The importance of family and community support for the health of HIV-affected populations in Southern Africa: What do we know and where to from here?
The importance of family and community support for the health of HIV-affected populations in Southern Africa: What do we know and where to from here?
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DOI：
10.1111/bjhp.12127
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发表时间：
2015-02-01
影响因子：
7.9
通讯作者：
Casale, Marisa
中科院分区：
文献类型：
--
作者：
Casale, Marisa
在资源稀缺的环境中，来自社会关系的非正式家庭和社区支持在保护身心健康方面发挥着重要作用，并可能有助于促进卫生服务的获得和吸收。然而，迄今为止，有令人惊讶的是，很少有实证研究调查的作用，社会支持作为一种资源的健康在艾滋病毒影响的南部非洲社区，尽管已知的重要性，社会联系，高利率的身体和精神健康状况，和现有的治疗差距'。从第一个大规模的解释性顺序混合方法研究调查社会支持和健康与照顾者人口在HIV流行的南非之间的关系。ResultsOverall，研究结果突出了社会支持对照顾者心理健康的保护作用，多重感知的心理和行为机制可能解释社会支持与身心健康之间的关系，以及支持的提供、效果和可用性方面的性别差异。确定并讨论了南部非洲未来研究的四个潜在重点，以及对研究设计和方法的影响。这些涉及更好地理解以下内容：解释社会支持在不同人群中的共同和不同影响的途径和过程;社会支持对身体健康的潜在保护作用;以及性别和社会及文化规范等因素在塑造社会支持与健康之间关系方面的作用。艾滋病毒增加了精神健康状况的风险。主要来自高收入国家的研究表明，社会关系和支持是保护健康的。这项研究补充了什么？在南部非洲首次对社会支助和保健这方面进行混合方法研究。强调社会支持的重要性，在艾滋病毒流行的南非儿童照顾者的心理健康。点的生物和心理的途径，解释在这个样本中的支持，健康的关系。
PurposeInformal family and community support deriving from social relations can play an important role in protecting mental and physical health in resource-scarce contexts and may help facilitate health service access and uptake. Yet, to date, there has been surprisingly little empirical research investigating the role of social support as a resource for health in HIV-affected Southern African communities, despite the known importance of social connectedness, high rates of physical and mental health conditions, and existing treatment gaps'.MethodsThis paper brings together and discusses findings of multiple linked analyses, from the first large-scale explanatory sequential mixed methods research investigating the relationship between social support and health with caregiver populations in HIV-endemic South Africa.ResultsOverall, findings highlight the protective role of social support for caregiver mental health, the multiple perceived psychological and behavioural mechanisms possibly explaining the relationship between social support and both mental and physical health, and gender differences in the provision, effects, and availability of support.ConclusionsDrawing from these findings and the broader literature, four potential foci for future research in Southern Africa are identified and discussed, as are implications for research design and methodologies. These involve achieving a better understanding of the following: The pathways and processes explaining common and differential effects of social support across different population groups; the potential protective role of social support for physical health; and the role of factors such as gender and social and cultural norms in shaping the relationship between social support and health.Mental and physical health are closely related. HIV increases the risk of mental health conditions. Studies mainly from high-income countries have shown social relations and support to be protective of health.What does this study add?First mixed methods research of this dimension on social support and health in Southern Africa. Highlights importance of social support for mental health among caregivers of children in HIV-endemic South Africa. Points to biological and psychological pathways explaining the support-health relationship in this sample.