{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:25:52Z","timestamp":1787005552508,"version":"build-2736575974"},"reference-count":65,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"funder":[{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council of Canada","doi-asserted-by":"publisher","award":["Insight Grant"],"award-info":[{"award-number":["Insight Grant"]}],"id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001804","name":"Canada Research Chairs","doi-asserted-by":"publisher","award":["Tier 2"],"award-info":[{"award-number":["Tier 2"]}],"id":[{"id":"10.13039\/501100001804","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,29]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is growing evidence of associations between extreme weather events (EWE) and HIV vulnerabilities, yet this is understudied in humanitarian settings. We examined associations between EWE and HIV vulnerabilities among refugee youth in Bidi Bidi Refugee Settlement, Uganda.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We collected baseline (February to March 2024) cohort data with refugee youth aged 16\u201324\u00a0years in Bidi Bidi. We conducted linear and logistic regression to assess associations between (a) number of past-year EWE types (e.g. extreme rain\/flooding, changes in expected rain patterns, drought, extreme heat, fire, changes in expected temperature), and (b) frequency of past-year EWE, with HIV vulnerabilities (sexual relationship power, reproductive autonomy, condom use self-efficacy, transactional sex, intimate partner violence, multiple sex partners), adjusted for age, gender, education and employment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 400 participants (50% women; mean age: 19 years, standard deviation: 2.3), a higher number of past-year EWE types (vs 1) was significantly associated with reduced sexual relationship power (2\u20134 EWE: adjusted beta [a\u03b2] = \u22122.96, P\u00a0=\u00a00.009; \u22655 EWE: a\u03b2 = \u22124.92, P\u00a0&amp;lt;\u00a00.001), reproductive autonomy (2\u20134 EWE: a\u03b2 = \u22120.32, P\u00a0=\u00a00.006; \u22655 EWE: a\u03b2 = \u22120.42, P\u00a0=\u00a00.001) and condom use self-efficacy (2\u20134 EWE: a\u03b2 = \u22123.02, P\u00a0&amp;lt;\u00a00.001; \u22655 EWE a\u03b2 = \u22123.04, P\u00a0&amp;lt;\u00a00.001), and increased transactional sex (\u22655 EWE: adjusted odds ratio [aOR] 8.70, P\u00a0=\u00a00.040), intimate partner violence (\u22655 EWE: aOR 3.13, P\u00a0=\u00a00.007) and multiple sex partners (\u22655 EWE: aOR 4.70, P\u00a0=\u00a00.002). Increased EWE frequency was significantly associated with lower sexual relationship power, reproductive autonomy and condom use self-efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>EWE experiences were associated with multiple HIV vulnerabilities among refugee youth. Climate-informed, youth-tailored HIV prevention strategies are urgently needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh24224","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:30:12Z","timestamp":1754872212000},"source":"Crossref","is-referenced-by-count":7,"title":["Associations between extreme weather events and HIV vulnerabilities among refugee youth in a Ugandan refugee settlement: cross-sectional survey findings"],"prefix":"10.1071","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8035-433X","authenticated-orcid":true,"given":"Carmen H.","family":"Logie","sequence":"first","affiliation":[{"name":"AFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada. Email: frannie.mackenzie@utoronto.ca, zerihun.admassu@utoronto.ca"},{"name":"BUnited Nations University Institute for Water, Environment, & Health, Richmond Hill, ON, Canada."},{"name":"CWomen\u2019s College Research Institute, Women\u2019s College Hospital, Toronto, ON, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miranda G.","family":"Loutet","sequence":"additional","affiliation":[{"name":"DDalla Lana School of Public Health, Toronto, University of Toronto, Toronto, ON, Canada. Email: miranda.loutet@mail.utoronto.ca"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moses","family":"Okumu","sequence":"additional","affiliation":[{"name":"EFaculty of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL, USA. Email: okumu@illinois.edu"},{"name":"FSchool of Social Sciences, Uganda Christian University, Mukono, Uganda."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Odong Lukone","sequence":"additional","affiliation":[{"name":"GUganda Refugee and Disaster Management Council, Yumbe, Uganda. Email: odongsimon322@gmail.com, kisubinelson90@gmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson","family":"Kisubi","sequence":"additional","affiliation":[{"name":"GUganda Refugee and Disaster Management Council, Yumbe, Uganda. Email: odongsimon322@gmail.com, kisubinelson90@gmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Kyambadde","sequence":"additional","affiliation":[{"name":"HUganda Ministry of Health, Kampala, Uganda. Email: kyambex@yahoo.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Mbuagbaw","sequence":"additional","affiliation":[{"name":"IDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada. Email: mbuagblc@mcmaster.ca"},{"name":"JBiostatistics Unit, Father Sean O\u2019Sullivan Research Centre, St Joseph\u2019s Healthcare, Hamilton, ON, Canada."},{"name":"KCentre for Development of Best Practices in Health (CDBPH), Yaound\u00e9 Central Hospital, Yaound\u00e9, Cameroon."},{"name":"LDivision of Epidemiology and Biostatistics, Department of Global Health, Stellenbosch University, Cape Town, South Africa."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frannie","family":"MacKenzie","sequence":"additional","affiliation":[{"name":"AFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada. Email: frannie.mackenzie@utoronto.ca, zerihun.admassu@utoronto.ca"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zerihun","family":"Admassu","sequence":"additional","affiliation":[{"name":"AFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada. 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