Evidence map›Paper›PMID 27391999›Full record

ArticleAIDS care2016

Resilience in perinatal HIV+ adolescents in South Africa.

Arvin Bhana, Claude A Mellins, Latoya Small, Danielle F Nestadt, Cheng-Shiun Leu, Inge Petersen, Sphindile Machanyangwa, Mary McKay

Open access · hybridAbstract read
In one paragraph

Article in AIDS care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
9.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Arvin Bhanaa SA Medical Research Council , Health Systems Research Unit , Durban , South Africa.
Claude A Mellinsc HIV Center for Clinical and Behavioral Studies , New York State Psychiatric Institute and Columbia University , New York , NY , USA.
Latoya Smalld School of Social Work , The University of North Carolina at Chapel Hill , NC , USA.
Danielle F Nestadtc HIV Center for Clinical and Behavioral Studies , New York State Psychiatric Institute and Columbia University , New York , NY , USA.
Cheng-Shiun Leuc HIV Center for Clinical and Behavioral Studies , New York State Psychiatric Institute and Columbia University , New York , NY , USA.
Inge Petersenb School of Applied Human Sciences , University of KwaZulu-Natal , Durban , South Africa.
Sphindile Machanyangwab School of Applied Human Sciences , University of KwaZulu-Natal , Durban , South Africa.
Mary McKaye Silver School of Social Work , New York University , New York , NY , USA.
University of KwaZulu-Natal · ZAColumbia University · USNew York Psychoanalytic Society and Institute · USNew York University · USUniversity of North Carolina at Chapel Hill · US

Funding

The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Claude Ann Mellins · 2003 to 2026
$48.2M
VUKA Family Program: Supporting Perinatally HIV-infected Youth in South AfricaR01HD074052 · NICHD · NEW YORK UNIVERSITY · PI MCKAY, MARY MCKERNAN · 2012 to 2016
$4.2M
Adapting CHAMP+ for South Africa: Supporting HIV-Infected Youth and FamiliesR21NR010474 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MELLINS, CLAUDE ANN · 2007 to 2008
$398k
NICHD NIH HHS R01 HD074052NIMH NIH HHS P30 MH043520NINR NIH HHS R21 NR010474
6 · The paper itself

Abstract

Increasing numbers of perinatally HIV (PHIV+)-infected youth are surviving into adulthood with better access to treatment. However, few studies examine positive outcomes in the face of adversity (resilience) for PHIV+ youth. Social Action Theory (SAT) provided the theoretical framework for this study of PHIV + youth in South Africa (SA), allowing examination of contextual, social, and self-regulatory factors that influence behavioral health. Data were from youth and caregiver baseline interviews, simply pooled from a pilot (N=66) and larger (n=111) randomized control trial (RCT) of the VUKA Family program. For this analysis, outcomes included emotional and behavioral functioning (total difficulties), and prosocial behaviors. Potential SAT correlates included socio-demographics; caregiver health and mental health; parent-child relationship factors; stigma, and child coping, support; and self-esteem. Regression analyses adjusted for age, gender, and study revealed significant associations at the contextual, social, and self-regulation level. Lower total child difficulties scores were associated with lower caregiver depression (β = 3.906,p < .001), less caregiver-reported communication about difficult issues (β = 1.882, p = .009) and higher youth self-esteem (β = -0.119, p = .020). Greater prosocial behaviors were associated with greater caregiver-reported communication (β = 0.722, p = .020) and child use of wishful thinking for coping (β = 5.532, p = .009). Less youth depression was associated with higher caregiver education (β =-0.399, p = .010), greater caregiver supervision (β = -1.261, p = .012), more social support seeking (β = -0.453, p = .002), higher youth self-esteem (β = -0.067, p < .001), lower internalized stigma (β = 0.608, p = .040), and child use of resignation for coping (β = 1.152, p = .041). Our data support evidence-based family interventions that also promote youth self-regulation skills to enhance the health and mental health of PHIV+ youth.

Indexed as

Adaptation, PsychologicalInfectious Disease Transmission, VerticalMental HealthResilience, PsychologicalAdolescentAffective SymptomsAnxietyCaregiversChildFemaleHIV InfectionsHumansMaleParent-Child RelationsPregnancyProblem BehaviorHIV+ adolescentsmental healthResiliencesocial action theory

Identifiers

PMID27391999
PMCPMC4991226
OpenAlexW2470864768

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.