The association between self-Esteem, stigma, and mental health among South African youth living with HIV: the need for integrated HIV care services

AIDS Care ◽  
2021 ◽  
pp. 1-9
Author(s):  
Latoya A. Small ◽  
Alexis K. Huynh ◽  
Tyrone M. Parchment
Keyword(s):  
Mental Health ◽  
South African ◽  
Self Esteem ◽  
Hiv Care ◽  
Care Services ◽  
African Youth ◽  
Youth Living With Hiv ◽  
Living With Hiv

scholarly journals Addressing HIV care, mental health and substance use among youth and young adults in the Bay Area: description of an intervention to improve information, motivation and behavioural skills

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042713
Author(s):  
Caravella McCuistian ◽  
Angie R Wootton ◽  
Dominique Legnitto-Packard ◽  
Valerie A. Gruber ◽  
Carol Dawson-Rose ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young Adults ◽  
San Francisco ◽  
Text Messaging ◽  
Hiv Treatment ◽  
Hiv Care ◽  
Bay Area ◽  
Youth Living With Hiv ◽  
Living With Hiv

ObjectiveYouth represent a population disparately impacted by the HIV epidemic. With most new HIV diagnoses occurring among adolescents and young adults, novel approaches to address this disparity are necessary. The objective of the current study was to describe the Youth to Telehealth and Text to Improve Engagement in Care (Y2TEC) intervention, which aims to fill this gap. The Y2TEC intervention (trial registration NCT03681145) offers an innovative approach to improve HIV treatment engagement among youth living with HIV by focusing on treatment barriers related to mental health and substance use. This allows for a holistic approach to providing culturally informed intervention strategies for this population.Participants and settingThe Y2TEC intervention was developed for youth with HIV in the large metropolitan area of the San Francisco Bay Area. The Y2TEC intervention was developed based on formative interdisciplinary research and is grounded in the information–motivation–behavioural skills model.ResultsThe intervention includes 12 sessions each lasting 20–30 minutes, which are delivered through videoconferencing and accompanying bidirectional text messaging. The intervention sessions are individualised, with session dosage in each major content area determined by participant’s level of acuity.ConclusionsThe Y2TEC intervention is well positioned to help decrease HIV-related disparities in youth living with HIV through its innovative use of video-counselling technologies and an integrated focus on HIV, mental health and substance use.

scholarly journals Psychosocial Determinants of HIV Stigma among Men Who Have Sex with Men in San Francisco, California

2021 ◽  
Vol 18 (15) ◽  
pp. 8031
Author(s):  
Dharma N. Bhatta ◽  
Jennifer Hecht ◽  
Shelley N. Facente
Keyword(s):  
Mental Health ◽  
San Francisco ◽  
Age Groups ◽  
Hiv Stigma ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Adjusted Risk ◽  
Sex With Men ◽  
Living With Hiv

Background: Stigma and discrimination are major challenges faced by people living with HIV (PLWH), and stigma continues to be prevalent among PLWH. We conducted a cross-sectional study of 584 men who have sex with men (MSM) living with HIV between July 2018 and December 2020, designed to better understand which demographic and behavioral characteristics of MSM living with HIV in San Francisco, California are associated with experience of stigma, so that programs and initiatives can be tailored appropriately to minimize HIV stigma’s impacts. Methods: This analysis was conducted with data from San Francisco AIDS Foundation (SFAF) encompassing services from multiple different locations in San Francisco. Data about the level of HIV-related stigma experienced were collected through a single question incorporated into programmatic data collection forms at SFAF as part of the client record stored in SFAF’s electronic health record. We performed linear regression to determine the associations between self-reported experiences of HIV stigma and other characteristics among MSM living with HIV. Results: HIV stigma was low overall among MSM living with HIV who are actively engaged in HIV care in San Francisco; however, it was significantly higher for the age groups of 13–29 years (adjusted risk difference (ARD): 0.251, 95% CI: 0.012, 0.489) and 30–49 years (ARD: 0.205, 95% CI: 0.042, 0.367) when compared to the age group of 50 years and older, as well as people who were homeless (ARD: 0.844, 95% CI: 0.120, 1.568), unstably housed (ARD: 0.326, 95% CI: 0.109, 0.543) and/or having mental health concerns (ARD: 0.309, 95% CI: 0.075, 0.544), controlling for race, injection history, and viral load. Conclusions: These findings highlight an opportunity to develop culturally, socially, and racially appropriate interventions to reduce HIV stigma among MSM living with HIV, particularly for younger men and those struggling with housing stability and/or mental health.

Motivational Interviewing and the Adolescent/Young Adult HIV Care Continuum

2019 ◽  
pp. 37-46
Author(s):  
Sylvie Naar ◽  
Maurice Bulls
Keyword(s):  
Young Adult ◽  
Motivational Interviewing ◽  
Behavioral Therapy ◽  
Hiv Care ◽  
Behavior Changes ◽  
Hiv Care Continuum ◽  
Care Continuum ◽  
Future Direction ◽  
Youth Living With Hiv ◽  
Living With Hiv

This chapter explores the HIV care continuum specifically with youth living with HIV (YLH). The authors review relevant HIV statistics, including the trends in YLH. The authors then examine the fit of motivational interviewing (MI) with adolescent development, arguing that it is an excellent strategy to include in promoting self-management of HIV. Multiple examples are also provided for programs and interventions using MI with youth. This chapter provides specific details on how MI can be leveraged in working with YLH, although many of these insights can generalize to adult populations. In the final section, the authors examine the future direction of MI in the care of YLH. They argue that once MI has helped to motivate YLH toward change, the substitution for or addition of cognitive-behavioral therapy (CBT) may be warranted. In this way, the more action-oriented strategies of CBT strengthen the behavior changes that MI has helped to put in motion.

Mental health, self-esteem, and influences on sexual values and attitudes among black South African adolescent males

2017 ◽  
Vol 27 (6) ◽  
pp. 477-482
Author(s):  
Jabulani G Kheswa ◽  
Chrizanne van Eeden ◽  
Sebastiaan Rothmann ◽  
Elizabeth Bothma
Keyword(s):  
Mental Health ◽  
South African ◽  
Self Esteem ◽  
Adolescent Males ◽  
Sexual Values ◽  
Black South African

scholarly journals Prospective associations between bullying victimisation, internalised stigma, and mental health in South African adolescents living with HIV

2020 ◽  
Vol 276 ◽  
pp. 418-423 ◽  
Author(s):  
Mark E. Boyes ◽  
Marija Pantelic ◽  
Marisa Casale ◽  
Elona Toska ◽  
Elizabeth Newnham ◽  
...  
Keyword(s):  
Mental Health ◽  
South African ◽  
Living With Hiv ◽  
Bullying Victimisation

Mental health in South African adolescents living with HIV

AIDS Care ◽  
2018 ◽  
Vol 31 (1) ◽  
pp. 117-124 ◽  
Author(s):  
Nora West ◽  
Sheree Schwartz ◽  
Mutsa Mudavanhu ◽  
Colleen Hanrahan ◽  
Holly France ◽  
...  
Keyword(s):  
Mental Health ◽  
South African ◽  
Living With Hiv

scholarly journals Telehealth and texting intervention to improve HIV care engagement, mental health and substance use outcomes in youth living with HIV: a pilot feasibility and acceptability study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028522 ◽  
Author(s):  
Angie R Wootton ◽  
Dominique A Legnitto ◽  
Valerie A Gruber ◽  
Carol Dawson-Rose ◽  
Torsten B Neilands ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Problem Solving ◽  
Clinical Outcomes ◽  
San Francisco ◽  
Text Messages ◽  
Hiv Care ◽  
Engagement In Care ◽  
Study Staff ◽  
Living With Hiv

IntroductionYouth and young adults living with HIV (YLWH) experience worse clinical outcomes than adults and high rates of behavioural health challenges that impact their engagement in care and adherence to antiretroviral therapy. This study in the San Francisco Bay area aims to evaluate the feasibility, acceptability and preliminary clinical outcomes of a 12-session telehealth counselling series provided to 80 YLWH, including education, motivational enhancement and problem-solving around HIV care, mental health, substance use and other challenges. Findings will provide information about benefits and challenges of telehealth counselling for YLWH and will guide the development of new technology-based strategies for care.Methods and analysisThe Youth to Telehealth and Text to Improve Engagement in Care study is a pilot randomised, crossover trial examining the feasibility and acceptability of a telehealth counselling intervention consisting of twelve 20–30 min weekly sessions focused on identifying and problem-solving around barriers to HIV care access and adherence and on addressing mental health, substance use and/or other issues. Participants also receive text messages for check-ins, appointment reminders and to improve engagement. Participants complete quantitative online surveys at baseline, 4 and 8 months and qualitative exit interviews. Clinical outcomes, including plasma HIV RNA and CD4+ cell count, are collected from medical records. Study staff will explore outcomes of the intervention using quantitative and qualitative methods.Ethics and disseminationThis study and its protocols have been approved by the University of California, San Francisco (UCSF) Institutional Review Board. Study staff will work with the UCSF Center for AIDS Prevention Studies’ Community Engagement Core and the Youth Advisory Panel to disseminate results to the community, participants and the academic community.Trial registrationNCT03681145.

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