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Mental health in South African adolescents living with HIV.

Identifieur interne : 000507 ( Main/Exploration ); précédent : 000506; suivant : 000508

Mental health in South African adolescents living with HIV.

Auteurs : Nora West [États-Unis] ; Sheree Schwartz [États-Unis] ; Mutsa Mudavanhu [Afrique du Sud] ; Colleen Hanrahan [États-Unis] ; Holly France [Afrique du Sud] ; Jeremy Nel [Afrique du Sud] ; Lillian Mutunga [Afrique du Sud] ; Shelley Bernhardt [Afrique du Sud] ; Jean Bassett [Afrique du Sud] ; Annelies Van Rie [Belgique, États-Unis]

Source :

RBID : pubmed:30304947

Descripteurs français

English descriptors

Abstract

We examined the prevalence of mental health conditions, social support, and associated factors among adolescents living with HIV. We conducted a cross-sectional analysis with adolescents (ages 9-19) attending a primary care clinic in Johannesburg, South Africa. We analyzed the results of four self-report tools: Children's Depression Inventory-Short, Revised Manifest Anxiety Scale, Child Post-Traumatic Stress Disorder (PTSD) Checklist, and a modified version of the Medical Outcomes Study Social Support Scale. We used robust Poisson regression to quantify the association between social support and mental health. Among 278 adolescents, the majority were perinatally infected with HIV (92%), and had at least one deceased parent (59%). Depression symptom threshold scores were found among 8% of adolescents, and 7% screened positive for symptoms of anxiety. Few (1%) met the criteria for PTSD. Overall, 12% of adolescents screened positive for symptoms of depression, anxiety or PTSD. Older adolescents reported less social support than younger adolescents. Adolescents were less likely to have mental health symptoms if they had higher measures of social support (adjusted Prevalence Ratio 0.38, 95% CI 0.20-0.73). Attention should be paid to social support for adolescents living with HIV as this may play an important role in their mental health.

DOI: 10.1080/09540121.2018.1533222
PubMed: 30304947


Affiliations:


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Le document en format XML

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<term>Cross-Sectional Studies (MeSH)</term>
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<div type="abstract" xml:lang="en">We examined the prevalence of mental health conditions, social support, and associated factors among adolescents living with HIV. We conducted a cross-sectional analysis with adolescents (ages 9-19) attending a primary care clinic in Johannesburg, South Africa. We analyzed the results of four self-report tools: Children's Depression Inventory-Short, Revised Manifest Anxiety Scale, Child Post-Traumatic Stress Disorder (PTSD) Checklist, and a modified version of the Medical Outcomes Study Social Support Scale. We used robust Poisson regression to quantify the association between social support and mental health. Among 278 adolescents, the majority were perinatally infected with HIV (92%), and had at least one deceased parent (59%). Depression symptom threshold scores were found among 8% of adolescents, and 7% screened positive for symptoms of anxiety. Few (1%) met the criteria for PTSD. Overall, 12% of adolescents screened positive for symptoms of depression, anxiety or PTSD. Older adolescents reported less social support than younger adolescents. Adolescents were less likely to have mental health symptoms if they had higher measures of social support (adjusted Prevalence Ratio 0.38, 95% CI 0.20-0.73). Attention should be paid to social support for adolescents living with HIV as this may play an important role in their mental health.</div>
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<Affiliation>b Witkoppen Health and Welfare Centre , Johannesburg , South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bassett</LastName>
<ForeName>Jean</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>b Witkoppen Health and Welfare Centre , Johannesburg , South Africa.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Van Rie</LastName>
<ForeName>Annelies</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>d University of Antwerp , Antwerp , Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>e Department of Epidemiology , University of North Carolina at Chapel Hill, Gillings School of Global Public Health , Chapel Hill , USA.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2018</Year>
<Month>10</Month>
<Day>10</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>England</Country>
<MedlineTA>AIDS Care</MedlineTA>
<NlmUniqueID>8915313</NlmUniqueID>
<ISSNLinking>0954-0121</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<CitationSubset>X</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008603" MajorTopicYN="Y">Mental Health</DescriptorName>
<QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012944" MajorTopicYN="Y">Social Support</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013019" MajorTopicYN="N" Type="Geographic">South Africa</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013313" MajorTopicYN="N">Stress Disorders, Post-Traumatic</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="Y">Adolescent health</Keyword>
<Keyword MajorTopicYN="Y">HIV</Keyword>
<Keyword MajorTopicYN="Y">mental health</Keyword>
<Keyword MajorTopicYN="Y">social support</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData>
<History>
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<Year>2018</Year>
<Month>10</Month>
<Day>12</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2019</Year>
<Month>11</Month>
<Day>20</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2018</Year>
<Month>10</Month>
<Day>12</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">30304947</ArticleId>
<ArticleId IdType="doi">10.1080/09540121.2018.1533222</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Afrique du Sud</li>
<li>Belgique</li>
<li>États-Unis</li>
</country>
<region>
<li>Caroline du Nord</li>
<li>Maryland</li>
</region>
<settlement>
<li>Chapel Hill (Caroline du Nord)</li>
</settlement>
<orgName>
<li>Université de Caroline du Nord à Chapel Hill</li>
</orgName>
</list>
<tree>
<country name="États-Unis">
<region name="Maryland">
<name sortKey="West, Nora" sort="West, Nora" uniqKey="West N" first="Nora" last="West">Nora West</name>
</region>
<name sortKey="Hanrahan, Colleen" sort="Hanrahan, Colleen" uniqKey="Hanrahan C" first="Colleen" last="Hanrahan">Colleen Hanrahan</name>
<name sortKey="Schwartz, Sheree" sort="Schwartz, Sheree" uniqKey="Schwartz S" first="Sheree" last="Schwartz">Sheree Schwartz</name>
<name sortKey="Van Rie, Annelies" sort="Van Rie, Annelies" uniqKey="Van Rie A" first="Annelies" last="Van Rie">Annelies Van Rie</name>
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<country name="Afrique du Sud">
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<name sortKey="Mudavanhu, Mutsa" sort="Mudavanhu, Mutsa" uniqKey="Mudavanhu M" first="Mutsa" last="Mudavanhu">Mutsa Mudavanhu</name>
</noRegion>
<name sortKey="Bassett, Jean" sort="Bassett, Jean" uniqKey="Bassett J" first="Jean" last="Bassett">Jean Bassett</name>
<name sortKey="Bernhardt, Shelley" sort="Bernhardt, Shelley" uniqKey="Bernhardt S" first="Shelley" last="Bernhardt">Shelley Bernhardt</name>
<name sortKey="France, Holly" sort="France, Holly" uniqKey="France H" first="Holly" last="France">Holly France</name>
<name sortKey="Mutunga, Lillian" sort="Mutunga, Lillian" uniqKey="Mutunga L" first="Lillian" last="Mutunga">Lillian Mutunga</name>
<name sortKey="Nel, Jeremy" sort="Nel, Jeremy" uniqKey="Nel J" first="Jeremy" last="Nel">Jeremy Nel</name>
</country>
<country name="Belgique">
<noRegion>
<name sortKey="Van Rie, Annelies" sort="Van Rie, Annelies" uniqKey="Van Rie A" first="Annelies" last="Van Rie">Annelies Van Rie</name>
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</country>
</tree>
</affiliations>
</record>

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