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AIDS and Behavior
Published in: AIDS and Behavior 9/2020

01-09-2020 | Affective Disorder | Original Paper

Social and Economic Equity and Family Cohesion as Potential Protective Factors from Depression Among Adolescents Living with HIV in Uganda

Authors: Patricia Cavazos-Rehg, Christine Xu, Erin Kasson, William Byansi, Ozge Sensoy Bahar, Fred M. Ssewamala

Published in: AIDS and Behavior | Issue 9/2020

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Abstract

Adolescents living with HIV in Uganda are impacted by poverty and face a number of health and social challenges including access to medication, health complications, and social stigma. These stressors have been linked to depression, which can lead to lower HIV treatment adherence. This study seeks to determine how social and economic equity, family cohesion, and social supports may be related to depression among adolescents living with HIV. We used baseline data from the Suubi + Adherence study, a 5-year longitudinal randomized controlled trial among adolescents living with HIV in southwestern Uganda (n = 675; ages 10–16 years). Hierarchical logistic regression models were conducted separately among in-school adolescents and out-of-school adolescents to assess the hypothesized associations between economic and social equity, social support, and depression. About half of the participants meet the criteria for depression. Adolescents with depression were found to have fewer economic and social supports. Our findings indicate that social and economic equity [odds ratio (OR) = 0.85, 95% confidence interval (CI) 0.74, 0.99], family cohesion (OR = 0.94, 95% CI 0.91–0.96), and social support from friends (OR = 0.95, 95% CI 0.91–0.998) are associated with depression for in-school HIV infected adolescents and could be protective factors. The results of this study suggest that social and economic equity may play a protective role against depression and other poor mental health outcomes. Potential interventions for adolescents living with HIV should consider these social and familial factors as they may be protective of depression in this population.
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Metadata
Title
Social and Economic Equity and Family Cohesion as Potential Protective Factors from Depression Among Adolescents Living with HIV in Uganda
Authors
Patricia Cavazos-Rehg
Christine Xu
Erin Kasson
William Byansi
Ozge Sensoy Bahar
Fred M. Ssewamala
Publication date
01-09-2020
Publisher
Springer US
Published in
AIDS and Behavior / Issue 9/2020
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-020-02812-6

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