The Intersection of Alcohol Use, Gender Based Violence and HIV: Empirical Findings among Disadvantaged Service-Seeking Youth in Kampala, Uganda.
The Intersection of Alcohol Use, Gender Based Violence and HIV: Empirical Findings among Disadvantaged Service-Seeking Youth in Kampala, Uganda.
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DOI：
10.1007/s10461-021-03301-0
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发表时间：
2021-10
影响因子：
4.4
通讯作者：
Kasirye R
中科院分区：
文献类型：
--
作者：
Swahn MH;Culbreth R;Masyn KE;Salazar LF;Wagman J;Kasirye R
SAVA综合征经常被用来描述艾滋病毒，基于性别的暴力（GBV）和药物使用的共同发生。在这项研究中，我们确定在何种程度上的类型学的SAVA综合征可以被描述和利用的干预策略之间的青年生活在贫民窟的坎帕拉，乌干达。我们分析了“2014年坎帕拉青年调查”，这是2014年春季进行的一项横断面调查，包括城市青年（12-18岁）的便利样本（N = 1134）。在GBV、HIV和饮酒的8种类型学中，计算假设的风险因素和人口统计学变量的描述性统计量。进行多项逻辑回归以确定与每种类型的统计学显著相关性。GBV的总体患病率为31.7%，而过去12个月内饮酒的总体患病率为31.2%。艾滋病毒阳性青年占总样本的10.5%。与男性相比，女性构成了大多数没有SAVA成分的类型（分别为55%和45%），以及SAVA综合征类型（GBV + HIV + ALC +）（分别为58%和42%）。从事商业性工作（36%），目睹父母虐待（61%）和抑郁症/自杀（81%）在SAVA综合征类型（GBV，艾滋病毒和酒精使用）中的年轻人中都非常普遍。在多变量模型中，性工作和观察父母虐待与SAVA症状类型学相关。在我们的研究中，酒精很少与性别暴力共存。因此，包括结构性干预措施在内的预防工作可能特别需要在弱势群体中开展，以解决可能直接或间接影响性别暴力和艾滋病毒的酗酒问题。
The SAVA syndemic is frequently used to describe the co-occurrence of HIV, gender-based violence (GBV), and substance use. In this study we determine the extent to which the typologies of the SAVA syndemic can be described and utilized for intervention strategies among youth living in the slums of Kampala, Uganda. We analyzed the “Kampala Youth Survey 2014,” a cross-sectional survey conducted in the spring of 2014, consisting of a convenience sample (N = 1134) of urban youth (12–18 years of age). Descriptive statistics were computed for hypothesized risk factors and demographic variables among the 8 typologies of GBV, HIV, and alcohol use. Multinomial logistic regression was conducted to determine statistically significant correlates with each typology. The overall prevalence of GBV was 31.7%, whereas the overall prevalence of alcohol use in the past 12 months was 31.2%. HIV-Positive youth comprised 10.5% of the total sample. Females comprised the majority of the typology with no SAVA components compared to males (55% vs. 45%, respectively), as well as the SAVA syndemic typology (GBV + HIV + ALC +) (58% vs. 42%, respectively). Engaging in commercial sex work (36%), witnessing parental abuse (61%), and depression/suicidality (81%) were all highly prevalent among youth in the SAVA syndemic typology (GBV, HIV, and alcohol use). Sex work and observing parental abuse were associated with the SAVA syndemic typology in the multivariable model. In our study, alcohol rarely coexisted without GBV among the typologies. Therefore, prevention efforts including structural interventions may be particularly warranted in vulnerable populations to address alcohol use, which may directly or indirectly impact GBV and HIV.
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影响因子：
3.6
作者：
Dias, Sonia;Gama, Ana;Barros, Henrique
通讯作者：
Barros, Henrique
影响因子：
2.7
作者：
Kim, HK;Capaldi, DM
通讯作者：
Capaldi, DM
影响因子：
4.5
作者：
Riva, Katherine;Allen-Taylor, Lynne;Lowenthal, Elizabeth D.
通讯作者：
Lowenthal, Elizabeth D.
生活在乌干达坎帕拉贫民窟的青少年中虐待儿童、酗酒和自杀意念之间的相互关系。
影响因子：
4.8
作者：
Culbreth R;Masyn KE;Swahn MH;Self-Brown S;Kasirye R
通讯作者：
Kasirye R
影响因子：
2.2
作者：
Singer, M;Clair, S
通讯作者：
Clair, S