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.

Journal: AIDS and behavior

Volume: 25

Issue: 11

Year of Publication: 2021

Affiliated Institutions:  International Center for Child Health and Development, Brown School, Washington University in St. Louis, St. Louis, MO, , USA. byansiw@wustl.edu. International Center for Child Health and Development, Brown School, Washington University in St. Louis, St. Louis, MO, , USA. Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA, , USA. Brown School, Washington University in St. Louis, St. Louis, MO, , USA. HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University Medical Center, Riverside Drive, Box , New York, NY, , USA.

Abstract summary 

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.

Authors & Co-authors:  Byansi William W Brathwaite Rachel R Calvert Madison M Nabunya Proscovia P Sensoy Bahar Ozge O Damulira Christopher C Namuwonge Flavia F McKay Mary M MM Mellins Claude A CA Ssewamala Fred M FM

Study Outcome 

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Citations :  Kharsany ABM, Karim QA. HIV Infection and AIDS in sub-Saharan Africa: current status, challenges and opportunities. Open AIDS J. 2016;10:34–48.
Authors :  10
Identifiers
Doi : 10.1007/s10461-021-03243-7
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Adolescent;Attitude;HIV;Knowledge;Mental health
Study Design
Randomized Control Trial,Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
United States