{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T08:45:39Z","timestamp":1782895539866,"version":"3.54.5"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Young women in informal settlements in sub-Saharan Africa (SSA) experience significant health disparities. Despite growing understanding that population health outcomes are socially determined, the social determinants of health among young women in the informal settlements of SSA are not well understood. Furthermore, young women\u2019s emic perspectives on the pathways that contribute to health risk are rarely reported in scientific research. This research brief describes findings from a qualitative study and specifically addresses young women\u2019s insights into the social drivers of infectious disease transmission and treatment. We conducted focus groups including 60 young women participants aged 18 to 24 at three sites across Kampala, Uganda. Using thematic analysis, we identified four thematic clusters: (1) intersectional social injustices drive sexual exploitation and HIV transmission; (2) inadequate housing and sanitation contribute to the spread of infectious disease; (3) existing health care resources have limited capacity to address high infectious disease incidence; and (4) participants recommended building health promotion efforts on existing resources and developing community infrastructure to improve outcomes. This study highlights the social influences that contribute to the burden of infectious disease among young women living in Kampala\u2019s informal settlements. Young women named several ecological factors and resources which, if engaged, could promote health and well-being in their communities. Future research should engage young women in SSA\u2019s informal settlements as partners and peers in the development of community-owned research and intervention efforts to better understand community perspectives, address areas of most urgent need, and investigate barriers and facilitators to successful program implementation.<\/jats:p>","DOI":"10.1177\/15248399251328332","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T21:35:19Z","timestamp":1742938519000},"page":"638-644","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Social Drivers of Infectious Disease Transmission and Treatment Among Young Women in Kampala, Uganda\u2019s Informal Settlements: A Qualitative Analysis of Focus Group Data From a Community-Based Cohort Study"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2112-3371","authenticated-orcid":false,"given":"Matthew","family":"Lyons","sequence":"first","affiliation":[{"name":"Kennesaw State University, Kennesaw, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Palitsky","sequence":"additional","affiliation":[{"name":"Emory University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7558-3317","authenticated-orcid":false,"given":"Kevin B.","family":"Gittner","sequence":"additional","affiliation":[{"name":"Kennesaw State University, Kennesaw, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Nabulya","sequence":"additional","affiliation":[{"name":"Uganda Youth Development Link, Kampala, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5504-3986","authenticated-orcid":false,"given":"Wendasha","family":"Hall","sequence":"additional","affiliation":[{"name":"Kennesaw State University, Kennesaw, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Palmier","sequence":"additional","affiliation":[{"name":"Kennesaw State University, Kennesaw, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica H.","family":"Swahn","sequence":"additional","affiliation":[{"name":"Kennesaw State University, Kennesaw, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-023-00724-z"},{"key":"e_1_3_3_3_1","article-title":"Handbook of theory and research for the sociology of education","volume":"241","author":"Bourdieu P.","year":"1986","unstructured":"Bourdieu P., Richardson J. G. (1986). Handbook of theory and research for the sociology of education. The Forms of Capital, 241, Article 258.","journal-title":"The Forms of Capital"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781315862996"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260519889927"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/casp.2199"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/0376835X.2011.545168"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020872819847753"},{"key":"e_1_3_3_11_1","unstructured":"Lyons M. Gittner K. Mobley K. Kavuma A. Palmier J. Swahn M. (Forthcoming \u2013 In Review) The complex causes of stress among young women in Kampala\u2019s urban slums: results of six focus groups from the TOPOWA Study."},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.12691\/jfs-5-4-2"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2022.2159126"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0169721"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260518771685"},{"key":"e_1_3_3_16_1","doi-asserted-by":"crossref","unstructured":"Swahn M. H. Culbreth R. Masyn K. E. Salazar L. F. Wagman J. Kasirye R. (2021). The intersection of alcohol use gender based violence and HIV: Empirical findings among disadvantaged service-seeking youth in Kampala Uganda. AIDS and Behavior 25(10) 3106\u20133114. https:\/\/doi.org\/10.1007\/s10461-021-03301-0","DOI":"10.1007\/s10461-021-03301-0"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/5360180"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15061061"},{"key":"e_1_3_3_19_1","unstructured":"United Nations High Commission for Refugees. (2024). 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