Relationship Between Mental Health and HIV Transmission Knowledge and Prevention Attitudes Among Adolescents Living with HIV: Lessons from Suubi + Adherence Cluster Randomized Study in Southern Uganda.

Relationship Between Mental Health and HIV Transmission Knowledge and Prevention Attitudes Among Adolescents Living with HIV: Lessons from Suubi + Adherence Cluster Randomized Study in Southern Uganda.
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DOI:
10.1007/s10461-021-03243-7
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发表时间:
2021-11
期刊:
影响因子:
4.4
通讯作者:
Ssewamala FM
Ssewamala FM
中科院分区:
医学2区
文献类型:
--
作者:
Byansi W;Brathwaite R;Calvert M;Nabunya P;Sensoy Bahar O;Damulira C;Namuwonge F;McKay MM;Mellins CA;Ssewamala FM

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我们评估了抑郁、绝望和自我概念对乌干达青少年艾滋病毒感染者艾滋病毒预防态度和感染、传播和性风险行为知识的影响。利用纵向数据从635例青少年艾滋病毒感染者,多个普通最小二乘回归被用来评估之间的关联的三个指标的心理健康功能在基线和艾滋病毒的知识和预防态度在12个月的后续行动。我们发现,基线时的抑郁(β = − 0.17; 95%CI − 0.31,− 0.04)和绝望(β = − 0.16; 95%CI − 0.28,− 0.04)评分分别与12个月随访时艾滋病预防态度和艾滋病知识评分平均下降0.17和0.16相关。自我概念与艾滋病知识和预防态度的相关性不显著。患有艾滋病毒的青少年有更大程度的绝望感,艾滋病毒知识有限的风险增加,而那些抑郁症状更严重的人对艾滋病毒预防的态度不太有利。
We assessed the effect of depression, hopelessness, and self-concept on HIV prevention attitudes and knowledge about infection, transmission and sexual risk behavior among adolescents living with HIV in Uganda. Utilizing longitudinal data from 635 adolescents living with HIV, multiple ordinary least square regression was used to evaluate associations between the three indicators of mental health functioning at baseline and HIV knowledge and prevention attitudes at 12-months follow-up. We found that depression (β = − 0.17; 95% CI − 0.31, − 0.04) and hopelessness (β = − 0.16; 95% CI − 0.28, − 0.04) scores at baseline were associated with a 0.17 and 0.16 average reduction in HIV prevention attitudes and HIV knowledge scores, respectively at 12-months follow-up. However, self-concept was not significantly associated with HIV knowledge or prevention attitudes. Adolescents living with HIV with greater levels of hopelessness are at increased risk of having limited HIV knowledge while those with greater symptoms of depression had less favorable HIV prevention attitudes.
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