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Among AG, HIV testing increased (Kenya and Zambia) and sexual violence from partners (in Kenya and Malawi) and non-partners (in Malawi) decreased. Among YW, HIV testing increased and STI experience decreased in Malawi; consistent condom use decreased in Kenya; transactional sex increased in Kenya and Zambia; and physical violence (in Malawi) and sexual violence from partners (in Kenya and Malawi) and non-partners (all three countries) decreased over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Improvements in HIV testing and reductions in experiences of sexual violence were coupled with variable shifts in HIV-related risk behaviours among DREAMS participants in Kenya, Malawi and Zambia. Additional consideration of AGYW\u2019s risk circumstances during key life transitions may be needed to address the risk heterogeneity among AG and YW across different contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-047843","type":"journal-article","created":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T12:10:05Z","timestamp":1643717405000},"page":"e047843","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Temporal shifts in HIV-related risk factors among cohorts of adolescent girls and young women enrolled in DREAMS programming: evidence from Kenya, Malawi and Zambia"],"prefix":"10.1136","volume":"12","author":[{"given":"Sanyukta","family":"Mathur","sequence":"first","affiliation":[{"name":"Population Council, Washington, District of Columbia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8138-6640","authenticated-orcid":false,"given":"Craig J","family":"Heck","sequence":"additional","affiliation":[{"name":"Population Council, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sangram Kishor","family":"Patel","sequence":"additional","affiliation":[{"name":"Population Council India, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry","family":"Okal","sequence":"additional","affiliation":[{"name":"Population Council Kenya, Nairobi, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Effie","family":"Chipeta","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health, University of Malawi College of Medicine, Blantyre, Southern Region, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Mwapasa","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health, University of Malawi College of Medicine, Blantyre, Southern Region, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanangwa","family":"Chimwaza","sequence":"additional","affiliation":[{"name":"Centre for Reproductive Health, University of Malawi College of Medicine, Blantyre, Southern Region, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice","family":"Musheke","sequence":"additional","affiliation":[{"name":"Independent Consultant, Lusaka, Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bidhubhusan","family":"Mahapatra","sequence":"additional","affiliation":[{"name":"Population Council India, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Pulerwitz","sequence":"additional","affiliation":[{"name":"Population Council, Washington, District of Columbia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanlesta","family":"Pilgrim","sequence":"additional","affiliation":[{"name":"ViiV Healthcare US, Research Triangle Park, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,2,1]]},"reference":[{"key":"2025121600012704000_12.2.e047843.1","unstructured":"UNAIDS . 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