Evidence map›Paper›PMID 42005969›Full record

ArticleThe journal of climate change and health

Associations between extreme weather events, resource insecurities, and HIV vulnerabilities with self-reported urinary tract infection symptoms among adolescent girls and young women in Kenya.

Carmen H Logie, Zerihun Admassu, Andie MacNeil, Aryssa Hasham, Lawrence Mbuagbaw, Humphres Evelia, Julia Kagunda, Beldine Omondi, Clara Gachoki, Mercy Chege and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The journal of climate change and health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Carmen H LogieFactor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor St W, Toronto, ON, M5S 1V4, Canada.
Zerihun AdmassuFactor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor St W, Toronto, ON, M5S 1V4, Canada.
Andie MacNeilFactor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor St W, Toronto, ON, M5S 1V4, Canada.
Aryssa HashamFactor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor St W, Toronto, ON, M5S 1V4, Canada.
Lawrence MbuagbawDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Humphres EveliaCentre for the Study of Adolescence, Mbaazi Avenue off Kingara Road, Nairobi, Kenya.
Julia KagundaElim Trust, Jacaranda Drive 71 Mushroom Gardens, Kiambu, Kenya.
Beldine OmondiCentre for the Study of Adolescence, Mbaazi Avenue off Kingara Road, Nairobi, Kenya.
Clara GachokiElim Trust, Jacaranda Drive 71 Mushroom Gardens, Kiambu, Kenya.
Mercy ChegeElim Trust, Jacaranda Drive 71 Mushroom Gardens, Kiambu, Kenya.
Mumbi MwangiElim Trust, Jacaranda Drive 71 Mushroom Gardens, Kiambu, Kenya.
Lesley GittingsSchool of Health Studies, Faculty of Health Sciences, Western University, 151 Richmond St, London, ON, N6A 5B9, Canada.
Caetano DoreaDepartment of Civil Engineering, University of Victoria, Victoria, BC, Canada.
Perry HystadCollege of Health, Oregon State University, Corvallis, OR, USA.
Janet M TuranDepartment of Health Policy and Organization, University of Alabama at Birmingham, 1665 University Boulevard, Birmingham, AL, 35294, USA.
Manjulaa NarasimhanDepartment of Sexual, Reproductive, Maternal; Child, Adolescent Health and Aging (LHR), World Health Organization, 20 Ave Appia, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Extreme weather events (EWEs) and resource insecurities are linked to genitourinary infections, yet this is understudied in adolescent girls and young women (AGYW). We examined associations between resource insecurities, EWE exposure, HIV vulnerability factors, and self-reported urinary tract infection (UTI) symptoms among AGYW in Nairobi and Kisumu, Kenya. Material and methods: We conducted cross-sectional analyses of survey data collected with a purposive sample of AGYW (16-24 years) in Nairobi (Mathare and Majengo informal settlements) and Kisumu (Ogal and Rota beaches) (October-November 2024). We conducted adjusted and unadjusted logistic regression analyses to examine associations between resource insecurities (food, water, sanitation, menstruation), EWEs, and HIV vulnerabilities (past 6-month transactional sex, past year multiple sex partners [MSP], past 6-month mobility), with self-reported UTI symptoms. Results: Among n=589 participants (mean age: 20.6 years; SD=2.6), 41.6% self-reported UTI symptoms. Regarding past 6-month EWEs, 11.5% (n=68) experienced one, 64.5% (n=380) experienced 2-4, and 24.0% (n=141) experienced ≥5. Most (81.3%, n=478) experienced multiple EWE types, with ≥1 occurring more than once. In multivariable analyses, odds of self-reporting UTI symptoms were highest among participants reporting: ≥5 (vs. 1) past-year EWE; water insecurity; food insecurity; sanitation insecurity; menstruation insecurity; and exposure to one, two, and ≥3 resource insecurities (vs. none). Transactional sex, multiple sexual partners, and mobility were also significantly associated with self-reported UTI symptoms. Conclusions: EWEs, resource insecurity, and HIV vulnerabilities were associated with UTI symptoms. Extreme weather and poverty-informed approaches are needed to reduce UTI risks and advance the sexual and reproductive health of AGYW in Kenya.

Indexed as

Extreme weather eventsKenyaResource insecurityUrinary tract infectionYoung women

Identifiers

PMID42005969
PMCPMC13090144

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.