scholarly journals Suicidal thoughts and behaviour among South African adolescents living with HIV: Can social support buffer the impact of stigma?

2019 ◽  
Vol 245 ◽  
pp. 82-90 ◽  
Author(s):  
Marisa Casale ◽  
Mark Boyes ◽  
Marija Pantelic ◽  
Elona Toska ◽  
Lucie Cluver
2018 ◽  
Vol 30 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Violeta J Rodriguez ◽  
Stefani A Butts ◽  
Lissa N Mandell ◽  
Stephen M Weiss ◽  
Mahendra Kumar ◽  
...  

Childhood trauma (CT) – emotional, physical or sexual abuse, or emotional or physical neglect – has been associated with HIV infection and can lead to poor health outcomes and depression in adulthood. Though the impact of CT on depression may be decreased by social support, this may not be true of individuals living with HIV, due to the additive traumatic effects of both CT and acquisition of HIV. This study examined social support, depression, and CT among HIV-infected (n = 134) and HIV-uninfected (n = 306) men and women. Participants (N = 440) were assessed regarding sociodemographic characteristics, CT, depression, and social support. Participants were racially and ethnically diverse, 36 ± 9 years of age on average, and 44% had an income of less than USD$500 a month. Among HIV-uninfected individuals, social support explained the association between depression in persons with CT ( b = 0.082, bCI [0.044, 0.130]). Among HIV-infected individuals, after accounting for sociodemographic characteristics, social support did not explain the association between depression and CT due to lower levels of social support among HIV-infected individuals [95% CI: −0.006, 0.265]. The quality of social support may differ among HIV-infected persons due to decreased social support and smaller social networks among those living with HIV. Depressive symptoms among those living with HIV appear to be less influenced by social support, likely due to the additive effects of HIV infection combined with CT.


2015 ◽  
Vol 23 (2) ◽  
pp. 126-134 ◽  
Author(s):  
Charles Kamen ◽  
Chaniga Vorasarun ◽  
Ty Canning ◽  
Eliza Kienitz ◽  
Carolyn Weiss ◽  
...  

Author(s):  
Clarence Itumeleng Tshoose

The purpose of the article is to examine the right to social assistance for households living with HIV/AIDS in South Africa. In particular, the article focuses on the impact of this pandemic on households' access to social assistance benefits in the wake of the HIV/AIDS pandemic, which has wrought untold sorrow and suffering to the overwhelming majority of households in South Africa. The article analyses the consequences of HIV/AIDS in relation to households' support systems, care and dependency burdens, and the extent to which the household members either acknowledge the illness (enabling them to better engage with treatment options) or alternatively, deny its existence. The article commences by reviewing the literature concerning the effects and social impact of HIV/AIDS on the livelihoods of households and their families. The social reciprocity that underpins households' livelihoods is briefly recapitulated. The article concludes that, while recent policy developments are to be welcomed, the current South African legal system of social security does not provide adequate cover for both people living with HIV/AIDS and their families. More remains to be done in order to provide a more comprehensive social security system for the excluded and marginalised people who are living with HIV/AIDS and their families.


2008 ◽  
Vol 13 (4) ◽  
pp. 4-15 ◽  
Author(s):  
Johanna R Zuyderduin ◽  
Valerie J Ehlers ◽  
Dirk M Van der Wal

A needs assessment done among HIV-positive (HIV+ve) people in Botswana in 2000 indicated that these people required social support. Based on these results, a buddy system for and by HIV+ve women was instituted in Botswana during 2002. This study examined the impact of the buddy system on the self-care behaviours of 116 HIV+ve women volunteers who used the services of COCEPWA (Coping Centre for People with Aids) during 2002. The convenience sample comprised 39 buddies who completed the buddy training programme, 39 patients assigned to the 39 buddies and 38 controls who lived in areas where the buddy programme did not operate. The results indicate that HIV+ve patients who had buddies showed improved self-care behaviours from April 2002 until November 2002 compared to the controls. These self-care behaviours encompassed informing a number of other people about their HIV+ve status, compliance with tuberculosis treatment, CD4 quantification and adherence to antiretroviral therapy. Although the differences were not always statistically significant, the patients showed greater improvements than the controls in all self-care behaviours. Thus the buddy system might have assisted and empowered the patients to achieve higher levels of self-care behaviours than the controls. Opsomming ’n Behoeftebepaling wat in 2000 van MIV-positiewe (MIV+we) persone in Botswana gedoen is, het getoon dat hierdie mense sosiale ondersteuning nodig gehad het. Gebaseer op hierdie bevindinge is ’n “buddy”-stelsel vir en deur MIV+we vroue gedurende 2002 in die land ingestel. Hierdie studie het die impak van die “buddy”-stelsel op die selfsorggedrag van 116 MIV+we vroulike vrywilligers ondersoek wat die dienste van COCEPWA (Coping Centre for People with AIDS) gedurende 2002 benut het. Die gerieflikheidsteekproef het uit 39 “buddies” bestaan wat die “buddy”-opleidingsprogram voltooi het, 39 pasiënte wat aan die 39 “buddies” toegewys is en 38 kontrolepatiënte wat in areas gewoon het waar die “buddy”-program nog nie in werking gestel is nie. Die bevindinge dui aan dat MIV+we pasiënte wat “buddies” gehad het verbeterde selfsorggedrag van April 2002 tot November 2002 getoon het, in vergelyking met die kontrolegroep. Selfsorggedrag is aangedui deur die aantal ander persone wat ingelig is omtrent die individu se MIV+we status, die nakoming van tuberkulosebehandeling, CD4-bepalings en die nakoming van antiretrovirale behandeling. Alhoewel die verskille nie altyd statisties beduidend was nie, het die pasiënte groter verbeteringe getoon in vergelyking met die kontrolegroep in alle aspekte van selfsorggedrag. Dus is dit moontlik dat die “buddy”-stelsel die pasiënte ondersteun en bemagtig het, wat hulle in staat gestel het om ’n groter mate van selfsorggedrag te bereik as die kontrolegroep.


2020 ◽  
Author(s):  
Deborah L. Jones ◽  
Jamile Ballivian ◽  
Violeta J. Rodriguez ◽  
Claudia Uribe ◽  
Diego Cecchini ◽  
...  

Abstract Background: The COVID-19 pandemic pose significant risk to mental health and may disproportionately affect people living with HIV (PLWH). This study examined the interaction of social support and resilient coping in predicting depressive symptoms among PLWH.Methods: PLWH residing in Buenos Aires, Argentina and in Miami, Florida (US) were asked to complete an anonymous survey on the impact of COVID-19. Statistical analysis included ordinary least squares regression.Results: A total of 1,554 participants were included. Mean age was 47.30 years; 63.7 % were men. A test of three-way interaction of social support resilient coping study site indicated differences by site (b = -0.63.862, p = .043010, 95% CI [-1.24, -0.02.205, 1.52]). In Argentina, at higher social support and resilient coping, depressive symptoms were lowest. At lower social support and resilient coping, depressive symptoms were highest.Discussion: The impact of COVID-19 on mental health illustrates the need to develop innovative strategies to support resilience and to enhance coping with stress and adversity among PLWH.


2013 ◽  
Author(s):  
Francesca Michelle E. Espiritu ◽  
Juhnelynn C. Lanuza ◽  
Jerina Amber P. Lee ◽  
Reana Cettia O. Ong ◽  
Julienne Rei G. Sabiniano ◽  
...  

2015 ◽  
Vol 16 (2) ◽  
pp. 30-43
Author(s):  
Azwihangwisi Mavhandu-Mudzusi

Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) are making an impact in institutions of higher education. Studies have revealed that though few students and staff have been recorded to be suffering from HIV/AIDS, more have become ill and some have died in ways that signal the impact of HIV/AIDS. Universities can contribute to addressing the needs and expectations of staff and students living with HIV and AIDS. The purpose of this study was to explore and describe the preparedness of a South African rural-based university in addressing the needs and expectations of staff and students living with HIV and AIDS. A qualitative study design was followed, with one South African rural-based university as the case setting. Qualitative interviews were conducted stemming from the central research question, “How is the university addressing the needs and expectations of staff and students living with HIV and AIDS?” Following an open coding method of data analysis, three themes emerged relating to how the needs and expectations of staff and students living with HIV and AIDS are addressed: persistence stigma and discrimination, limited assurance to confidentiality and, inadequate treatment, care and support. Recommendations were made for improvement of service delivery to address the needs and expectations of staff and students living with HIV and AIDS and further research should be conducted on large scale to determine other needs and expectations of SSLWHA other South African rural-based universities and how they are addressed.


2012 ◽  
Vol 23 (7) ◽  
pp. 481-484 ◽  
Author(s):  
D Rao ◽  
W T Chen ◽  
C R Pearson ◽  
J M Simoni ◽  
K Fredriksen-Goldsen ◽  
...  

Stigma towards people living with HIV is pervasive in China and related to poor service utilization, psychosocial distress and diminished quality of life (QOL). In an effort to identify mechanisms to reduce HIV stigma and its negative consequences, we examined whether social support mediates the relation between enacted stigma and both depressive symptoms and QOL among 120 HIV outpatients in Beijing, China. Generally, perceived social support was associated with less stigma, less depressive symptomatology and better QOL. Using multivariable regression models, we found that social support was a full mediator of the impact of stigma on both depressive symptomatology and QOL. The findings suggest social support may be an important target of interventions to reduce the impact of stigma on poor psychosocial health outcomes.


2021 ◽  
Vol 13 (23) ◽  
pp. 12944
Author(s):  
Sylvan Blignaut ◽  
Gary Pheiffer ◽  
Lesley Le Grange ◽  
Suriamurthee Maistry ◽  
Labby Ramrathan ◽  
...  

The COVID-19 pandemic has exposed a plethora of inequalities in South Africa. These inequalities have had a direct impact on the 2030 Agenda for Sustainable Development Goals (SDGs). SDG 3 (good health and well-being) and SDG 4 (quality education) were the focus of this article. This article investigated how students enrolled at a South African residential university perceived the impact of the COVID-19 pandemic on their well-being, their success in completing their studies and their future career prospects. A quantitative survey research design was followed. Data were collected by means of a questionnaire from 537 students in a South African university. Statistical Package for Social Sciences software version 27 was used to analyze the data. The results indicated direct influences on student well-being from concerns that arose from COVID-19 about future job concerns, degree completion, social support and belonging. The relationship between concerns about degree completion was moderated by a sense of belonging (social identification) but not by social support. The study has significant implications for how higher education institution governors and academics might consider reconceptualizing notions of student support, beyond the narrow, technical and basic curriculum support for degree completion, towards the affective and social as it relates to creating conditions for students to identify with and experience a profound sense of belonging.


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