Exploring the mental health and wellbeing of adolescent parent families affected by HIV in South Africa

探讨南非受艾滋病毒影响的青少年父母家庭的心理健康和福祉

• 批准号: ES/Y00860X/1
• 负责人: Kathryn Steventon Roberts
• 金额: $ 14.99万
• 依托单位: University of Oxford
• 依托单位国家: 英国
• 项目类别: Fellowship
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FY00860X%2F1
• 关键词: Exploring; mental; health; wellbeing; adolescent

Africa's adolescent population (10-19 years; WHO,2017) are the fastest growing the in world - projected to reach 435 million by 2050 (United Nations,2019). Consequently, the health of adolescents, of which mental health is a fundamental component, is becoming increasingly important to promote individual potential, and ensure the prosperity of the region, and future generations. Poor mental health within adolescence has broad negative implications for individuals and wider society (United Nations Population Fund,2014). Yet, the mental health of children and adolescents remains an overlooked global health priority. Both experiencing adolescent pregnancy and living with HIV have been found to be associated with poor mental health (Vreeman,2017; Dahmen,2019). However, there is a dearth of literature (beyond the candidate's thesis) exploring mental health when both phenomena co-occur. Adolescents and their children living with and affected by HIV are a core population in both the future prosperity of the sub-Saharan Africa region and the HIV response. However, adolescent parent families living with and affected by HIV remain understudied, and thus underserved with regard to intervention and prevention.The HEY BABY study is a cohort study of over 1000 adolescent mothers (both living with and not living with HIV) and their children residing in the Eastern Cape province, South Africa. Four components of data are collected within the study: (i) a health and wellbeing questionnaire (including validated mental health measures), (ii) a parenting questionnaire (giving detail on parenting experience), (iii) a direct assessment of child cognitive development, and (iv) child health records. Cross-sectional analyses of these data (undertaken by the candidate) have highlighted elevated poor mental health among adolescent mothers living with HIV compared to mothers not living with HIV, lower child development scores among children born to adolescent mothers compared to adult mothers within the sub-Saharan African region, and lower developmental scores among children living with HIV and HIV exposed uninfected children compared to children unexposed to HIV. These analyses have also identified an association between maternal posttraumatic stress and lower child cognitive development scores, and low paternal engagement within the care of their children (<20%). Violence exposure and lack of social support were found to be correlates of poor mental health among adolescent mothers in the sample, however longitudinal analyses is required to further understand such findings. The proposed fellowships aims to allow the candidate to: 1. Consolidate the works within the candidate's PhD and extending these works to include longitudinal follow-up data. These works will focus on identifying amenable factors that could be integrating into policy and programming to improve the mental health of adolescent parents (both mothers and fathers) affected by HIV, and the development of their children. These works will also on developing a greater understanding the experience of fathers of children born to adolescent mothers (an often-overlooked group)2. Develop analyses and manuscripts for publication and dissemination 3. Attend conferences, and stakeholder meetings to allow for knowledge transition and networking 4. Develop the foundations for future possible collaborations focusing on the mental health of adolescent parent families from both sub-Saharan Africa and high-income countries with the aim of extend the application of findings from both the thesis and postdoctoral activities5. Undertake further training to build skills relating to methodology, and to establish a career in academia 6. Develop funding applications to advance the works undertaken as part of this postdoctoral fellowship, and to further address the need for data to allow for the effective development of meaningful policy and programming to serve current and future generations

非洲的青少年人口（10 - 19年； WHO，2017年）是世界上增长最快的人口 - 预计到2050年将达到4.35亿（联合国，2019年）。因此，精神健康是基本组成部分的青少年健康，对于促进个人潜力，确保该地区和后代的繁荣变得越来越重要。青春期心理健康对个人和更广泛的社会的负面影响（联合国人口基金，2014年）。然而，儿童和青少年的心理健康仍然是全球健康的重点。都发现两者都患有青春期怀孕和艾滋病毒感染与心理健康不良有关（Vreeman，2017； Dahmen，2019）。但是，当两个现象共同发生时，探索心理健康的文献（除了候选人的论文之外）都缺乏。在撒哈拉以南非洲地区的未来繁荣和艾滋病毒反应的未来，与艾滋病毒的青少年及其子女是与艾滋病毒相处和影响的孩子。然而，与艾滋病毒的生活和影响的青春期父母家庭有关干预和预防方面的不足。嘿，婴儿研究是对1000多名青少年母亲（均与艾滋病毒和不同住的艾滋病毒）及其居住在东开普敦省东部南非的1000多名青少年母亲（均与HIV同住）一起研究。研究中收集了四个数据组成部分：（i）健康和福祉问卷（包括经过验证的心理健康指标），（ii）育儿问卷（详细介绍育儿经验），（iii）直接评估儿童认知发展的发展，以及（iv）儿童健康记录。这些数据的横断面分析（由候选人承担）与未患HIV的母亲相比，青春期母亲的心理健康状况不佳，与撒哈拉以南非洲地区的成年母亲相比，在青少年母亲中所生的儿童的儿童成绩较低，与撒哈拉以南非洲地区的成年母亲相比，与HIV和HIV儿童相比，与儿童相比，与儿童的儿童相比。这些分析还确定了母体创伤后压力与儿童认知发展评分较低的关联，而父亲在孩子的照顾下的关联（<20％）。发现暴力暴露和缺乏社会支持是样本中青春期母亲之间精神健康不良的相关性的，但是需要进行纵向分析才能进一步了解这种发现。拟议的奖学金旨在允许候选人：1。巩固候选人博士学位中的作品并扩展这些作品以包括纵向后续数据。这些作品将着重于确定可以融入政策和编程的可融合因素，以改善受艾滋病毒影响的青少年父母（包括母亲和父亲）的心理健康以及其子女的发展。这些作品还将进一步了解青少年母亲（经常被忽视的群体）出生的孩子的父亲的经历2。开发出版和传播的分析和手稿3.参加会议，并参加利益相关者会议，以允许知识过渡和网络4。为未来可能的合作开发基础，重点是从撒哈拉以南非洲和高收入国家的青少年家族的心理健康，目的是将发现的应​​用扩展到特征和何时范围。进行进一步的培训，以建立与方法论有关的技能，并在学术界建立职业6。开发资金申请，以推进作为该博士后奖学金的一部分进行的作品，并进一步满足数据的需求，以便有效地制定有意义的政策，以服务于当前和后代