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- Title
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.
- Authors
Byansi, William; Brathwaite, Rachel; Calvert, Madison; Nabunya, Proscovia; Sensoy Bahar, Ozge; Damulira, Christopher; Namuwonge, Flavia; McKay, Mary M.; Mellins, Claude A.; Ssewamala, Fred M.
- Abstract
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.
- Subjects
UGANDA; HIV prevention; HIV-positive persons; RISK-taking behavior; CONFIDENCE intervals; SELF-perception; MENTAL health; REGRESSION analysis; HEALTH literacy; ATTITUDES toward illness; RANDOMIZED controlled trials; ADOLESCENT health; TREATMENT effectiveness; MENTAL depression; DESPAIR; DESCRIPTIVE statistics; TEENAGERS' conduct of life; STATISTICAL sampling; HIV; LONGITUDINAL method; ADOLESCENCE
- Publication
AIDS & Behavior, 2021, Vol 25, Issue 11, p3721
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-021-03243-7