Stigma and Discrimination Faced by Adolescents Living with HIV and Experiencing Depression in Malawi DOI Creative Commons

Maria Faidas,

Melissa A. Stockton,

Steven M. Mphonda

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Март 14, 2024

Abstract Background In Malawi, approximately 25% of adolescents living with HIV (ALWH) also suffer from depression. Not only is stigma a major contributor to depression, but it adversely impacts care engagement. ALWH can experience as stereotyping, social exclusion, low support, and abuse; these experiences are associated poor mental health. Despite recognition the deleterious effects stigma, we have limited knowledge how experienced by depressed ALWH. Guided Health Stigma Discrimination Framework, describe faced depressed in its implications for future interventions. Methods As part larger formative study adapt health counseling intervention, conducted in-depth interviews, support mapping sessions, focus group discussions 25 ALWH, 4 caregivers 3 providers, 5 participants staff prior intervention. After analyzing codes, used Framework organize data into four key domains: drivers, manifestations, outcomes, impacts. Results Major drivers included fear transmission, negative antiretroviral therapy (ART), association death, inaccurate knowledge, attitudes towards ALWH. The most common manifestations were gossip, insults mocking, physical distancing. Decreased ART adherence missed appointments commonly cited outcomes stigma. Broader notable comorbidities including anxiety, substance use, suicidality. Identified resilience strategies engagement psychosocial family friends. Conclusions This first specifically stigmatization process depressed Malawi. Notably, continues disrupt detrimentally during adolescent development. Further studies focused on needed better characterize this identify additional factors. Investment stigma-reduction interventions avert outcomes. Trial registration: NCT06173544

Язык: Английский

Stigma and discrimination faced by adolescents living with HIV and experiencing depression in Malawi DOI Creative Commons

Maria Faidas,

Melissa A. Stockton,

Steven M. Mphonda

и другие.

BMC Global and Public Health, Год журнала: 2024, Номер 2(1)

Опубликована: Июль 1, 2024

Abstract Background In Malawi, approximately 25% of adolescents living with HIV (ALWH) also suffer from depression. Not only is stigma a major contributor to depression but it adversely impacts care engagement. ALWH can experience as stereotyping, social exclusion, low support, and abuse, these experiences are associated poor mental health. Despite recognition the deleterious effects stigma, we have limited knowledge how experienced by comorbid Guided Health Stigma Discrimination Framework, describe faced in Malawi its implications for future interventions. Methods As part larger formative study adapt health counseling intervention, conducted in-depth interviews, support mapping sessions, focus-group discussions 25 ALWH, 4 caregivers 3 providers, 5 participants staff prior intervention. After analyzing codes, used Framework organize data into four key domains: drivers, manifestations, outcomes, impacts. Results Major drivers included fear transmission, negative antiretroviral therapy (ART), association death, inaccurate knowledge, attitudes towards ALWH. The most common manifestations were gossip, insults mocking, physical distancing. Decreased ART adherence missed appointments commonly cited outcomes stigma. Broader notable comorbidities including depression, anxiety, substance use, suicidality. Identified resilience strategies engagement psychosocial family friends. Conclusions This systematically describes stigmatization process experiencing depressive symptoms Malawi. Notably, continues disrupt detrimentally during adolescent development. Further studies focused specifically on needed better characterize this identify additional factors. Investment stigma-reduction interventions avert outcomes.

Язык: Английский

Процитировано

2
Stigma and Discrimination Faced by Adolescents Living with HIV and Experiencing Depression in Malawi DOI Creative Commons

Maria Faidas,

Melissa A. Stockton,

Steven M. Mphonda

и другие.

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Март 14, 2024

Abstract Background In Malawi, approximately 25% of adolescents living with HIV (ALWH) also suffer from depression. Not only is stigma a major contributor to depression, but it adversely impacts care engagement. ALWH can experience as stereotyping, social exclusion, low support, and abuse; these experiences are associated poor mental health. Despite recognition the deleterious effects stigma, we have limited knowledge how experienced by depressed ALWH. Guided Health Stigma Discrimination Framework, describe faced depressed in its implications for future interventions. Methods As part larger formative study adapt health counseling intervention, conducted in-depth interviews, support mapping sessions, focus group discussions 25 ALWH, 4 caregivers 3 providers, 5 participants staff prior intervention. After analyzing codes, used Framework organize data into four key domains: drivers, manifestations, outcomes, impacts. Results Major drivers included fear transmission, negative antiretroviral therapy (ART), association death, inaccurate knowledge, attitudes towards ALWH. The most common manifestations were gossip, insults mocking, physical distancing. Decreased ART adherence missed appointments commonly cited outcomes stigma. Broader notable comorbidities including anxiety, substance use, suicidality. Identified resilience strategies engagement psychosocial family friends. Conclusions This first specifically stigmatization process depressed Malawi. Notably, continues disrupt detrimentally during adolescent development. Further studies focused on needed better characterize this identify additional factors. Investment stigma-reduction interventions avert outcomes. Trial registration: NCT06173544

Язык: Английский

Процитировано

0