Stigma by Association, Parenting Stress, and the Mental Health of Caregivers of Adolescents Living With HIV in Uganda.

Journal: The Journal of adolescent health : official publication of the Society for Adolescent Medicine

Volume: 72

Issue: 5S

Year of Publication: 2023

Affiliated Institutions:  International Center for Child Health and Development (ICHAD), Brown School, Washington University in St. Louis, St. Louis, Missouri. Electronic address: nabunyap@wustl.edu. International Center for Child Health and Development (ICHAD), Masaka, Uganda. International Center for Child Health and Development (ICHAD), Brown School, Washington University in St. Louis, St. Louis, Missouri. College of Health Sciences, Makerere University, Kampala.

Abstract summary 

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.

Authors & Co-authors:  Nabunya Proscovia P Namuwonge Flavia F Sensoy Bahar Ozge O Ssentumbwe Vicent V Migadde Herbert H Mugisha James J Ssewamala Fred M FM

Study Outcome 

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Statistics
Citations :  Hatzenbuehler ML, Phelan JC, Link BG. Stigma as a fundamental cause of population health inequalities. Am J Public Health 2013;103:813–21.
Authors :  7
Identifiers
Doi : 10.1016/j.jadohealth.2022.08.017
SSN : 1879-1972
Study Population
Male,Female
Mesh Terms
Child
Other Terms
Caregiver mental health;HIV stigma;Parenting stress;Uganda
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
United States