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Title: HIV-related enacted stigma and increase frequency of depressive symptoms among Thai and Cambodian adolescents and young adults with perinatal HIV
Authors: Linda Aurpibul
Jiratchaya Sophonphan
Kathleen Malee
Stephen J. Kerr
Ly Penh Sun
Pradthana Ounchanum
Pope Kosalaraksa
Chaiwat Ngampiyaskul
Suparat Kanjanavanit
Kea Chettra
Tulathip Suwanlerk
Claude A. Mellins
Robert Paul
Reuben N. Robbins
Jintanat Ananworanich
Thanyawee Puthanakit
Keywords: Medicine
Issue Date: 1-Jan-2020
Abstract: © The Author(s) 2020. HIV-related enacted stigma and social problems may increase risk for depression and/or behavioral problems among adolescents and young adults with perinatal HIV(AYA-PHIV), yet few studies have explored stigma in AYA-PHIV residing in low-to-middle income regions, including Southeast Asia. We assessed HIV-related enacted stigma and social problems in AYA-PHIV who participated in the RESILIENCE study ( identification: U19AI53741) in Thailand and Cambodia using specific questions during structured in-person interviews. Depression was measured by the Child Depression Inventory for children <15 years, or the Center for Epidemiologic Studies Depression Scales for youth ≥15 years); behavioral problems were measured by the Child Behavior Checklist (CBCL-caregiver report). Among 195 AYA-PHIV (median age 16.9 years), 25.6% reported a lifetime experience of enacted stigma, while 10.8% experienced social problems due to HIV infection. The frequency of depressive symptoms was nearly two-fold higher among AYA-PHIV with compared to those without HIV-related enacted stigma (34.7% vs. 16.0%, p = 0.005). Caregiver-reported behavioral problems were detected in 14.6% of all AYA-PHIV, with no differences between those with and without HIV-related enacted stigma. Low household income and caregiver mental health problems were independent risk factors for depressive symptoms; HIV-related enacted stigma was also associated with increased risk, warranting targeted services to support AYA-PHIV.
ISSN: 17581052
Appears in Collections:CMUL: Journal Articles

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