TY - JOUR
T1 - Community support and adolescent girls' vulnerability to HIV/AIDS
T2 - Evidence from Botswana, Malawi, and Mozambique
AU - Underwood, Carol
AU - Schwandt, Hilary M.
N1 - Funding Information:
The research findings elaborated in this article were part of the Go Girls! Initiative, which was funded by the President's Emergency Plan for AIDS Relief (PEPFAR) and the United States Agency for International Development (USAID) under the terms of Contract No. GHH-I-00-07-00032-00, USAID j Project SEARCH, Task Order 01.
Publisher Copyright:
© The Author(s) 2015.
PY - 2015/7
Y1 - 2015/7
N2 - Girls are vulnerable to HIV in part because the social systems in which they live have failed to support and protect them. The goal of this research was to develop a viable supportive community index and test its association with intermediate variables associated with HIV risk across 16 communities in Botswana, Malawi, and Mozambique. This cross-sectional survey with separate samples randomly drawn in each country (2010) yielded a total sample of 1,418 adolescent girls (aged 11-18). Multilevel, multivariate logistic regression, while controlling for vulnerability, age, religion, and residence, found that an increase in supportive community index is positively associated with the odds of indicating improved community support for girls and with the confidence to refuse unwanted sex with a boyfriend across the three countries, as well as with self-efficacy to insist on condom use in Botswana and Mozambique. Program implementers and decision makers alike can use the supportive community index to identify and measure structural factors associated with girls' vulnerability to HIV/AIDS; this will potentially contribute to judicious decision making regarding resource allocation to enhance community-level, protective factors for adolescent girls.
AB - Girls are vulnerable to HIV in part because the social systems in which they live have failed to support and protect them. The goal of this research was to develop a viable supportive community index and test its association with intermediate variables associated with HIV risk across 16 communities in Botswana, Malawi, and Mozambique. This cross-sectional survey with separate samples randomly drawn in each country (2010) yielded a total sample of 1,418 adolescent girls (aged 11-18). Multilevel, multivariate logistic regression, while controlling for vulnerability, age, religion, and residence, found that an increase in supportive community index is positively associated with the odds of indicating improved community support for girls and with the confidence to refuse unwanted sex with a boyfriend across the three countries, as well as with self-efficacy to insist on condom use in Botswana and Mozambique. Program implementers and decision makers alike can use the supportive community index to identify and measure structural factors associated with girls' vulnerability to HIV/AIDS; this will potentially contribute to judicious decision making regarding resource allocation to enhance community-level, protective factors for adolescent girls.
KW - Botswana
KW - Community support
KW - HIV
KW - Malawi
KW - Mozambique
KW - Structural interventions
KW - Vulnerable girls
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U2 - 10.1177/0272684X15592762
DO - 10.1177/0272684X15592762
M3 - Review article
C2 - 26470396
AN - SCOPUS:84946744995
SN - 0272-684X
VL - 35
SP - 317
EP - 334
JO - International quarterly of community health education
JF - International quarterly of community health education
IS - 4
ER -