The impact of COVID-19 changes and disruptions on generalized anxiety disorder among young adults living with HIV (YLHIV) in Uganda.

Journal: Journal of health psychology

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Affiliated Institutions:  Washington University in St. Louis, USA. Mildmay Uganda, Uganda. International Center for Child Health and Development, Uganda. Makerere University, Uganda. Boston College School of Social Work, USA.

Abstract summary 

In the context of the COVID-19 pandemic, we investigated associations between specific COVID-19-related changes and its impact on generalized anxiety disorder (GAD) levels among vulnerable young adults living with HIV (YALHIV) in a low-resource setting in Southern Uganda. This research utilized data from 500 YALHIV aged 19 to 25 from the Suubi+Adherence-R2 COVID-19 Supplement study. Disruptions were assessed using an 8-item modified Coronavirus Impact Scale, while anxiety was measured with the GAD-7 questionnaire. Hierarchical logistic regression analysis and multivariate linear regression were employed, guided by the Social Determinants of Health framework. Key findings highlighted changes in routines, family income, stress from the pandemic, changes in family stress and discord, and reduced access to mental health services heightened levels of probable GAD for YALHIV during the pandemic. Additionally, female young adults showed greater levels than males. These results underscore the urgency to develop tailored support mechanisms for YALHIV, especially during challenging and unprecedented times.

Authors & Co-authors:  Girma Abel Zemedkun AZ Brathwaite Rachel R Karamagi Yvonne Y Nakabuye Fatumah F Nakasujja Noeline N Byansi William W Nabunya Proscovia P Sensoy Bahar Ozge O Ssewamala Fred M FM

Study Outcome 

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Statistics
Citations : 
Authors :  9
Identifiers
Doi : 10.1177/13591053241228205
SSN : 1461-7277
Study Population
Female
Mesh Terms
Other Terms
HIV;adolescence;anxiety;mental illness;stress
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
England