학술논문
'I married when I was 16… due to poverty, I had no other way': multi-level factors influencing HIV-related sexual risk behaviours among adolescent girls in Zambézia, Mozambique.
Document Type
Academic Journal
Author
Ridgeway K; FHI 360, Health Services Research Division, Durham, NC, USA.; Lenzi R; FHI 360, Behavioral, Epidemiological & Clinical Sciences Division, Durham, NC, USA.; Packer C; FHI 360, Reproductive, Maternal, Newborn & Child Health Division, Durham, NC, USA.; González-Calvo L; FHI 360, Reproductive, Maternal, Newborn & Child Health Division, Durham, NC, USA.; Moon TD; Friends in Global Health, Maputo, Mozambique.; Green AF; Vanderbilt University Medical Center, Vanderbilt Institute for Global Health, Nashville, TN, USA.; Burke HM; FHI 360, Reproductive, Maternal, Newborn & Child Health Division, Durham, NC, USA.
Source
Publisher: Informa Healthcare Country of Publication: England NLM ID: 100883416 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1464-5351 (Electronic) Linking ISSN: 13691058 NLM ISO Abbreviation: Cult Health Sex Subsets: MEDLINE
Subject
Language
English
Abstract
This paper explores individual, interpersonal- and household-level factors influencing HIV-related sexual risk behaviour among adolescent girls who participated in an intervention to reduce HIV risk in a rural setting in Mozambique. Twenty-eight adolescent girls ages 13-19, 30 heads of household, and 53 influential men participated in in-depth interviews at two time points. Comparative analysis compared girls who reported reducing risk behaviours over time to girls who did not and identified factors that respondents described as influential to behaviour change. Among the twenty girls self-reporting sexual risk at the first time point, half had reduced these behaviours one year later. Changes in girls' behaviours were contingent upon household- and interpersonal-level factors, particularly households' economic stability and family members' financial support. Future interventions with adolescents in similar settings should evaluate and leverage household and family support to achieve sexual risk reduction.