How do new crises impact HIV risk behaviour - exploring HIV risk behaviour according to COVID-19-related orphanhood status in South Africa?

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-05-06 DOI:10.1080/09540121.2024.2333435
Tatenda Mawoyo, Kathryn J Steventon Roberts, Christina Laurenzi, Sarah Skeen, Stefani Du Toit, Ramsha Hisham, Lucie Cluver, Lorraine Sherr, Mark Tomlinson
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Abstract

The COVID-19 pandemic resulted in high death rates globally, and over 10.5 million children lost a parent or primary caregiver. Because HIV-related orphanhood has been associated with elevated HIV risk, we sought to examine HIV risk in children affected by COVID-19 orphanhood. Four hundred and twenty-one children and adolescents were interviewed, measuring seven HIV risk behaviours: condom use, age-disparate sex, transactional sex, multiple partners, sex associated with drugs/alcohol, mental health and social risks. Approximately 50% (211/421) experienced orphanhood due to COVID-19, 4.8% (20/421) reported living in an HIV-affected household, and 48.2% (203/421) did not know the HIV status of their household. The mean age of the sample was 12.7 years (SD:2.30), of whom 1.2% (5/421) were living with HIV. Eighty percent (337/421) reported at least one HIV risk behaviour. HIV sexual risk behaviours were more common among children living in HIV-affected households compared to those not living in HIV-affected households and those with unknown household status (35.0% vs. 13.6% vs.10.8%, X2 = 9.25, p = 0.01). Children living in HIV-affected households had poorer mental health and elevated substance use (70.0% vs. 48.5%, X2 = 6.21, p = 0.05; 35.0% vs. 19.9%, X2 = 4.02, p = 0.1306, respectively). HIV-affected households may require specific interventions to support the health and well-being of children and adolescents.

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新危机如何影响艾滋病毒风险行为--根据南非与 COVID-19 相关的孤儿状况探讨艾滋病毒风险行为?
摘要 COVID-19 大流行导致全球高死亡率,超过 1050 万儿童失去了父母或主要照顾者。由于与艾滋病相关的孤儿与艾滋病风险升高有关,我们试图研究受 COVID-19 孤儿影响的儿童的艾滋病风险。我们对 421 名儿童和青少年进行了访谈,测量了七种 HIV 风险行为:安全套的使用、不同年龄段的性行为、性交易、多个性伴侣、与毒品/酒精相关的性行为、心理健康和社会风险。约 50%(211/421)的受访者因 COVID-19 而成为孤儿,4.8%(20/421)的受访者称生活在受 HIV 影响的家庭中,48.2%(203/421)的受访者不知道其家庭的 HIV 感染状况。样本的平均年龄为 12.7 岁(标准差:2.30),其中 1.2%(5/421)为 HIV 感染者。80%的样本(337/421)报告了至少一种 HIV 风险行为。与未受艾滋病毒影响的家庭和家庭状况未知的儿童相比,受艾滋病毒影响家庭的儿童更常见艾滋病毒性危险行为(35.0% vs. 13.6% vs. 10.8%,X2 = 9.25,p = 0.01)。生活在受艾滋病毒影响家庭的儿童心理健康状况较差,药物使用率较高(分别为 70.0% vs. 48.5%,X2 = 6.21,p = 0.05;35.0% vs. 19.9%,X2 = 4.02,p = 0.1306)。受艾滋病毒影响的家庭可能需要特定的干预措施来支持儿童和青少年的健康和福祉。
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