| Autor: |
Aurpibul, Linda, Sophonphan, Jiratchaya, Malee, Kathleen, Kerr, Stephen J, Sun, Ly Penh, Ounchanum, Pradthana, Kosalaraksa, Pope, Ngampiyaskul, Chaiwat, Kanjanavanit, Suparat, Chettra, Kea, Suwanlerk, Tulathip, Mellins, Claude A, Paul, Robert, Robbins, Reuben N, Ananworanich, Jintanat, Puthanakit, Thanyawee |
| Předmět: |
|
| Zdroj: |
International Journal of STD & AIDS; Mar2021, Vol. 32 Issue 3, p246-256, 11p |
| Abstrakt: |
HIV-related enacted stigma and social problems may increase risk for depression and/or behavioral problems among adolescents and young adults with perinatal HIV(AYA-PHIV), yet few studies have explored stigma in AYA-PHIV residing in low-to-middle income regions, including Southeast Asia. We assessed HIV-related enacted stigma and social problems in AYA-PHIV who participated in the RESILIENCE study (clinicaltrials.gov identification: U19AI53741) in Thailand and Cambodia using specific questions during structured in-person interviews. Depression was measured by the Child Depression Inventory for children <15 years, or the Center for Epidemiologic Studies Depression Scales for youth ≥15 years); behavioral problems were measured by the Child Behavior Checklist (CBCL-caregiver report). Among 195 AYA-PHIV (median age 16.9 years), 25.6% reported a lifetime experience of enacted stigma, while 10.8% experienced social problems due to HIV infection. The frequency of depressive symptoms was nearly two-fold higher among AYA-PHIV with compared to those without HIV-related enacted stigma (34.7% vs. 16.0%, p = 0.005). Caregiver-reported behavioral problems were detected in 14.6% of all AYA-PHIV, with no differences between those with and without HIV-related enacted stigma. Low household income and caregiver mental health problems were independent risk factors for depressive symptoms; HIV-related enacted stigma was also associated with increased risk, warranting targeted services to support AYA-PHIV. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
