Table 4. Triangulation of quantitative and qualitative results, synthesis and gender analysis.
Quantitative Key Results | Qualitative Key Results | Synthesis and Gender Analysis |
---|---|---|
COVID-19-RELATED RISKS AND PERCEPTIONS | ||
• COVID-19 related concern and risk perception is high overall, modest gender difference favors young women (concern: 91.7% young women, 80.8% young men; risk perception: 95.5% young women, 84.2% young men) • All youth reported having engaged in at least one preventative behavior |
• Youth were mixed on their level of concern for COVID-19 transmission • Significant barriers discussed to preventative health behaviors, including social and financial barriers |
• Divergence between quantitative and qualitative, with description of mixed concern for transmission and difficulty practicing preventative behaviors • Modest gender difference favoring young women on COVID-19 concern and risk perception |
ECONOMIC | ||
• Widespread inability to meet basic needs (45.0% young men; 53.4% young women) • Young women disproportionately unable to meet basic needs (aOR = 1.21; p<0.05), even accounting for buffering effect of household economic status • 35.6% of young women with a past year partner engaged in transactional partnership; greater dependence (49.1%) for those involved both pre- and during COVID-19 |
• Severe economic impact to both young men and young women due to job loss and loss of income • Repercussions include financial uncertainty, loan-taking, and food insecurity • Informal labor opportunities are limited for young women • Young men increase reliance on criminal activities, including robbery and digital scams, to generate income |
• Universal economic impact to youth consistent across qualitative and quantitative • Disproportionate economic impact on young women • Gender specific: young women’s dependence on transactional partnerships increased |
HEALTH | ||
• Young women more likely to attempt to access health services, compared to young men (aOR = 1.59; p<0.001) • 34.6% of young women and 40.4% of young men using contraception had trouble accessing their method • Gaps in access to menstrual hygiene products for young women (52.0%), with lack of money the most common challenge (45.0%) • Depressive symptoms for young men (21.8%) and women (24.3%) |
• Fear discussed as most prominent barrier to accessing health services, including contraception • COVID restrictions force closures on services that youth previously used to access contraception, particularly coital-dependent methods • Financial barriers for contraceptive access and menstrual hygiene • Stress due to financial hardship, job loss, disruptions to academic plans, and idle time due to COVID-19 restrictions contribute to poor mental health |
• Gender difference in health service disruption, with young women more likely to need care • Fear of infection was the dominant barrier to accessing healthcare • Contraceptive disruptions common, particularly for coital-dependent methods • Gender specific: Menstrual hygiene barriers are common and primarily financial • Gender symmetry: Mental health impact of COVID-19 |
SOCIAL | ||
• 22.9% of young women and 15.2% of young men reported very little control to leave the house • Only a quarter (26.1%) of young women report having safe, private access to internet. • The greatest limitation on internet access was cost of data for both young men and young women • Nearly half of young men (45.7%) and women (46.6%) are spending less time with their partners • High perceived social support for both young men and young women |
• Increased time at home to youth and their family members • Young women face greater household privacy constraints, and are more limited in mobility compared to young men • Differentiated gender barriers: permissions/supervision for women, fear of police harassment and COVID-19 among men • Young men report constraints to mobility primarily around fear of contracting COVID-19 and fear of police harassment • Technology and mobile phones enable connectivity, yet privacy barriers can undermine access |
• Young women face greater privacy and mobility challenges • Full decisional control to leave house favors young men bivariately, and youth no longer living with their families • Gendered gaps in technology, with young women less likely to have safe private internet access bivariately, and students disproportionately impacted • Gender symmetry: mixed impact on time with partners • Gender symmetry: high social support |
SAFETY | ||
• Safety concerns centered outside of the household; relative safety within the home for over 70% of young men and young women • Police interactions since COVID-19 disproportionately affected young men (aOR = 0.72; p<0.001), with over half of their interactions involving extortion • Nearly 1/5 of young women experienced past-year IPV, with (70.1%) occurring since COVID or both timepoints |
• Police violence and harassment related to COVID-19 curfew and restrictions • COVID-19 restrictions create risk of gender-based violence for young women; in some cases, COVID-19 provides a cover for relationship breakup following safety concerns • Young people face risk of sexual violence from male family members before and since COVID-19 |
• Gender differentiated safety risks: • young men face police violence/harassment • young women face sustained risk for partner violence, both pre and during COVID-19; non-partner sexual violence was less prevalent |