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<p>The government of Kenya’s Triple Threat strategy recognises the need for urgent intervention to address the high incidence of HIV, gender-based violence (GBV) and pregnancy among adolescent girls and young women (AGYW). We used nationally representative data among AGYW aged 13–24 (<i>n</i> = 1344) from the 2018-19 Kenya Violence Against Children &amp; Youth Survey (VACS) in multivariable logistic regression analyses to examine associations between three potential protective factors – gender-equitable attitudes, food security and parental monitoring – and outcomes related to the triple threat: Intimate partner violence (IPV); sexual violence; high HIV exposure risk; adolescent pregnancy; child marriage; and not being in school or paid work. Results showed that AGYW with gender-equitable attitudes were less likely to report IPV (adjusted odds-ratio (aOR):0.47, <i>p</i> &lt; 0.01) and adolescent pregnancy (aOR:0.58, <i>p</i> &lt; 0.05). AGYW who were food secure were less likely to report adolescent pregnancy (aOR:0.57, <i>p</i> &lt; 0.05) and child marriage (aOR:0.51, <i>p</i> &lt; 0.05). Those with high parental monitoring were less likely to report IPV (aOR:0.44, <i>p</i> &lt; 0.01), sexual violence (aOR:0.49, <i>p</i> &lt; 0.05), adolescent pregnancy (aOR:0.61, <i>p</i> &lt; 0.05), and child marriage (aOR:0.41, <i>p</i> &lt; 0.01). AGYW who had gender-equitable attitudes, food security <i>and</i> high parental monitoring (i.e., all three factors compared to none) had lower predicted probabilities of reporting IPV (22.3% vs. 5.0%), sexual violence (20.4% vs. 6.0%), adolescent pregnancy (23.7% vs. 7.7%), and child marriage (10.0% vs. 1.6%). The findings indicate that improving gender-equitable attitudes, food security and parental monitoring may positively impact multiple outcomes related to the triple threat; and that addressing all three may have the greatest impact.</p>

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Tackling the Triple Threat in Kenya: Factors Associated with Protection against HIV Risk, Gender-Based Violence, and Pregnancy among Adolescent Girls and Young Women

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年2月13日

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  • Brendan Maughan-Brown,
  • Boladé Hamed Banougnin,
  • Madison T. Little,
  • Lucas Hertzog,
  • Ntombekhaya Matsha-Carpentier,
  • Celestine Mugambi,
  • Hermes Gichane,
  • Lucie Cluver,
  • Elona Toska

摘要

The government of Kenya’s Triple Threat strategy recognises the need for urgent intervention to address the high incidence of HIV, gender-based violence (GBV) and pregnancy among adolescent girls and young women (AGYW). We used nationally representative data among AGYW aged 13–24 (n = 1344) from the 2018-19 Kenya Violence Against Children & Youth Survey (VACS) in multivariable logistic regression analyses to examine associations between three potential protective factors – gender-equitable attitudes, food security and parental monitoring – and outcomes related to the triple threat: Intimate partner violence (IPV); sexual violence; high HIV exposure risk; adolescent pregnancy; child marriage; and not being in school or paid work. Results showed that AGYW with gender-equitable attitudes were less likely to report IPV (adjusted odds-ratio (aOR):0.47, p < 0.01) and adolescent pregnancy (aOR:0.58, p < 0.05). AGYW who were food secure were less likely to report adolescent pregnancy (aOR:0.57, p < 0.05) and child marriage (aOR:0.51, p < 0.05). Those with high parental monitoring were less likely to report IPV (aOR:0.44, p < 0.01), sexual violence (aOR:0.49, p < 0.05), adolescent pregnancy (aOR:0.61, p < 0.05), and child marriage (aOR:0.41, p < 0.01). AGYW who had gender-equitable attitudes, food security and high parental monitoring (i.e., all three factors compared to none) had lower predicted probabilities of reporting IPV (22.3% vs. 5.0%), sexual violence (20.4% vs. 6.0%), adolescent pregnancy (23.7% vs. 7.7%), and child marriage (10.0% vs. 1.6%). The findings indicate that improving gender-equitable attitudes, food security and parental monitoring may positively impact multiple outcomes related to the triple threat; and that addressing all three may have the greatest impact.