Mental health in South African adolescents living with HIV: correlates of internalising and externalising symptoms

AIDS Care
Mark E BoyesElizabeth Newnham

Abstract

Although declining in all other age groups, AIDS-related deaths among adolescents are increasing. In the context of HIV, mental health problems are associated with negative health outcomes, including non-adherence to life-saving ART. For effective programming it is essential to identify factors associated with psychological outcomes in this population. Adopting a socioecological perspective, we aimed to identify correlates of internalising and externalising symptoms in a large, representative sample of South African adolescents living with HIV. HIV-positive adolescents (n = 1060), who received care in public health facilities in South Africa's Eastern Cape, completed measures of internalising and externalising symptoms. Hypothesised correlates included HIV and health-related factors (physical health, mode of infection, medication side-effects, disclosure, stigma), health-service related factors (negative interactions with clinic staff, clinic support group), interpersonal factors (abuse, bullying victimisation, social support), parenting-related factors (orphanhood, positive parenting, parental monitoring, parent communication), as well as individual and demographic-related factors (self-efficacy, age, gender, urban/rural locat...Continue Reading

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Citations

Aug 9, 2019·International Journal of Adolescent Medicine and Health·Cara HainesNina Higson-Sweeney
Nov 17, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Marisa CasaleNontokozo Langwenya
Mar 12, 2021·Journal of the International Association of Providers of AIDS Care·Camerin A RenckenJacqueline Hoare
Sep 28, 2021·AIDS and Behavior·Kathryn J RobertsLorraine Sherr
Oct 13, 2021·African Journal of AIDS Research : AJAR·Edith ApondiPaula Braitstein

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