The Impact of Different Parental Figures of Adolescents Living With HIV: An Evaluation of Family Structures, Perceived HIV Related Stigma, and Opportunities for Social Support.
The Impact of Different Parental Figures of Adolescents Living With HIV: An Evaluation of Family Structures, Perceived HIV Related Stigma, and Opportunities for Social Support.
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DOI：
10.3389/fpubh.2022.647960
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发表时间：
2022
影响因子：
5.2
通讯作者：
Galárraga O
中科院分区：
文献类型：
--
作者：
Wowolo G;Cao W;Bosomtwe D;Enimil A;Tarantino N;Barker DH;Galárraga O
尽管抗逆转录病毒疗法(ART)改变了艾滋病毒的预期健康结果，但仍存在与污名、如何看待艾滋病毒携带者以及获得社会支持有关的问题。本研究旨在探讨加纳库马西青少年HIV感染者的家庭结构与心理社会幸福感之间的关系。这篇文章使用了两项混合方法研究的基线数据，这两项研究评估了基于群体的支持计划在加纳库马西青少年(N=70，12-18岁)中改善抗逆转录病毒治疗依从性的安全性和初步有效性。采用多元线性回归分析来检验家庭结构与耻辱和社会支持结局之间的关系。影响家庭结构的主要变量是单身母亲和女性照顾者。我们发现，单身母亲身份是耻辱的一个重要决定因素。与其他类别的照顾者类型相比，由单身母亲抚养的青少年与平均内部艾滋病毒污名得分下降0.259相关(p=0.029)。此外，对于女性青少年来说，由女性监护人(例如，母亲、阿姨、祖母和姐妹)抚养与总体支持指数增加20.92点相关(p=0.005)。这项研究表明，父母或监护人的类型以及他们的性别，影响了加纳艾滋病毒携带者青少年的耻辱感受和可获得的社会支持。艾滋病毒携带者青少年的弱势群体，特别是由男性照顾者抚养长大的青少年，应得到额外的支持。
Although antiretroviral therapy (ART) has changed the expected health outcomes for HIV, there are still issues related to stigma, how people living with HIV are perceived, and the availability of social support. The purpose of this study was to explore the associations between family structure and psychosocial wellbeing reflected by perceived HIV stigma and social support among adolescents living with HIV in Kumasi, Ghana. This article used baseline data from two mixed methods studies that evaluated the safety and preliminary efficacy of group-based support programs for ART adherence improvement among adolescents living in Kumasi, Ghana (N = 70, aged 12–18 years). A multivariate linear regression analysis was employed to examine the associations between family structure and the outcomes of stigma and social support. The main variables for family structure were single mothers and female caregivers. We found that single motherhood was a significant determinant of stigma. When compared to other categories of caregiver types, adolescents being raised by their single mothers was associated with a 0.259 decrease in the mean internal HIV stigma score (p = 0.029). Also, for female adolescents, being raised by a female guardian (e.g., mother, aunt, grandmother, and sister) was associated with a 20.92 point increase in the overall support index (p = 0.005). This study shows that the type of parent or guardian, and their gender, influences the perceived stigma and available social support among adolescents living with HIV in Ghana. Vulnerable subgroups of adolescents living with HIV, particularly those raised up by male caregivers, should be provided with additional support.
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影响因子：
1.7
作者：
Bhana A;Mellins CA;Petersen I;Alicea S;Myeza N;Holst H;Abrams E;John S;Chhagan M;Nestadt DF;Leu CS;McKay M
通讯作者：
McKay M
影响因子：
1.1
作者：
Galárraga O;Enimil A;Bosomtwe D;Cao W;Barker DH
通讯作者：
Barker DH
影响因子：
5.4
作者：
Abadía-Barrero, CE;Castro, A
通讯作者：
Castro, A
影响因子：
4.4
作者：
Bikaako-Kajura, Winnie;Luyirika, Emmanuel;Bunnell, Rebecca
通讯作者：
Bunnell, Rebecca
影响因子：
6.6
作者：
Casale, Marisa;Boyes, Mark;Cluver, Lucie
通讯作者：
Cluver, Lucie