。调查结果为制定预防艾滋病毒和改善性健康的方案提供了启示，同时强调需要为感染艾滋病毒的南非女孩和年轻妇女提供量身定制的促进复原力的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aids Education and Prevention Multiple-

CiteScore

2.20

自引率

5.60%

发文量

期刊介绍： Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.