Stigma by Association, Parenting Stress, and the Mental Health of Caregivers of Adolescents Living With HIV in Uganda.
Stigma by Association, Parenting Stress, and the Mental Health of Caregivers of Adolescents Living With HIV in Uganda.
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DOI：
10.1016/j.jadohealth.2022.08.017
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发表时间：
2023-05
影响因子：
7.6
通讯作者：
Ssewamala, Fred M.
中科院分区：
文献类型：
--
作者：
Nabunya, Proscovia;Namuwonge, Flavia;Bahar, Ozge Sensoy;Ssentumbwe, Vicent;Migadde, Herbert;Mugisha, James;Ssewamala, Fred M.
本研究旨在探讨污名化与青少年HIV感染者照顾者的心理健康之间的关系，污名化定义为对与污名化个人相关的个人的偏见和歧视。使用Suubi 4Stigma研究（2020-2022）的基线数据进行了多变量回归分析，该研究是一项针对乌干达南部青少年及其照顾者中艾滋病毒相关污名的试点研究。平均年龄为47岁，77.5%为女性，49%被确定为孩子的亲生父母。污名与照顾者心理健康状况差（B = 1.346，95%置信区间= 0.49，2.21）和养育压力（B = 1.431，95%置信区间= 0.79，2.08）相关。照顾者的性别，生物相关性，家庭组成和家庭凝聚力与照顾者的心理健康和养育压力。调查结果指出，需要纳入减少耻辱化的内容，不仅对感染艾滋病毒的青少年，而且对他们的照顾者，以抵消耻辱对他们的心理健康的影响。
This study examined the relationship between stigma by association—defined as prejudice and discrimination against individuals who are associated with stigmatized individuals, parenting stress, and the mental health of caregivers of adolescents living with HIV. Multivariate regression analyses were conducted using baseline data from the Suubi4Stigma study (2020–2022), a pilot study addressing HIV-related stigma among adolescents and their caregivers in southern Uganda. The average age was 47 years, 77.5% were female, and 49% identified as the child’s biological parent. Stigma by association was associated with poor caregiver mental health (b = 1.346, 95% confidence interval = 0.49, 2.21) and parenting stress (b = 1.431, 95% confidence interval = 0.79, 2.08). Caregiver’s gender, biological relatedness, household composition, and family cohesion were uniquely associated with caregiver mental health and parenting stress. Findings point to the need to incorporate stigma reduction components, not only for adolescents living with HIV, but also their caregivers, to counteract the effects of stigma on their mental health.
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