Let us fight and support one another: adolescent girls and young women on contributors and solutions to HIV risk in Zambia.
Let us fight and support one another: adolescent girls and young women on contributors and solutions to HIV risk in Zambia.
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DOI：
10.2147/ijwh.s142232
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Jones DL
中科院分区：
文献类型：
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作者：
Butts SA;Parmley LE;Alcaide ML;Rodriguez VJ;Kayukwa A;Chitalu N;Weiss SM;Jones DL
在赞比亚，青春期少女和青年妇女受人体免疫机能丧失病毒（艾滋病毒）的影响特别大，社会、文化和经济因素使她们特别易受伤害。这项研究的目的是了解AGYW处于危险之中的背景，并确定流行病的驱动因素和减少艾滋病毒风险的潜在战略。从2016年2月到8月，在赞比亚艾滋病毒流行率最高的地区与AGYW进行了焦点小组讨论。重点小组指南涉及艾滋病毒风险因素和青年青年协会预防艾滋病毒的战略。重点小组的讨论进行了记录、翻译和转录，确定了主题，并对答复进行了编码。结果表明，性别不平等破坏了AGYW中对抗艾滋病毒的潜在保护因素。贫穷和耻辱是获得现有艾滋病毒预防服务的主要障碍，也是感染艾滋病毒的主要风险因素。作为减少艾滋病毒风险的战略，提出了赞助青少年妇女入学、为男孩和女孩制定促进两性平等的方案以及赞比亚政府提供财政援助，以支持最需要帮助的青少年妇女。研究结果突出表明，利用社区研究来指导对受影响人口的潜在干预措施是有用的。未来的研究应探讨使用多层次的干预措施，以打击艾滋病毒的AGYW。
In Zambia, adolescent girls and young women (AGYW) are disproportionately affected by human immunodeficiency virus (HIV), social, cultural and economic factors making them particularly vulnerable. This study was designed to understand the context in which AGYW are at risk and to identify perceived drivers of the epidemic and potential strategies to reduce HIV risk. Focus group discussions were conducted with AGYW in Zambian districts with the highest HIV prevalence from February through August 2016. The focus group guide addressed HIV risk factors and strategies for HIV prevention in AGYW. Focus group discussions were recorded, translated and transcribed, themes identified and responses coded. Results suggest that gender inequality undermined potentially protective factors against HIV among AGYW. Poverty and stigmatization were major barriers to accessing available HIV prevention services as well as primary risk factors for HIV infection. Sponsorship to support AGYW school attendance, programs for boys and girls to foster gender equality and financial assistance from the government of Zambia to support AGYW most in need were proposed as strategies to reduce HIV risk. Results highlight the utility of using community-based research to guide potential interventions for the affected population. Future research should explore the use of multilevel interventions to combat HIV among AGYW.