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Psychological Stressors and Coping Strategies Used by Adolescents Living with and Not Living with Hiv Infection in Nigeria

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dc.contributor.author Folayan, Morenike O.
dc.contributor.author Caceres, Carlos F.
dc.contributor.author Sam-Agudu, Nadia A.
dc.contributor.author Odetoyinbo, Morolake
dc.contributor.author Stockman, Jamila K.
dc.contributor.author Harrison, Abigail
dc.date.accessioned 2019-01-25T16:03:18Z
dc.date.available 2019-01-25T16:03:18Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/4739
dc.description.abstract Little is known about stressful triggers and coping strategies of Nigerian adolescents and whether or not, and how, HIV infection modulates these sources of stress and coping. This study evaluated differences in stressors and coping strategies among Nigerian adolescents based on HIV status. We analysed the data of six hundred 10-19 year old adolescents recruited through a population-based survey from 12 States of Nigeria who self-reported their HIV status. Data on stressors and coping strategies were retrieved by self-report from participants, using a validated structured questionnaire. We compared results between adolescents with and without HIV with respect to identification of specific life events as stressors, and use of specific coping strategies to manage stress. Logistic regression analysis adjusted for age and sex. Adolescents living with HIV (ALHIV) had significantly increased odds of identifying 'having to visit the hospital regularly' (AOR: 5.85; 95 % CI: 2.11-16.20; P = 0.001), and 'having to take drugs regularly' (AOR: 9.70; 95 % CI: 4.13-22.81; P < 0.001) as stressors; and 'Seeking social support' (AOR: 3.14; 95 % CI: 1.99-4.93; p < 0.001) and 'using mental disengagement' (OR: 1.64; 95 % CI: 0.49-1.84; p = 0.001) as coping strategies. Adolescents not living with HIV had significantly increased odds of identifying 'argument with a friend or family member' as a stressor (AOR: 6.59; 95 % CI: 3.62-11.98; P < 0.001). Life events related to adolescents' HIV positive status were significant stressors for ALHIV. Providing targeted psychosocial support could help reduce the impact of such HIV status-related stressors on ALHIV. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartof urn:issn:1573-3254
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject HIV en_US
dc.subject Adolescent en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Young Adult en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Child en_US
dc.subject Medication Adherence en_US
dc.subject Self Report en_US
dc.subject Nigeria en_US
dc.subject Adolescents en_US
dc.subject Coping strategies en_US
dc.subject Stressors en_US
dc.subject Truth Disclosure en_US
dc.subject Social Support en_US
dc.subject Social Stigma en_US
dc.subject Adaptation, Psychological en_US
dc.subject HIV Infections/ethnology/psychology en_US
dc.subject Nigeria/epidemiology en_US
dc.subject Stress, Psychological/psychology en_US
dc.title Psychological Stressors and Coping Strategies Used by Adolescents Living with and Not Living with Hiv Infection in Nigeria en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1007/s10461-016-1534-3
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE


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