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

dc.contributor.authorBoyes, Mark E.
dc.contributor.authorCluver, Lucie D.
dc.contributor.authorMeinck, Franziska
dc.contributor.authorCasale, Marisa
dc.contributor.authorNewnham, Elizabeth
dc.date.accessioned2018-10-16T07:28:02Z
dc.date.available2018-10-16T07:28:02Z
dc.date.issued2018
dc.description.abstractAlthough 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 location, poverty). Correlates operating across a variety of contexts were identified. Bullying victimisation, self-efficacy, and positive parenting may be particularly salient intervention targets as they were associated with better outcomes on most or all mental health measures, can be addressed without directly targeting adolescents living with HIV (reducing the chances of accidental exposure and stigma), and are associated with better adolescent mental health in South Africa more generally.en_US
dc.description.accreditationISI
dc.identifier.citationBoyes, M.E. et al. (2018). Mental health in South African adolescents living with HIV: correlates of internalising and externalising symptoms. AIDS Care, 2018.en_US
dc.identifier.issn0954-0121
dc.identifier.urihttp://dx.doi.org/10.1080/09540121.2018.1524121
dc.identifier.urihttp://hdl.handle.net/10566/4127
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherTaylor & Francisen_US
dc.rightsThis is the author-version of the article published online at: http://dx.doi.org/10.1080/09540121.2018.1524121
dc.status.ispeerreviewedTRUE
dc.subjectHIV/AIDSen_US
dc.subjectAdolescentsen_US
dc.subjectMental healthen_US
dc.subjectSocioecologicalen_US
dc.subjectDepressionen_US
dc.subjectAnxietyen_US
dc.subjectPosttraumatic stressen_US
dc.subjectConduct problemsen_US
dc.titleMental health in South African adolescents living with HIV: correlates of internalising and externalising symptomsen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Boyes_Mental-health_2018.pdf
Size:
1.82 MB
Format:
Adobe Portable Document Format
Description:
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: