Wendee M Wechsberg, Felicia A Browne, Tara Carney, Tracy L Kline, Brittni N Howard, Sara E Russell, Isa van der Drift, Bronwyn Myers, Alexandra M Minnis, Courtney P Bonner, Jacqueline W Ndirangu
Adolescent girls and young women (AGYW) in South Africa experience contextual barriers to HIV risk reduction including incomplete schooling, unintended pregnancy, substance use, and gender-based violence. A cluster randomised trial in Cape Town allocated 24 Black and Coloured communities to a gender-focused HIV risk-reduction intervention or HIV testing, with 500 AGYW total enrolled. We evaluated intervention efficacy by comparing mean differences overall, by community population group (Black and Coloured) and among those with structural barriers based on neighbourhood, education, and employment (n = 406)...
January 2024: Global Public Health