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Should the mental health needs of adolescents be considered as part of comprehensive HIV prevention programs in HIV endemic settings?.

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Should the mental health needs of adolescents be considered as part of comprehensive HIV prevention programs in HIV endemic settings?

The BotshaBophelo Adolescent Health Study (BBAHS) collaboration: Cari L. Miller, Janan Dietrich, BusisiweNkala, CelokuhleTshabalala, MatamelaMakongoza, Bernard Barhafuwa, Bob Hogg, Jack Davis, Tricia Smith, Angela Kaida, Glenda Gray


Background
Background as part of comprehensive HIV prevention programs in HIV endemic settings?

  • The BotshaBophelo Adolescent Health Study (BBAHS) collaboration

  • Targeted recruitment based on location, gender and older age.

  • The BBAHS sample includes a total of 830 adolescents (aged 14-19 years). The cohort has more women (57%) than men and the median age is 17 (IQR: 16,18).

  • 83% of adolescents definitively answered their sexual orientation as straight, the majority identified as Zulu (43%) and 36% had experienced the death of someone close to them due to HIV/AIDS. 52% reported high food insecurity and 15% reported living in a shack. 3% reported being HIV-positive and a further 5% reported being unsure of their HIV status.

  • Current study sought to explore the relationships between depression and vulnerability to HIV.


Results and interpretation
Results and Interpretation as part of comprehensive HIV prevention programs in HIV endemic settings?

  • 34.6% overall had scores of depression based on the CES-D (36.6% of young women and 31.8% of young men).

  • Gender differences were observed: Young men: >1 per month marijuana use; Young women: physical violence and food insecurity.

    A high proportion of adolescents are coping with depression and those who are, face compounding HIV-related vulnerabilities. Depression screening and treatment, should be part of comprehensive HIV prevention for adolescents in HIV endemic settings.


Thank you
Thank as part of comprehensive HIV prevention programs in HIV endemic settings?you!

Thank you, particularly to the adolescents participating in the BBAHS and to the PHRU adolescent CAB. Thank you also to the investigative team members including Drs. Glenda Gray, Angela Kaida, Bob Hogg, Chris Richardson and Melanie Rusch, and BusisiweNkala, JananDietrich and Alexis Palmer.


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