Accelerating the prevention of HIV and violence in adolescent girls and young women in Zimbabwe through multi-sectoral programming: Cross-sectional analysis of the 2017 violence against children survey
In Zimbabwe, adolescent girls and young women (AGYW) encounter significant challenges, including HIV risk and gender-based violence. This study analyses data from 7,211 AGYW aged 13–24 from the 2017 Zimbabwe Violence Against Children Survey. Using a multivariable logistic regression model, it examin...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Global Public Health |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/17441692.2025.2537698 |
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| author | Martina Mchenga Brendan Maughan-Brown Rachel Yates Lucas Hertzog Boladé Hamed Banougnin Silinganisiwe Dzumbunu Madison T. Little Lucie Cluver Elona Toska |
| author_facet | Martina Mchenga Brendan Maughan-Brown Rachel Yates Lucas Hertzog Boladé Hamed Banougnin Silinganisiwe Dzumbunu Madison T. Little Lucie Cluver Elona Toska |
| author_sort | Martina Mchenga |
| collection | DOAJ |
| description | In Zimbabwe, adolescent girls and young women (AGYW) encounter significant challenges, including HIV risk and gender-based violence. This study analyses data from 7,211 AGYW aged 13–24 from the 2017 Zimbabwe Violence Against Children Survey. Using a multivariable logistic regression model, it examines the associations between three protective factors: positive parenting, food security, and equitable-gender attitudes and 12 outcomes. Westfall-Young stepdown procedure was used to adjust for multiple hypothesis testing. Percentage predicted probabilities of each outcome occurring in several scenarios were computed: exposure to each protective factor alone or in combination, with other variables kept constant. The findings reveal that equitable-gender attitudes inversely correlate with ten adverse outcomes, including inconsistent condom use (aOR: 0.47) and adolescent pregnancy (aOR: 0.65). Positive parenting also reduce the likelihood of sexual abuse (aOR: 0.63) and physical intimate partner violence (IPV) (aOR: 0.56). Food security is linked to lower odds of physical IPV (aOR: 0.52) and mental distress (aOR: 0.58). The combination of these protective factors demonstrates additive effects across various outcomes. These results suggest that integrating HIV-centered interventions with structural, societal, and relational strategies such as improving food security and promoting equitable gender attitudes could enhance the well-being of AGYW in Zimbabwe. |
| format | Article |
| id | doaj-art-be41ff706798456bac6bbaf89c84bba7 |
| institution | DOAJ |
| issn | 1744-1692 1744-1706 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Public Health |
| spelling | doaj-art-be41ff706798456bac6bbaf89c84bba72025-08-20T03:18:01ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062025-12-0120110.1080/17441692.2025.2537698Accelerating the prevention of HIV and violence in adolescent girls and young women in Zimbabwe through multi-sectoral programming: Cross-sectional analysis of the 2017 violence against children surveyMartina Mchenga0Brendan Maughan-Brown1Rachel Yates2Lucas Hertzog3Boladé Hamed Banougnin4Silinganisiwe Dzumbunu5Madison T. Little6Lucie Cluver7Elona Toska8Centre for Social Science Research, University of Cape Town, Cape Town, Western Cape, South AfricaSouthern Africa Labour and Development Research Unit (SALDRU), Cape Town, South AfricaDepartment of Social Policy and Intervention, University of Oxford, Oxford, UKCentre for Social Science Research, University of Cape Town, Cape Town, Western Cape, South AfricaCentre for Social Science Research, University of Cape Town, Cape Town, Western Cape, South AfricaCentre for Social Science Research, University of Cape Town, Cape Town, Western Cape, South AfricaDepartment of Social Policy and Intervention, University of Oxford, Oxford, UKDepartment of Social Policy and Intervention, University of Oxford, Oxford, UKCentre for Social Science Research, University of Cape Town, Cape Town, Western Cape, South AfricaIn Zimbabwe, adolescent girls and young women (AGYW) encounter significant challenges, including HIV risk and gender-based violence. This study analyses data from 7,211 AGYW aged 13–24 from the 2017 Zimbabwe Violence Against Children Survey. Using a multivariable logistic regression model, it examines the associations between three protective factors: positive parenting, food security, and equitable-gender attitudes and 12 outcomes. Westfall-Young stepdown procedure was used to adjust for multiple hypothesis testing. Percentage predicted probabilities of each outcome occurring in several scenarios were computed: exposure to each protective factor alone or in combination, with other variables kept constant. The findings reveal that equitable-gender attitudes inversely correlate with ten adverse outcomes, including inconsistent condom use (aOR: 0.47) and adolescent pregnancy (aOR: 0.65). Positive parenting also reduce the likelihood of sexual abuse (aOR: 0.63) and physical intimate partner violence (IPV) (aOR: 0.56). Food security is linked to lower odds of physical IPV (aOR: 0.52) and mental distress (aOR: 0.58). The combination of these protective factors demonstrates additive effects across various outcomes. These results suggest that integrating HIV-centered interventions with structural, societal, and relational strategies such as improving food security and promoting equitable gender attitudes could enhance the well-being of AGYW in Zimbabwe.https://www.tandfonline.com/doi/10.1080/17441692.2025.2537698HIV/AIDSviolenceadolescent girls and young womenacceleratorsZimbabwe |
| spellingShingle | Martina Mchenga Brendan Maughan-Brown Rachel Yates Lucas Hertzog Boladé Hamed Banougnin Silinganisiwe Dzumbunu Madison T. Little Lucie Cluver Elona Toska Accelerating the prevention of HIV and violence in adolescent girls and young women in Zimbabwe through multi-sectoral programming: Cross-sectional analysis of the 2017 violence against children survey Global Public Health HIV/AIDS violence adolescent girls and young women accelerators Zimbabwe |
| title | Accelerating the prevention of HIV and violence in adolescent girls and young women in Zimbabwe through multi-sectoral programming: Cross-sectional analysis of the 2017 violence against children survey |
| title_full | Accelerating the prevention of HIV and violence in adolescent girls and young women in Zimbabwe through multi-sectoral programming: Cross-sectional analysis of the 2017 violence against children survey |
| title_fullStr | Accelerating the prevention of HIV and violence in adolescent girls and young women in Zimbabwe through multi-sectoral programming: Cross-sectional analysis of the 2017 violence against children survey |
| title_full_unstemmed | Accelerating the prevention of HIV and violence in adolescent girls and young women in Zimbabwe through multi-sectoral programming: Cross-sectional analysis of the 2017 violence against children survey |
| title_short | Accelerating the prevention of HIV and violence in adolescent girls and young women in Zimbabwe through multi-sectoral programming: Cross-sectional analysis of the 2017 violence against children survey |
| title_sort | accelerating the prevention of hiv and violence in adolescent girls and young women in zimbabwe through multi sectoral programming cross sectional analysis of the 2017 violence against children survey |
| topic | HIV/AIDS violence adolescent girls and young women accelerators Zimbabwe |
| url | https://www.tandfonline.com/doi/10.1080/17441692.2025.2537698 |
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