"As a Young Pregnant Girl… The Challenges You Face": Exploring the Intersection Between Mental Health and Sexual and Reproductive Health Amongst Adolescent Girls and Young Women in South Africa.

AIDS and Behavior
Zoe DubyCatherine Mathews

Abstract

In South Africa, adolescent girls and young women (AGYW) are at risk of poor mental health, HIV infection and early pregnancy. Poor mental health in AGYW is associated with increased sexual risk behaviours, and impeded HIV testing and care. Using in-depth interviews and focus group discussions, we explored subjective experiences of mental health and sexual and reproductive health (SRH) amongst 237 AGYW aged 15-24 years in five South African districts. Respondents shared narratives of stress, emotional isolation, feelings of depression, and suicidal ideation, interconnected with HIV, pregnancy and violence in relationships. Findings show that AGYW in South Africa face a range of mental health stressors and lack sufficient support, which intersect with SRH challenges to heighten their vulnerability. Framed within the syndemic theory, our findings suggest that South African AGYW's vulnerability towards early pregnancy, HIV infection and poor mental health are bidirectional and interconnected. Considering the overlaps and interactions between mental health and SRH amongst AGYW, it is critical that mental health components are integrated into SRH interventions.

References

May 6, 2003·Perspectives on Sexual and Reproductive Health·John SantelliUNKNOWN Unintended Pregnancy Working Group
Feb 9, 2007·Health Services Research·Elizabeth H BradleyKelly J Devers
Mar 5, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Kathleen J SikkemaDesiree Pieterse
Mar 27, 2013·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Samantha IllangasekareAndrea Gielen
Jun 20, 2013·Depression and Anxiety·Annika C SweetlandHelena Verdeli
Mar 9, 2017·Lancet·Merrill SingerEmily Mendenhall
Apr 7, 2018·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Feziwe MpondoPriscilla S Reddy
Apr 17, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Madhura S RanePaul K Drain
Aug 26, 2018·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Anu Manchikanti GomezElodia Villaseñor
Feb 26, 2019·International Journal of Behavioral Medicine·Karmel W ChoiChristina Psaros
Sep 24, 2019·Health Policy and Planning·Sumaiyah DocratCrick Lund

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Methods Mentioned

BETA
contraception

Software Mentioned

AGYW
NVivo

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