Internalized HIV stigma, bullying, major depressive disorder, and high-risk suicidality among HIV-positive adolescents in rural Uganda

Global Mental Health
S AshabaA C Tsai

Abstract

Studies conducted in sub-Saharan Africa suggest a high prevalence of depression and suicidality among adolescents living with HIV (ALWH). This is an important public health issue because depression is known to compromise HIV treatment adherence. However, the drivers of depression and suicidality in this population are unclear. We conducted a cross-sectional study to estimate the associations between internalized stigma, bullying, major depressive disorder, and suicidality. We conducted a cross-sectional survey between November 2016 and March 2017, enrolling a consecutive sample of 224 ALWH aged 13-17 years. We collected information on demographic characteristics, internalized HIV-related stigma (using the six-item Internalized AIDS-Related Stigma Scale), bullying victimization (using the nine-item Social and Health Assessment Peer Victimization Scale), major depressive disorder [using the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID)], and suicidality (also using the MINI-KID). We fitted multivariable logistic regression models to estimate the associations between stigma, bullying, major depressive disorder, and suicidality. Thirty-seven participants (16%) had major depressive disorder, 3...Continue Reading

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Citations

May 31, 2019·International Journal of Environmental Research and Public Health·Bach Xuan TranRoger C M Ho
Oct 29, 2020·Child and Adolescent Psychiatry and Mental Health·Godfrey Zari RukundoEugene Kinyanda
Feb 11, 2021·BMC Public Health·Raymond Bernard KihumuroVincent Mubangizi
Nov 17, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Marisa CasaleNontokozo Langwenya
Jun 25, 2021·HIV/AIDS : Research and Palliative Care·Innocent ArinaitweScholastic Ashaba
May 15, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Talitha CrowleyDonald Skinner

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