HIV-Related Shame, Stigma and the Mental Health Functioning of Adolescents Living with HIV: Findings from a Pilot Study in Uganda.

HIV-Related Shame, Stigma and the Mental Health Functioning of Adolescents Living with HIV: Findings from a Pilot Study in Uganda.
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DOI:
10.1007/s10578-022-01374-z
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发表时间:
2023-12
影响因子:
2.9
通讯作者:
Namuwonge, Flavia
Namuwonge, Flavia
中科院分区:
医学4区
文献类型:
--
作者:
Nabunya, Proscovia;Namuwonge, Flavia

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这项研究调查了乌干达艾滋病毒携带者青少年(10-14 岁)与艾滋病毒相关的羞耻感、耻辱和心理健康的关系。分析了一项针对青少年艾滋病毒携带者(N = 89)进行的为期两年的初步研究的横断面数据。通过多元线性回归分析确定羞耻问卷测量的HIV相关羞耻感、耻辱与青少年心理健康功能之间的关系,包括抑郁症状、绝望、创伤后应激障碍症状、孤独感和自我概念。平均年龄为12.2 岁,56%的参与者是女性。与艾滋病毒相关的羞耻感与较高水平的抑郁症状(p < 0.001)、绝望(p < 0.001)、创伤后应激障碍症状(p < 0.001)、孤独感(p < 0.01)以及低水平的自我概念(p &t; 0.01)有关。艾滋病毒污名与任何结果都没有关联。调查结果支持需要制定战略,帮助青少年克服艾滋病毒携带者的耻辱,减轻羞耻对青少年心理健康和治疗结果的影响。
This study examined the relationship between HIV-related shame, stigma and the mental health of adolescents (10–14 years) living with HIV in Uganda. Cross sectional data from a 2-year pilot study for adolescents living with HIV (N = 89) were analyzed. Multiple linear regression analyses were conducted to determine the relation between HIV-related shame, as measured by the Shame Questionnaire, stigma, and adolescents’ mental health functioning, including depressive symptoms, hopelessness, PTSD symptoms, loneliness and self-concept. The average age was 12.2 years, and 56% of participants were female. HIV-related shame was associated with higher levels of depressive symptoms (p < 0.05), hopelessness (p < 0.001), PTSD symptoms (p < 0.001), loneliness (p < 0.01), and low levels of self-concept (p < 0.01). HIV stigma was not associated with any of the outcomes. Findings support the need for the development of strategies to help adolescents overcome the shame of living with HIV and mitigate the effects of shame on adolescents’ mental health and treatment outcomes.
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