Aidsimpact 2023: "We did more than survive": lessons learned from studies of risk and resilience of young people growing up with HIV and mental health needs.

Journal: AIDS care

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Affiliated Institutions:  HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA. ICAP at Columbia University, Mailman School of Public Health and Department of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University, New York City, NY, USA.

Abstract summary 

Despite advances in HIV-treatment, adolescents and young adults (AYA) with HIV (AYAHIV) face myriad challenges. They are less likely than children and older adults to be virally suppressed and are at higher risk for mental health conditions compared to their peers who do not have HIV. AYA are also developing in the context of numerous biomedical, neurocognitive, and psychosocial developmental changes. Normative challenges during this time can be exacerbated by HIV and can result in significant physical and mental health problems. Yet, many AYAHIV have shown resilience with positive assets and resources and few health or mental health problems. Historically research has had a risk-focused approach to understanding AYAHIV needs. This paper discusses the rationale for a shift from a risk-focused only approach to one that examines AYAHIV needs from both a risk and resilience perspective. This paper presents: (1) epidemiological data on AYAHIV; (2) conceptual models for understanding both risk (e.g., poverty, stress, trauma, limited resources) and resilience/protective factors (e.g., family and peer support, future orientation, problem-solving skills); (3) global data examining risk and protective factors for physical and mental health challenges; and (4) promising interventions that incorporate elements of resilience to improve overall outcomes among AYAHIV.

Authors & Co-authors:  Poku Ahmed Liotta Kluisza Robbins Abrams Mellins

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 10.1080/09540121.2024.2308745
SSN : 1360-0451
Study Population
Male,Female
Mesh Terms
Other Terms
Adolescents and young adults with HIV;SDG 3: Good health and well-being;mental health;resilience;risk
Study Design
Study Approach
Country of Study
Publication Country
England