Exploring a syndemic of poverty, cumulative violence, and HIV vulnerability among refugee youth: multi-method insights from a humanitarian setting in Uganda.

التفاصيل البيبلوغرافية
العنوان:	Exploring a syndemic of poverty, cumulative violence, and HIV vulnerability among refugee youth: multi-method insights from a humanitarian setting in Uganda.
المؤلفون:	Logie CH; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada.; United Nations University Institute for Water, Environment, and Health, Hamilton, Canada.; Centre for Gender & Sexual Health Equity, Vancouver, Canada.; Women's College Research Institute, Women's College Hospital, Toronto, Canada., Loutet MG; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Okumu M; School of Social Work, University of Illinois at Urbana Champaign, Urbana, IL, USA., Coelho M; Department of Sociology, University of Toronto, Toronto, Canada., Lukone SO; Uganda Refugee and Disaster Management Council, Yumbe, Uganda., Kisubi N; Uganda Refugee and Disaster Management Council, Yumbe, Uganda., Latif M; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada., McAlpine A; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada., Kyambadde P; National AIDS Coordinating Program, Ugandan Ministry of Health, Kampala, Uganda.; Most at Risk Population Initiative (MARPI), Kampala, Uganda.
المصدر:	AIDS care [AIDS Care] 2024 Jan; Vol. 36 (1), pp. 36-43. Date of Electronic Publication: 2024 Jan 30.
نوع المنشور:	Journal Article; Research Support, Non-U.S. Gov't
اللغة:	English
بيانات الدورية:	Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE
أسماء مطبوعة:	Publication: London : Informa Healthcare Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989-
مواضيع طبية MeSH:	Refugees* , HIV Infections/epidemiology , HIV Infections/prevention & control , Acquired Immunodeficiency Syndrome* , Substance-Related Disorders*, Humans ; Adolescent ; Aged ; Uganda/epidemiology ; Cross-Sectional Studies ; Syndemic ; Violence
مستخلص:	Synergistic associations between social inequities and HIV vulnerabilities - known as a syndemic - are understudied with youth in humanitarian settings. We explored refugee youths' HIV prevention needs in Bidi Bidi Refugee Settlement, Uganda. This multi-methods study involved 6 focus groups and 12 in-depth individual interviews (IDI) with refugee youth ( n = 60) aged 16-24, and IDI with refugee elders ( n = 8) and healthcare providers ( n = 8). We then conducted cross-sectional surveys with refugee youth (16-24 years) ( n = 115) to assess: poverty, recent sexual and gender-based violence (SGBV), and condom engagement motivation (CEM) (wanting to learn about condoms for HIV prevention). Multivariable logistic regression was used to estimate adjusted odds ratios for associations between poverty and SGBV with CEM. Qualitative narratives revealed poverty and trauma elevated substance use, and these converged to exacerbate SGBV. SGBV and transactional sex increased HIV vulnerabilities. Among survey participants, poverty and recent SGBV were associated with reduced odds of CEM. The interaction between poverty and recent SGBV was significant: the predicted probability of CEM among youth who experienced both poverty and SGBV was almost half than among youth who experienced poverty alone, SGBV alone, or neither. Findings signal the confluence of poverty, violence, and substance use elevate refugee youth HIV vulnerabilities.
فهرسة مساهمة:	Keywords: HIV risks; Refugee; Uganda; poverty; syndemics; violence; youth
تواريخ الأحداث:	Date Created: 20231103 Date Completed: 20240201 Latest Revision: 20240709
رمز التحديث:	20240709
DOI:	10.1080/09540121.2023.2277151
PMID:	37921837
قاعدة البيانات:	MEDLINE

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الوصف
تدمد:	1360-0451
DOI:	10.1080/09540121.2023.2277151