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'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.

Authors
  • Ridgeway, Kathleen1
  • Lenzi, Rachel2
  • Packer, Catherine3
  • González-Calvo, Lázaro3
  • Moon, Troy D4
  • Green, Ann F5
  • Burke, Holly McClain3
  • 1 FHI 360, Health Services Research Division, Durham, NC, USA.
  • 2 FHI 360, Behavioral, Epidemiological & Clinical Sciences Division, Durham, NC, USA.
  • 3 FHI 360, Reproductive, Maternal, Newborn & Child Health Division, Durham, NC, USA.
  • 4 Friends in Global Health, Maputo, Mozambique. , (Mozambique)
  • 5 Vanderbilt University Medical Center, Vanderbilt Institute for Global Health, Nashville, TN, USA.
Type
Published Article
Journal
Culture, health & sexuality
Publication Date
Mar 01, 2021
Volume
23
Issue
3
Pages
414–430
Identifiers
DOI: 10.1080/13691058.2020.1715483
PMID: 32427049
Source
Medline
Keywords
Language
English
License
Unknown

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.

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