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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >HIV Risk Among Displaced Adolescent Girls in Ethiopia: the Role of Gender Attitudes and Self-Esteem
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HIV Risk Among Displaced Adolescent Girls in Ethiopia: the Role of Gender Attitudes and Self-Esteem

机译：在埃塞俄比亚的流离失所的青少年女孩中的艾滋病风险：性别态度和自尊的作用

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摘要

Adolescent girls in sub-Saharan Africa have been deemed one of the most critical populations to address in the campaign for an HIV-free generation. Experiences of intimate partner violence (IPV), harmful gender norms, diminished personal agency, and age-disparate sex have been identified as factors in the increasing rate of new infections among this population. Using baseline data from a cluster-randomized controlled trial in three refugee camps in Benishangul-Gumuz Regional State in Ethiopia, our study quantitatively examined the associations between HIV risk factors, attitudes on gender inequality, IPV acceptability, and self-esteem for female adolescent refugees primarily from Sudan and South Sudan (n=919). In multivariate models, adjusting for age and education, results showed girls who were more accepting of gender inequitable norms and IPV had greater odds of ever experiencing forced (OR 1.40, CI 1.15-1.70; OR 1.66, CI 1.42-1.94) or transactional sex (OR 1.28, CI 1.05-1.55; OR 1.59, CI 1.37-1.85) compared to girls who demonstrated less approval. Higher self-esteem was associated with increased odds of condom use (OR 1.13, CI 1.02-1.24) as well as decreased odds of adolescent marriage (OR 0.93, CI 0.90-0.95), age-disparate sex (OR 0.90, CI 0.86-0.94), and transactional sex (OR 0.96, CI 0.93-0.99). The findings suggest acceptance of inequitable gender norms (including those that perpetuate violence against women) and low self-esteem to be associated with common HIV risk factors among refugee adolescents living in Ethiopia. Greater attention towards the intersections of gender equality and self-valuation is needed when seeking to understand HIV risk among refugee adolescent girls in sub-Saharan Africa.
机译：撒哈拉以南非洲的青春期以来被认为是最关键的人口之一，以便在艾滋病毒活动中寻求活动。亲密的合作伙伴暴力（IPV），有害性别规范，减少个人机构和年龄不同性别的经验已被确定为这一人口中新感染率的增加因素。在埃塞俄比亚本店 - 朱富斯区域国家的三个难民营中使用基线数据，我们的研究定量审查了艾滋病毒风险因素，对女性青少年难民的性别不平等，IPV可接受性和自尊的态度之间的协会主要来自苏丹和南苏丹（n = 919）。在多变量模型中，调整年龄和教育，结果显示了更加接受性别不公平的规范和IPV的女孩越来越多的历史越来越多的（或1.40，CI 1.15-1.70;或1.66，CI 1.42-1.94或交易性行为（或1.28，CI 1.05-1.55;或1.59，CI 1.37-1.85）与持批准的女孩相比。更高的自尊与避孕套使用的可能性增加（或1.13，CI 1.02-1.24）以及青少年婚姻的几率（或0.93，CI 0.90-0.95），年龄差异性（或0.90，CI 0.86 - 0.94），以及事务性（或0.96，CI 0.93-0.99）。调查结果表明，接受不公平的性别规范（包括那些延续暴力侵害妇女的人）和低自尊与生活在埃塞俄比亚的难民青少年之间的常见艾滋病病毒风险因素相关。在撒哈拉以南非洲的难民青少年女孩中，需要更加重视性别平等和自我估值。

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