2016
DOI: 10.1080/17441692.2016.1170871
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Psychological distress among Ugandan adolescents living with HIV: Examining stressors and the buffering role of general and religious coping strategies

Abstract: HIV infection increases the risk of psychological distress among adolescents living with HIV (ALHIV), which, in turn, increases risky behaviours such as medication non-adherence, substance use, and sexual risk-taking. The majority of studies on psychological distress among ALHIV have been conducted in high-income countries; data on the prevalence and correlates of psychological distress among ALHIV in sub-Saharan Africa (SSA) are scarce, yet over two-thirds of the global population of ALHIV resides in SSA. The… Show more

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Cited by 44 publications
(47 citation statements)
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References 35 publications
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“…In line with the study hypotheses, high cumulative life adversity predicted increased distress, lower esteem, and lower levels of hope while low perceived social support was consistently associated with higher distress and lower levels of esteem, positive outlook, hopefulness and sense of purpose over 12 months follow up. These findings align with prior observations in various chronic disease states where high levels of social support mitigated adversity related poor health outcomes (Dale & Safren, 2019; Mutumba et al., 2017; Parcesepe et al., 2018; Sim, Bowes, & Gardner, 2019; Zhao et al., 2011). Our findings also support previous observations of high social support related declines in distress but increased self‐esteem among African‐American women and Ugandan adolescents living with HIV (Dale & Safren, 2019).…”
Section: Discussionsupporting
confidence: 89%
“…In line with the study hypotheses, high cumulative life adversity predicted increased distress, lower esteem, and lower levels of hope while low perceived social support was consistently associated with higher distress and lower levels of esteem, positive outlook, hopefulness and sense of purpose over 12 months follow up. These findings align with prior observations in various chronic disease states where high levels of social support mitigated adversity related poor health outcomes (Dale & Safren, 2019; Mutumba et al., 2017; Parcesepe et al., 2018; Sim, Bowes, & Gardner, 2019; Zhao et al., 2011). Our findings also support previous observations of high social support related declines in distress but increased self‐esteem among African‐American women and Ugandan adolescents living with HIV (Dale & Safren, 2019).…”
Section: Discussionsupporting
confidence: 89%
“…Among these studies, the largest effect of stigma was documented in Zambia, which found that the odds of having higher depressive symptom scores was almost three times higher for YPLHIV who experienced stigma than in those who did not (aOR = 2.99; 95% CI [1.07-8.41], p = 0.01) [94]. Having someone to talk to or feeling satisfied with health services or the social support received promoted positive mental health functioning in four studies (Namibia (n = 1) [92], Uganda (n = 2) [95,96], Zambia (n = 1) [94]. In an Ethiopian study, Abebe, Shumet [98] reported that those with low social support were 2.74 times more likely to develop depressive symptoms than those with strong social support (95% CI [1.42-5.27], p = < 0.01).…”
Section: Demographicsmentioning
confidence: 95%
“…Being female was strongly correlated with poor mental health functioning in four studies (note, the outcome definition was different in each of the four studies) [92,93,96,99]. The largest gender effect was observed in Malawi, with females almost eight times as likely compared to males to exhibit higher depression-related symptoms scores (β = 2.13, 95% CI [0.82-3.43], p = 0.002) [93].…”
Section: Demographicsmentioning
confidence: 99%
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