Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya

<h4>Background</h4> Infectious disease outbreaks like COVID-19 and their mitigation measures can exacerbate underlying gender disparities, particularly among adolescents and young adults in densely populated urban settings. <h4>Methods</h4> An existing cohort of youth ages 16...

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Autores principales:	Michele R. Decker, Shannon N. Wood, Mary Thiongo, Meagan E. Byrne, Bianca Devoto, Rosemary Morgan, Kristin Bevilacqua, Anaise Williams, H. Colleen Stuart, Grace Wamue- Ngare, Lori Heise, Nancy Glass, Philip Anglewicz, Elizabeth Gummerson, Peter Gichangi
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/80c540b6c335411e823f99f427cc797e
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spelling	oai:doaj.org-article:80c540b6c335411e823f99f427cc797e2021-11-18T06:34:41ZGendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya1932-6203https://doaj.org/article/80c540b6c335411e823f99f427cc797e2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8577767/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> Infectious disease outbreaks like COVID-19 and their mitigation measures can exacerbate underlying gender disparities, particularly among adolescents and young adults in densely populated urban settings. <h4>Methods</h4> An existing cohort of youth ages 16–26 in Nairobi, Kenya completed a phone-based survey in August-October 2020 (n = 1217), supplemented by virtual focus group discussions and interviews with youth and stakeholders, to examine economic, health, social, and safety experiences during COVID-19, and gender disparities therein. <h4>Results</h4> COVID-19 risk perception was high with a gender differential favoring young women (95.5% vs. 84.2%; p<0.001); youth described mixed concern and challenges to prevention. During COVID-19, gender symmetry was observed in constrained access to contraception among contraceptive users (40.4% men; 34.6% women) and depressive symptoms (21.8% men; 24.3% women). Gender disparities rendered young women disproportionately unable to meet basic economic needs (adjusted odds ratio [aOR] = 1.21; p<0.05) and in need of healthcare during the pandemic (aOR = 1.59; p<0.001). At a bivariate level, women had lower full decisional control to leave the house (40.0% vs. 53.2%) and less consistent access to safe, private internet (26.1% vs. 40.2%), while men disproportionately experienced police interactions (60.1%, 55.2% of which included extortion). Gender-specific concerns for women included menstrual hygiene access challenges (52.0%), increased reliance on transactional partnerships, and gender-based violence, with 17.3% reporting past-year partner violence and 3.0% non-partner sexual violence. Qualitative results contextualize the mental health impact of economic disruption and isolation, and, among young women, privacy constraints. <h4>Implications</h4> Youth and young adults face gendered impacts of COVID-19, reflecting both underlying disparities and the pandemic’s economic and social shock. Economic, health and technology-based supports must ensure equitable access for young women. Gender-responsive recovery efforts are necessary and must address the unique needs of youth.Michele R. DeckerShannon N. WoodMary ThiongoMeagan E. ByrneBianca DevotoRosemary MorganKristin BevilacquaAnaise WilliamsH. Colleen StuartGrace Wamue- NgareLori HeiseNancy GlassPhilip AnglewiczElizabeth GummersonPeter GichangiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Michele R. Decker Shannon N. Wood Mary Thiongo Meagan E. Byrne Bianca Devoto Rosemary Morgan Kristin Bevilacqua Anaise Williams H. Colleen Stuart Grace Wamue- Ngare Lori Heise Nancy Glass Philip Anglewicz Elizabeth Gummerson Peter Gichangi Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya
description	<h4>Background</h4> Infectious disease outbreaks like COVID-19 and their mitigation measures can exacerbate underlying gender disparities, particularly among adolescents and young adults in densely populated urban settings. <h4>Methods</h4> An existing cohort of youth ages 16–26 in Nairobi, Kenya completed a phone-based survey in August-October 2020 (n = 1217), supplemented by virtual focus group discussions and interviews with youth and stakeholders, to examine economic, health, social, and safety experiences during COVID-19, and gender disparities therein. <h4>Results</h4> COVID-19 risk perception was high with a gender differential favoring young women (95.5% vs. 84.2%; p<0.001); youth described mixed concern and challenges to prevention. During COVID-19, gender symmetry was observed in constrained access to contraception among contraceptive users (40.4% men; 34.6% women) and depressive symptoms (21.8% men; 24.3% women). Gender disparities rendered young women disproportionately unable to meet basic economic needs (adjusted odds ratio [aOR] = 1.21; p<0.05) and in need of healthcare during the pandemic (aOR = 1.59; p<0.001). At a bivariate level, women had lower full decisional control to leave the house (40.0% vs. 53.2%) and less consistent access to safe, private internet (26.1% vs. 40.2%), while men disproportionately experienced police interactions (60.1%, 55.2% of which included extortion). Gender-specific concerns for women included menstrual hygiene access challenges (52.0%), increased reliance on transactional partnerships, and gender-based violence, with 17.3% reporting past-year partner violence and 3.0% non-partner sexual violence. Qualitative results contextualize the mental health impact of economic disruption and isolation, and, among young women, privacy constraints. <h4>Implications</h4> Youth and young adults face gendered impacts of COVID-19, reflecting both underlying disparities and the pandemic’s economic and social shock. Economic, health and technology-based supports must ensure equitable access for young women. Gender-responsive recovery efforts are necessary and must address the unique needs of youth.
format	article
author	Michele R. Decker Shannon N. Wood Mary Thiongo Meagan E. Byrne Bianca Devoto Rosemary Morgan Kristin Bevilacqua Anaise Williams H. Colleen Stuart Grace Wamue- Ngare Lori Heise Nancy Glass Philip Anglewicz Elizabeth Gummerson Peter Gichangi
author_facet	Michele R. Decker Shannon N. Wood Mary Thiongo Meagan E. Byrne Bianca Devoto Rosemary Morgan Kristin Bevilacqua Anaise Williams H. Colleen Stuart Grace Wamue- Ngare Lori Heise Nancy Glass Philip Anglewicz Elizabeth Gummerson Peter Gichangi
author_sort	Michele R. Decker
title	Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya
title_short	Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya
title_full	Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya
title_fullStr	Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya
title_full_unstemmed	Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya
title_sort	gendered health, economic, social and safety impact of covid-19 on adolescents and young adults in nairobi, kenya
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/80c540b6c335411e823f99f427cc797e
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Gendered health, economic, social and safety impact of COVID-19 on adolescents and young adults in Nairobi, Kenya

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