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Small LA, Huynh AK, Parchment TM. 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;1-9doi: 10.1080/09540121.2021.2002253.
Small, L. A., Huynh, A. K., & Parchment, T. M. (2021). 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, 1-9. https://doi.org/10.1080/09540121.2021.2002253
Small, Latoya A, et al. "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 vol. (2021): 1-9. doi: https://doi.org/10.1080/09540121.2021.2002253
Small LA, Huynh AK, Parchment TM. 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 Nov 27;1-9. doi: 10.1080/09540121.2021.2002253. Epub 2021 Nov 27. PMID: 34839770.
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AIDS Care. 2021 Nov 27;1-9. doi: 10.1080/09540121.2021.2002253. Epub 2021 Nov 27.

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

Latoya A Small, Alexis K Huynh, Tyrone M Parchment

Affiliations

  1. Department of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, CA, USA.
  2. VA HSR&D Center for the Study of Healthcare Innovation, Implementation & Policy (CSHIIP), V.A. Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
  3. School of Social Work, Boston College, Chestnut Hill, MA, USA.

PMID: 34839770 DOI: 10.1080/09540121.2021.2002253

Abstract

Treatment among pYLHIV focuses on their physical health. However, they also experience depression and anxiety, compounded by developmental challenges and the stress of managing a chronic illness. However, limited services are available to help pYLHIV manage the emotional stressors of living with a stigmatized condition. Data are from 37 caregiver-child dyads in the VUKA EKHAYA study, in Durban, South Africa. Outcomes were self-esteem and stigma. Predictors included symptoms of depression and anxiety, and HIV treatment and transmission knowledge. Outcomes and predictors were standardized (mean: 0, standard deviation: 1). Pearson correlation, bivariate and multivariate associations between predictors and outcomes were examined. Self-esteem was negatively correlated with symptoms of anxiety (r=-0.5675; p<0.001) and depression (r=-0.6836; p<0.001), suggesting higher self-concept was correlated with fewer symptoms. In multivariate analyses, increased depressive and anxiety symptoms were associated with lower self-esteem, B=0.68 and 0.57, respectively. Higher depressive and anxiety symptoms connected to more internalized stigma B=0.38 and 0.34, respectively. Conversely, HIV knowledge was not related to self-esteem or stigma. HIV treatment and transmission knowledge are not enough to reduce stigma and improve the self-esteem of pYLHIV. Integrated mental and physical health care is needed to help pYLHIV manage psychological stressors that can mitigate their emotional wellbeing.

Keywords: HIV; Integrated Care; South Africa; Youth; mental health; stigma

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