{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T19:56:31Z","timestamp":1766433391377,"version":"3.48.0"},"reference-count":33,"publisher":"Guilford Publications","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AIDS Education and Prevention"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Adolescent girls and young women (AGYW) are disproportionately burdened by new HIV infections in eastern and southern Africa. Data on co-occurrence of behavioral risk factors and associations with sexual HIV risk behaviors can inform layered and targeted HIV prevention efforts. Using nationally representative data of AGYW aged 13-24 years from the 2018 Lesotho Violence Against Children and Youth Survey, we categorized the population into distinct adversity groups comprised of different pattens of sexual violence exposure, substance use, and moderate\/severe mental distress. We estimated associations of adversity groups with infrequent condom use and past-year multiple sexual partners. We observed significant associations between some groups and infrequent condom use and multiple sexual partners. Interventions to prevent sexual violence and substance use, in particular, may help reduce sexual HIV risk behaviors and thus HIV prevalence among this population in Lesotho.<\/jats:p>","DOI":"10.1521\/aeap.2025.37.6.413","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T17:38:51Z","timestamp":1766425131000},"page":"413-426","source":"Crossref","is-referenced-by-count":0,"title":["Associations Between Substance Use, Sexual Violence, Mental Distress, and Sexual HIV Risk Behaviors Among Adolescent Girls and Young Women in Lesotho"],"prefix":"10.1521","volume":"37","author":[{"given":"Stephanie Spaid","family":"Miedema","sequence":"first","affiliation":[{"name":"Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison J.","family":"Tracy","sequence":"additional","affiliation":[{"name":"TJFACT Inc, Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Logan","sequence":"additional","affiliation":[{"name":"Division of Global HIV & TB, Global Health Center, Centers for Disease Control and Prevention, Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puleng","family":"Ramphalla","sequence":"additional","affiliation":[{"name":"Division of Global HIV & TB, Global Health Center, Centers for Disease Control and Prevention, Maseru, Lesotho."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62243-6"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7382.219"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.351"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-024-08411-3"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30410-3"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.2022.v112i5.15971"},{"key":"ref7","unstructured":"Centers for Disease Control and Prevention. (2017). Critical elements of interviewer training for engaging children and adolescents in global violence research: Best practices and lessons learned from the Violence Against Children Survey."},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2015-041820"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Dunkle, K. L. & Decker, M. R. (2013). Gender-based violence and HIV: Reviewing the evidence for links and causal pathways in the general population and high-risk groups. 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