Sarah C. Sutherland, Harry S. Shannon, David Ayuku, David L. Streiner, Olli Saarela, Lukoye Atwoli, Joseph Hogan, Paula Braitstein
This longitudinal study uses a causal effect model to examine, through decomposition, the relationship between care environment and HIV risk factors in orphaned and separated adolescents and youths (OSAY) in Uasin Gishu County, Kenya; considering resilience, social, peer, or family support, volunteering, or having one’s material needs met as potential mediators. The authors analysed survey responses from 1105 OSAY age 10–26 living in Charitable Children’s Institutions (CCI) (orphanages) and family-based care settings (FBS).