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. 2025 May 14;36(5):542-553.
doi: 10.1097/JNC.0000000000000560.

Experiences of Young Women Living in Kibra, Kenya, on HIV Risk and Sexual Violence: A Descriptive Study

Florine Ndakuya-Fitzgerald  1   2   3   4   5   6   7   8 , Anne E Dressel  1   2   3   4   5   6   7   8 , Lucy Mkandawire-Valhmu  1   2   3   4   5   6   7   8 , Bernard Langat  1   2   3   4   5   6   7   8 , Emmanuel Ngui  1   2   3   4   5   6   7   8 , Tavonna D Kako  1   2   3   4   5   6   7   8 , Charles Nzioka  1   2   3   4   5   6   7   8 , Peninnah M Kako  1   2   3   4   5   6   7   8
Affiliations

Experiences of Young Women Living in Kibra, Kenya, on HIV Risk and Sexual Violence: A Descriptive Study

Florine Ndakuya-Fitzgerald et al. J Assoc Nurses AIDS Care. .

Abstract

Before the COVID-19 pandemic, Kenya had seen a significant decline in new HIV infections among most age groups except for young people aged 15-24 years. Young women residing in urban areas are significantly affected by gender-based violence. Guided by the theory of gender and power and postcolonial theory, our descriptive qualitative study sought to understand young women's experiences with HIV risk and the impact of sexual violence before the COVID-19 pandemic. We conducted individual and focus group interviews with 73 young women residing in Kibra, Kenya. Using thematic analysis, interviews were recorded, transcribed, and coded. We identified six themes: financial insecurity, drug use, peer pressure, fear of condom use, physical environment, and disco matanga traditions. Findings revealed structural factors such as poverty and gender norms affect young women. Strategies for HIV risk prevention focused on young women in Kenya should include efforts for protecting young women from sexual violence.

Keywords: HIV risk acquisition; Kenya; descriptive study; peri-urban slums; sexual violence; young women.

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References

    1. Anderson J. M., McCann E. K. (2002). Toward a post-colonial feminist methodology in nursing research: Exploring the convergence of post-colonial and black feminist scholarship. Nurse Researcher, 9(3), 7-27. https://doi.org/10.7748/nr2002.04.9.3.7.c6186 - DOI
    1. Barnett J. P., Maticka-Tyndale E., Kenya T. (2016). Stigma as social control: Gender-based violence stigma, life chances, and moral order in Kenya. Social Problems, 63(3), 447-462. https://doi.org/10.1093/socpro/spw012 - DOI
    1. Becker M. L., Bhattacharjee P., Blanchard J. F., Cheuk E., Isac S., Musyoki H. K., Gichangi P., Aral S., Pickles M., Sandstrom P., Ma H., Mishra S. (2018). Vulnerabilities at first sex and their association with lifetime gender-based violence and HIV prevalence among adolescent girls and young women engaged in sex work, transactional sex, and casual sex in Kenya. Journal of Acquired Immune Deficiency Syndromes (1999), 79(3), 296–304. https://doi.org/10.1097/qai.0000000000001826 . - DOI
    1. Benoit C., Roth E., Hallgrimsdottir H., Jansson M., Ngugi E., Sharpe K. (2013). Benefits and constraints of intimate partnerships for HIV positive sex workers in Kibera, Kenya. International Journal for Equity in Health, 12(1), 76-87. https://doi.org/10.1186/1475-9276-12-76 - DOI
    1. Bhattacharjee P., Ma H., Musyoki H., Cheuk E., Isac S., Njiraini M., Gichangi P., Mishra S., Becker M., Pickles M. (2020). Prevalence and patterns of gender-based violence across adolescent girls and young women in Mombasa, Kenya. BMC Women’s Health, 20(1), 229. https://doi.org/10.1186/s12905-020-01081-8 . - DOI

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