Article

The effect of social support on mental and behavioral outcomes among adolescents with parents with HIV/AIDS.

Center for Community Health, University of California, Los Angeles, CA 90024, USA.
American Journal of Public Health (Impact Factor: 4.23). 11/2007; 97(10):1820-6. DOI: 10.2105/AJPH.2005.084871
Source: PubMed

ABSTRACT We examined the associations between social support and mental and behavioral outcomes among adolescents whose parents were infected with or died of HIV/AIDS.
Families (parents who were HIV infected and their adolescent children) were randomly assigned to a coping skills intervention or a standard care group. After completing the intervention, the parents and adolescents were assessed for 2 years.
Adolescents who had more social support providers reported significantly lower levels of depression and fewer conduct problems; adolescents who had more negative influence from role models reported more behavior problems. Reductions in depression, multiple problem behaviors, and conduct problems were significantly associated with better social support.
Our findings underscore the complex relations between social support and mental and behavioral outcomes among adolescents affected by HIV/AIDS. Future prevention programs must focus on increasing social support to reduce negative outcomes among adolescents affected by HIV/AIDS as well as the need to reduce influence from negative role models.

Full-text

Available from: Sung-Jae Lee, Jun 12, 2015
1 Follower
 · 
93 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: The current study examines the relationships of several psychosocial correlates and mediating factors with problem behaviors among children (6–18 years of age) affected by parental HIV/AIDS in rural China. Cross-sectional data were collected from 755 children orphaned by AIDS (“orphans”) and 466 children living with HIV-positive parents (“vulnerable children”) during 2006–2007 in central rural China. The structural equation modeling analyses revealed that HIV-related stigma had a positive direct effect on problem behaviors of vulnerable children, while HIV-related stigma and low education aspiration had direct negative effects on school adjustment among both orphans and vulnerable children. Measures of future orientation and perceived social support mediated the effect of HIV-related stigma and low education aspiration on school adjustment, which in turn was negatively associated with problem behaviors of both groups. The data also showed that school adjustment mediated the effect of low education aspiration and HIV-related stigma on problem behaviors of both orphans and vulnerable children. Future prevention intervention efforts aiming to reduce problem behaviors and improve school adjustment among these children should target multiple factors at individual, community, and societal levels such as enhancing the children’s future expectation, increasing the social support from family, school, and community, and reducing HIV-related stigma against children and families affected by HIV.
    Journal of Child and Family Studies 12/2014; DOI:10.1007/s10826-014-0093-3 · 1.42 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This review (under the International Joint Learning Initiative on Children and AIDS) provides a detailed evidence analysis of gender, children and AIDS. Six systematic reviews provide the most up to date evidence base on research surrounding children and HIV on key topics of treatment resistance and adherence, schooling, nutrition, cognitive development and orphaning and bereavement. Traditional systematic review techniques were used to identify all published studies on four key topics, then studies were selected according to adequacy criteria (sufficient size, control group and adequate measures). A gender analysis was performed on included studies, detailing whether gender was measured, results were analysed by gender or any gender-based findings. For family studies, both the gender of the parents and gender of the child are needed. Secondary analysis by gender was performed on existing systematic reviews for treatment resistance and adherence. Of the 12 studies on treatment resistance, 11 did not look at gender. One found boys at a seven-fold risk compared to girls. For medication adherence, gender was not significant. Of the 15 studies on schooling, 12 analysed findings by gender with an overall female disadvantage. Of the 14 studies on nutrition, nine analysed by gender with mixed findings. Of the 54 studies on cognitive development, 17 provided gender data, but only four analysed by gender with few differences established. Of the 15 studies on bereavement, seven analysed data by gender again with mixed findings. Major policies fail to provide gender data for young children. WHO, UNAIDS and the international data sets are not gathered or coded by gender for young children (generally under 15 years of age) despite well-established gender challenges in later life. This review shows that the current evidence base is inadequate. Data on gender variation and outcome are urgently needed to inform policy and research on children and HIV.
    AIDS Care 08/2009; 21 Suppl 1(S1):83-97. DOI:10.1080/09540120902923105 · 1.60 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Individuals with a self-reported history of sexually transmitted infection (STI) are at high risk for depression. However, little is known about how social support affects the association between STI and depression among young women in Canada. Data were drawn from the Canadian Community Health Survey (CCHS), conducted in 2005. A total of 2636 women aged 15-24 years who provided information on STI history were included in the analysis. Depression was measured by a depression scale based on the Composite International Diagnostic Interview Short-Form (CIDI-SF). The 19-item Medical Outcomes Study (MOS) Social Support Survey assessed functional social support. A log-binomial model was used to estimate the prevalence ratio (PR) for self-reported STI history associated with depression and to assess the impact of social support on the association. The adjusted PR for self-reported STI history associated with depression was 1.61 (95% CI, 1.03 to 2.37), before social support was included in the model. The association between STI history and depression was no longer significant when social support was included in the model (adjusted PR, 1.28; 95% CI, 0.83 to 1.84). The adjusted PRs for depression among those with low and intermediate levels of social support versus those with a high level of social support were 5.62 (95% CI, 3.50 to 9.56) and 2.19 (1.38 to 3.68), respectively. Social support is an important determinant of depression and reduces the impact of self-reported STI on depression among young women in Canada.
    Journal of Epidemiology 07/2010; 20(4):313-8. DOI:10.2188/jea.JE20090133 · 2.86 Impact Factor