Maina Beatrice W, Orindi Benedict O, Osindo Jane, Ziraba Abdhalah K
African Population and Health Research Center, Nairobi, Kenya.
School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
Int J Adolesc Youth. 2020 May 2;25(1):836-848. doi: 10.1080/02673843.2020.1756861. eCollection 2020.
Mental health issues are a predisposing factor for HIV acquisition. We examined the association between depressive symptoms and patterns of sexual experience among girls aged 10-14 years living in Korogocho and Viwandani slums in Nairobi, Kenya. We analysed data collected in 2017 from a random sample of 606 girls. Using Latent Class Analysis, we modelled patterns of sexual experiences and used multivariable regression analysis to determine the association between self-reported depressive symptoms and sexual experiences. Seven in ten girls reported at least one symptom of self-reported depression in the past 12 months. About 13% of girls had had a sexual experience, resulting in two patterns of sexual experience - naïve and experienced. Girls reporting depressive symptoms were more likely to be sexually experienced. Sexual and reproductive health programs targeting adolescent girls should consider including intervention packages that address mental health conditions such as depression.
心理健康问题是感染艾滋病毒的一个诱发因素。我们调查了肯尼亚内罗毕科罗戈乔和维万达尼贫民窟10至14岁女孩的抑郁症状与性经历模式之间的关联。我们分析了2017年从606名女孩的随机样本中收集的数据。通过潜在类别分析，我们对性经历模式进行建模，并使用多变量回归分析来确定自我报告的抑郁症状与性经历之间的关联。十分之七的女孩报告在过去12个月中至少有一项自我报告的抑郁症状。约13%的女孩有过性经历，从而产生了两种性经历模式——单纯型和有经验型。报告有抑郁症状的女孩更有可能有性经历。针对少女的性与生殖健康项目应考虑纳入应对抑郁症等心理健康状况的干预措施。
