ArticleBMC pediatrics2022
Stigma and mental health challenges among adolescents living with HIV in selected adolescent-specific antiretroviral therapy clinics in Zomba District, Malawi.
Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of HIV-Related Stigma on Antiretroviral Therapy Adherence, Engagement and Retention in HIV Care, and Transition to Adult HIV Care in Pediatric and Young Adult Populations Living With HIV: A Literature Review.AIDS and behavior · 2025Pooled it
- FANMI ("My Family"): A Randomized Trial of Community Cohort Care for Adolescent Girls and Young Women Living with HIV in Haiti.AIDS and behavior · 2025Trial
- Exploratory Impact of iCARE Nigeria, a Combined mHealth and Peer Navigation Intervention, on Depressive Symptoms and Substance Use Among Youth Living With HIV in Nigeria: Single-Arm Trial.JMIR formative research · 2025Trial
- Feasibility and Acceptability of Group-Based Stigma Reduction Interventions for Adolescents Living with HIV and Their Caregivers: The Suubi4Stigma Randomized Clinical Trial (2020-2022).AIDS and behavior · 2024Trial
- Childhood Maltreatment and Psychological Distress Among Adolescents and Young Adults Living with HIV in Zimbabwe.Journal of child & adolescent trauma · 2026Article
- A Moderated Mediation Model of HIV-Related Anticipated Stigma and Social Capital on the Relationship Between Diagnosis During the COVID-19 Pandemic and Potentially Problematic Substance Use Among Young South Africans.International journal of behavioral medicine · 2026Article
- Beyond knowledge deficits: social visibility, family dynamics, and delayed initiation among people living with HIV in Southwestern China-a descriptive phenomenological study.BMC public health · 2026Article
- Integration of specialised mental health services in an HIV clinic in a low resource setting.BMJ open quality · 2026Article
- HIV-related stigma and academic outcomes: the mediating role of mental health among adolescents living with HIV in Uganda.AIDS care · 2026Article
- Discriminatory attitudes toward people living with HIV/AIDS in East Africa: a multilevel analysis of socioeconomic and behavioral determinants using DHS 2019-2023 data.AIDS research and therapy · 2026Article
- A synthesis of dimensions of wellbeing among adolescents and young people living with HIV from Sub-Saharan Africa for measurement in economic evaluation: a qualitative overview of reviews.Health and quality of life outcomes · 2026Review
- Barriers and facilitators of mental health help-seeking behaviours among school-going adolescents in Sub-Saharan Africa: A qualitative evidence synthesis.Global mental health (Cambridge, England) · 2026Review
- Integrating safety planning, problem-solving therapy and peer support for suicide prevention among adolescents living with HIV in Malawi: An application of the ADAPT-ITT adaptation framework.Global mental health (Cambridge, England) · 2026Article
- The influence of social support on the relationship between HIV-related stigma, mental health and suicidality among young women living with HIV in South Africa: A moderated mediation analysis.Global mental health (Cambridge, England) · 2026Article
- ART adherence care strategies among adolescents living with HIV in Ghana's Ashanti Region: a qualitative study.Frontiers in public health · 2026Article
- Global burden of diseases attributable to childhood sexual abuse and bullying: findings from 1990 to 2019 and predictions to 2035.Social psychiatry and psychiatric epidemiology · 2026Article
- Psychosocial support and HIV-related stigma intervention needs of adolescents living with HIV in southern Ethiopia: insights from adolescents, caregivers, and healthcare providers.Global health action · 2025Article
- The political economy of adolescent mental health in Kenya.Health policy and planning · 2025Article
- Development and validation of a self-management intervention for adolescents living with HIV in Namibia.Scientific reports · 2025Article
- Characterizing adolescent and youth-friendly HIV services: a cross-sectional assessment across 16 global sites.Journal of the International AIDS Society · 2025Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundOf the 1.8 million adolescents between the ages of 10 and 19 living with HIV globally in 2020; approximately 1.5 million of these live in sub-Saharan Africa. These adolescents living with HIV (ALHIV) are at higher risk of experiencing mental health problems than those without; in Malawi, 18.9% have a depressive disorder. ALHIV can face numerous psychosocial challenges, but little is known about how ALHIV in Malawi perceive these stressors. Understanding psychosocial challenges of ALHIV is a key step in ensuring good mental health care. The aim of this study was to assess the psychosocial challenges faced by ALHIV attending adolescent-specific ART program in Zomba, Malawi.
methodsBetween April and May 2019, we engaged a purposive sample of ALHIV ages 12-18 (n = 80) in a series of eight focus groups drawing from four Teen Clubs linked to an adolescent-specific ART program. Data were analyzed inductively and deductively to identify themes related to ALHIV psychosocial experiences.
resultsTwo themes that emerged from the study include: 1) stigma and discrimination within communities and families; 2) non-adherence to medications. HIV-related stigma was associated with increased psychological distress; physical and emotional/verbal abuse; low social support, isolation, and a feeling of rejection; and risky health behaviors such as medication hiding and non-adherence to ART. Discriminatory actions were manifested in a form of being given separate utensils for their meals and mistreatment at school. Furthermore, some parents did not allow their children to play with the participants out of fear that HIV transmission.
conclusionsStigma and discrimination are overlooked potential barriers to HIV treatment and care. If HIV services are to effectively meet ALHIVs' needs, mental health interventions are needed to prevent and manage depression and improve adherence to ART. These findings highlight the crucial need to develop culturally relevant mental interventions aimed at helping ALHIV to cope with these diverse challenges.
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