When Extreme Weather Becomes an HIV Vulnerability

Climate and HIV are often discussed separately, yet weather shocks can alter food security, mobility, relationships and the everyday conditions in which prevention and care occur. Multiple weather exposures were common. Weather exposure, mobility and low food security were associated with lower condom-use self-efficacy; mobility with lower relationship power; and mobility and sanitation insecurity with higher odds of lifetime IPV. The study makes climate adaptation relevant to social vulnerability and service resilience, not only infrastructure.