2020
‘I married when I was 16… due to poverty, I had no other way’: multi-level factors influencing HIV-related sexual risk behaviours among adolescent girls in Zambézia, Mozambique
Ridgeway K, Lenzi R, Packer C, González-Calvo L, Moon T, Green A, Burke H. ‘I married when I was 16… due to poverty, I had no other way’: multi-level factors influencing HIV-related sexual risk behaviours among adolescent girls in Zambézia, Mozambique. Culture Health & Sexuality 2020, 23: 414-430. PMID: 32427049, DOI: 10.1080/13691058.2020.1715483.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultFemaleHIV InfectionsHumansMaleMozambiquePovertyRisk-TakingSexual BehaviorYoung AdultConceptsAdolescent girlsBehavior one yearInterpersonal-level factorsRisk behaviorsGirls ages 13Sexual risk behaviorsSelf-reported sexual riskGirls' behaviorFirst time pointAge 13Sexual risk reductionFamily supportHousehold economic stabilityBehavior changeFuture interventionsMulti-level factorsGirlsSexual riskTime pointsInterventionDepth interviewsAdolescentsBehaviorOne-yearSupport
2019
Immunodeficiency at Antiretroviral Therapy Start: Five-Year Adult Data (2012–2017) Based on Evolving National Policies in Rural Mozambique
Arinze F, Gong W, Green A, De Schacht C, Carlucci J, Silva W, Claquin G, Tique J, Stefanutto M, Graves E, Van Rompaey S, Alvim M, Tomo S, Moon T, Wester C. Immunodeficiency at Antiretroviral Therapy Start: Five-Year Adult Data (2012–2017) Based on Evolving National Policies in Rural Mozambique. AIDS Research And Human Retroviruses 2019, 36: 39-47. PMID: 31359762, PMCID: PMC9836686, DOI: 10.1089/aid.2019.0043.Peer-Reviewed Original ResearchConceptsCD4 cell countMedian CD4 cell countAntiretroviral therapyART initiationSevere immunodeficiencyCell countMedian changeHealth facilitiesHigher median CD4 cell countsMultivariable logistic regression modelAdvanced HIV diseaseAntiretroviral therapy (ART) startMedian CD4 cellProvider-initiated testingCombination antiretroviral therapyStage 4 diseaseTreatment-naive adultsLogistic regression modelsUniversal HIVOlder patientsCD4 cellsHIV diseaseTherapy startMale sexFemale sexA longitudinal qualitative evaluation of an economic and social empowerment intervention to reduce girls’ vulnerability to HIV in rural Mozambique
Burke H, Packer C, González-Calvo L, Ridgeway K, Lenzi R, Green A, Moon T. A longitudinal qualitative evaluation of an economic and social empowerment intervention to reduce girls’ vulnerability to HIV in rural Mozambique. Evaluation And Program Planning 2019, 77: 101682. PMID: 31369827, DOI: 10.1016/j.evalprogplan.2019.101682.Peer-Reviewed Original ResearchConceptsInequitable gender normsSocial empowerment interventionLongitudinal qualitative evaluationFocus group discussionsGender normsMulti-sector interventionsIntergenerational sexDepth interviewsVulnerable girlsCommunity membersGirls' sexual behaviorRural MozambiqueSexual behaviorGroup discussionsMixed-methods evaluationEmpowerment interventionBusiness trainingSchool attendanceHouseholdsMozambiqueBusinessMoneyRisky sexVulnerabilityIDI
2018
Exploring intersections of localised gender norms and unanticipated effects of a sexual and reproductive health intervention: implications of respect and being a “good girl” in Zambézia Province, Mozambique
Lenzi R, Packer C, Ridgeway K, Moon T, Green A, González-Calvo L, Burke H. Exploring intersections of localised gender norms and unanticipated effects of a sexual and reproductive health intervention: implications of respect and being a “good girl” in Zambézia Province, Mozambique. Culture Health & Sexuality 2018, 21: 575-590. PMID: 30328775, DOI: 10.1080/13691058.2018.1498540.Peer-Reviewed Original ResearchConceptsGender normsGood girlGender-based violenceSocial empowerment interventionHead of householdFocus group discussionsReproductive health programsReproductive health interventionsEmpower girlsUnanticipated effectsEmic definitionDepth interviewsCommunity membersRural communitiesImplications of respectGirls' riskGroup discussionsInfluential menEmpowerment interventionSchool attendanceMozambiqueNormsCommunityProgram evaluationZambézia ProvinceHazardous alcohol use among female heads-of-household in rural Mozambique
Wainberg M, Oquendo M, Peratikos M, Gonzalez-Calvo L, Pinsky I, Duarte C, Yu Q, Green A, Martinho S, Moon T, Audet C. Hazardous alcohol use among female heads-of-household in rural Mozambique. Alcohol 2018, 73: 37-44. PMID: 30261452, PMCID: PMC6173647, DOI: 10.1016/j.alcohol.2018.03.011.Peer-Reviewed Original ResearchConceptsAlcohol Use Disorders Identification TestHazardous drinking behaviorAlcohol consumptionAlcohol usePopulation-based cross-sectional studyMajor public health burdenMarital statusPublic health burdenCross-sectional studyCurrent alcohol consumptionAdverse health eventsMultivariable proportional odds modelPHQ-8 scoresDrinking behaviorPrevalence of womenDisorders Identification TestHazardous alcohol useOverall prevalenceHealth burdenProtective effectHigh riskHazardous drinkersZambézia ProvinceHazardous drinkingSociodemographic characteristics
2016
Understanding intra-vaginal and labia minora elongation practices among women heads-of-households in Zambézia Province, Mozambique
Audet C, Blevins M, Cherry C, González-Calvo L, Green A, Moon T. Understanding intra-vaginal and labia minora elongation practices among women heads-of-households in Zambézia Province, Mozambique. Culture Health & Sexuality 2016, 19: 616-629. PMID: 27921861, PMCID: PMC5460297, DOI: 10.1080/13691058.2016.1257739.Peer-Reviewed Original ResearchConceptsTimes higher oddsAntenatal care visitsLabia minora elongationHigher oddsLast pregnancyCare visitsHIV testZambézia ProvinceVaginal practicesSelf-reported HIV statusHIV acquisitionHIV infectionHIV statusVaginal infectionsProtective effectSubstance useOddsWomenPregnancyInfectionVisitsLittle evidencePrevalenceAnticipated participationHead