Associations between extreme weather events and resource insecurities with HIV vulnerabilities and biomedical HIV prevention outcomes among adolescent girls and young women in Kenya: A cross-sectional analysis

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dc.contributor.authorLogie, Carmen H.
dc.contributor.authorAdmassu, Zerihun
dc.contributor.authorHasham, Aryssa
dc.contributor.authorEvelia, Humphres
dc.contributor.authorKagunda, Julia
dc.contributor.authorOmondi, Beldine
dc.contributor.authorGachoki, Clara
dc.contributor.authorChege, Mercy
dc.contributor.authorGittings, Lesley
dc.contributor.authorDorea, Caetano
dc.contributor.authorTuran, Janet M.
dc.contributor.authorMwangi, Mumbi
dc.contributor.authorMbuagbaw, Lawrence
dc.date.accessioned2026-05-07T17:31:15Z
dc.date.available2026-05-07T17:31:15Z
dc.date.issued2025
dc.description.abstractObjectives: We examined associations between extreme weather events (EWE), resource insecurities, and HIV vulnerabilities among a purposive sample of adolescent girls and young women (AGYW) aged 16 to 24 in Nairobi and Kisumu, Kenya.Methods: We conducted multivariable logistic/linear regression on cross-sectional survey data to assess associations between EWE exposure, food insecurity (FI), water insecurity (WI), and sanitation insecurity (SI) with HIV vulnerabilities (transactional sex [TS], intimate partner violence [IPV], sexual relationship power [SRP], and preexposure prophylaxis [PrEP] awareness and acceptability).Results: Among participants (n?=?597; mean age: 20.13 years; standard deviation?=?2.5), in adjusted analyses, SI and WI were associated with increased TS. Increased cumulative EWEs and eco-anxiety were associated with increased IPV. EWE frequency, FI, and SI were associated with reduced SRP. EWE frequency and SI were associated with reduced, and WI with increased, PrEP awareness. EWE frequency and SI were associated with PrEP acceptability.Conclusion: Resource scarcities and EWEs were associated with HIV vulnerabilities and PrEP acceptability among AGYW.
dc.description.reviewstatusReviewed
dc.description.scholarlevelFaculty
dc.description.sponsorshipThe author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Canada Research Chairs (Tier 2: Logie), New Frontiers in Research Fund (NFRFR-2021-00192), Canadian Institutes of Health Research (CIHR) Project Grant (Institute of Gender and Health) (202109PJT-468896-GSH-CEAA-187455), and the Social Sciences and Humanities Research Council of Canada (SSHRC) (PDG: 880-2020-080).
dc.identifier.citationLogie, C. H., Admassu, Z., Hasham, A., Evelia, H., Kagunda, J., Omondi, B., Gachoki, C., Chege, M., Gittings, L., Dorea, C., Turan, J. M., Mwangi, M., & Mbuagbaw, L. (2025). Associations between extreme weather events and resource insecurities with HIV vulnerabilities and Biomedical HIV prevention Outcomes among adolescent girls and young Women in Kenya: a Cross-sectional analysis. Journal of the International Association of Providers of AIDS Care (JIAPAC), 24. https://doi.org/10.1177/23259582251362938
dc.identifier.urihttps://doi.org/10.1177/23259582251362938
dc.identifier.urihttps://hdl.handle.net/1828/23812
dc.language.isoen
dc.publisherJournal of the International Association of Providers of AIDS Care
dc.rightsCC BY-NC
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectextreme weather event
dc.subjectKenya
dc.subjectHIV prevention
dc.subjectadolescent girls and young women
dc.subjectclimate change
dc.subjectSexual and Reproductive Health and Rights (SRHR) Aspiration Research Cluster
dc.subject.departmentDepartment of Civil Engineering
dc.titleAssociations between extreme weather events and resource insecurities with HIV vulnerabilities and biomedical HIV prevention outcomes among adolescent girls and young women in Kenya: A cross-sectional analysis
dc.typeArticle

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