Beyond Their HIV Status: the Occurrence of Multiple Health Risk Behavior Among Adolescents from a Rural Setting of Sub-Saharan Africa

Derrick Ssewanyana, Charles R. Newton, Anneloes van Baar, Amin S. Hassan, Alan Stein, H. Gerry Taylor, Fons Van De Vijver, Gaia Scerif, Amina Abubakar

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Background: Health risk behaviors during adolescence may cluster into patterns that might be predicted by specific factors, among which HIV may have an important role. Method: In a cross-sectional study conducted between 2017 and 2018, clustering of HRB and its associated factors was investigated in rural Kenya among 588 adolescents (36% perinatally HIV infected; 28% perinatally HIV exposed but uninfected; and 36% HIV unexposed/uninfected). Latent class analysis of 22 behaviors followed by multinomial logistic regression were conducted. Four risk behavior classes were identified. Results: No significant differences were found in behavioral class membership across the three HIV groups (p = 0.366). The risk of membership to the higher risk behavioral classes relative to class 1 (the substance and drug abstinent low risk takers) increased with older adolescent age (p = 0.047), increased among adolescent who experienced mental distress (p < 0.001), and those who felt unsafe in their neighborhood (p < 0.002). Better working memory (p = 0.0037) was found to be protective. Conclusion: The results highlight a need to include screening and interventions for internalizing mental health problems and deficits in executive functioning, as well as steps to involve family members and communities to address psychosocial risk factors in adolescents in Kenya.

Original languageEnglish
Pages (from-to)426-443
Number of pages18
JournalInternational Journal of Behavioral Medicine
Volume27
Issue number4
DOIs
Publication statusPublished - 1 Aug 2020

Keywords

  • Adolescents
  • HIV
  • Health risk behavior
  • Latent class analysis
  • Sub-Saharan Africa

Fingerprint

Dive into the research topics of 'Beyond Their HIV Status: the Occurrence of Multiple Health Risk Behavior Among Adolescents from a Rural Setting of Sub-Saharan Africa'. Together they form a unique fingerprint.

Cite this