Depression and HIV risk behaviors among adolescent girls and young women seeking family planning services in Western Kenya

Author:

Larsen Anna1ORCID,Kinuthia John23,Lagat Harison3,Sila Joseph3,Abuna Felix3,Kohler Pamela45,John-Stewart Grace1467,Pintye Jillian4ORCID

Affiliation:

1. Department of Epidemiology, University of Washington, Seattle, WA, USA

2. Department of Research and Programs, Kenyatta National Hospital, Nairobi, Kenya

3. Kenyatta National Hospital, Nairobi, Kenya

4. Department of Global Health, University of Washington, Seattle, WA, USA

5. Psychosocial and Community Health, University of Washington, Seattle, WA, USA

6. University of Washington, Department of Medicine, Seattle, WA, USA

7. Department of Pediatrics, University of Washington, Seattle, WA, USA

Abstract

We assessed prevalence of human immunodeficiency virus (HIV) risk behaviors and depressive symptoms among adolescent girls and young women (AGYW) aged 15–24 years attending four public family planning clinics in Western Kenya from January to June 2019. Moderate-to-severe depression (MSD) was defined as a Center for Epidemiologic Studies Depression Scale (CESD-10) score ≥10. Among 487 AGYW, the median age was 22 years (interquartile range 20–23), and 59 (12%) AGYW reported MSD. MSD was more prevalent among AGYW without a current partner (p = 0.001) and associated with HIV risk factors including partner ≥10 years older, recent transactional sex, forced sex, intimate partner violence, and alcohol use (each p ≤ 0.005). Thirty-four percent of AGYW with MSD had a high HIV risk score corresponding to 5 to 15 incident HIV cases per 100 person-years. Overlapping high prevalence of depression and HIV risk among AGYW underscores the need for integrated mental health and HIV services in family planning clinics.

Funder

Eunice Kennedy Shriver National Institute of Child Health and Human Development

Publisher

SAGE Publications

Subject

Infectious Diseases,Pharmacology (medical),Public Health, Environmental and Occupational Health,Dermatology

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