دورية أكاديمية
أعرض في EDS

Emotional and behavioural difficulties among children and adolescents attending "ART teen clubs" in Mzuzu City in northern Malawi: a cross-sectional study.

التفاصيل البيبلوغرافية
العنوان: Emotional and behavioural difficulties among children and adolescents attending "ART teen clubs" in Mzuzu City in northern Malawi: a cross-sectional study.
المؤلفون: Kaseka PU; Paediatric Department, Mzuzu Central Hospital, Private Bag 209, Mzuzu, Malawi. kasekapaul2016@gmail.com., Zgambo M; School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia., Mbakaya BC; Public Health, University of Livingstonia, Mzuzu, Malawi.; Nursing and Midwifery Department, Mzuzu University, Mzuzu, Malawi., Lazarus M; Basic Department, Kamuzu University for Health Sciences, Lilongwe, Malawi., Nkhata O; Investigations Department, Nurses and Midwives Council of Malawi, Mzuzu, Malawi., Kalembo FW; School of Nursing, Curtin University, Bentley, Western Australia.
المصدر: BMC pediatrics [BMC Pediatr] 2024 Jan 13; Vol. 24 (1), pp. 41. Date of Electronic Publication: 2024 Jan 13.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967804 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2431 (Electronic) Linking ISSN: 14712431 NLM ISO Abbreviation: BMC Pediatr Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: HIV Infections*/drug therapy , HIV Infections*/psychology, Male ; Child ; Female ; Humans ; Adolescent ; Cross-Sectional Studies ; Malawi/epidemiology ; Surveys and Questionnaires ; Mental Health
مستخلص: Background: While triple anti-retroviral therapy (ART) has improved HIV-infected children surviving into adolescence and adulthood, these children remain vulnerable to HIV-related psychological disturbance due to both the direct HIV infection effects on the brain and indirect effects related to coping with a range of medical, psychological and social stresses associated with HIV, which makes it vital to identify their mental health needs. This study assessed the emotional and behavioural challenges of HIV perinatally infected children and adolescents with a completed disclosure process attending "ART teen club" in Malawi.
Methods: A cross-sectional descriptive study design was conducted to obtain quantitative descriptive descriptions of emotional and behavioural challenges among HIV-infected children and adolescents between 10 and 22 years of age. They were interviewed on their family socio-demographic characteristics, clinical characteristics as well as emotional, conduct, hyperactivity, peer and prosocial problems using the Chichewa version of the Strengths and Difficulties Questionnaire. Data were analyzed using descriptive analysis and logistic regression.
Results: Based on the four-band categorization of the SDQ, higher scores for total difficulties score were observed in 72.9% of the children. According to the subscales of the SDQ, results show that children had higher scores in peer problems (62.8%), emotional (68.2%), conduct (68.6%) and prosocial (57.8%) subscales while lower scores were identified in the hyperactivity (16.6%) subscale. Results show that within each level, males are having lower frequencies as compared to females. Results from multivariate binary logistic regression indicate that those with a single parent or not as well as the WHO HIV clinical stage had an impact on the mental health status of the children. Children who do not have a single parent (AOR 3.404; 95% CI:1.563-7.416, p = 0.002) had 3.404 odds of having abnormal mental health status unlike those children with a single parent and children who were in WHO HIV clinical stage 2 (AOR 2.536; 95% CI:1.005-6.395, p = 0.049) or 3 and 4 (AOR 8.459; 95% CI:1.5.820-10.544, p < 0.001) had more odds of having the mental disorder as compared with those children in WHO HIV clinical stage 1.
Conclusion: The findings of this research underscore the multifaceted nature of mental well-being among children and adolescents living with HIV. Elevated scores in total difficulties, emotional, conduct, and peer problems signify areas of concern, while disparities in hyperactivity and prosocial behavior highlight the nuanced nature of their behavioral challenges. Recognizing the inadequacy of a one-size-fits-all approach, the research emphasizes the necessity of a comprehensive strategy, incorporating factors like religious background, family structure, and clinical HIV stage. Furthermore, the role of "ART teen clubs" in this context is pivotal. Beyond addressing identified risk factors, these clubs must actively foster resilience. Creating an inclusive environment, tapping into individual strengths, and nurturing a sense of community are vital components. By adopting such a holistic approach, Teen support clubs can significantly contribute to the overall mental well-being of adolescents living with HIV, enabling them to navigate challenges effectively and thrive amidst their circumstances.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: ART Teen Club; Children and adolescents living with HIV; Emotional and behavioural difficulties; Malawi
تواريخ الأحداث: Date Created: 20240113 Date Completed: 20240115 Latest Revision: 20240116
رمز التحديث: 20240116
مُعرف محوري في PubMed: PMC10787500
DOI: 10.1186/s12887-023-04504-1
PMID: 38218758
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2431
DOI:10.1186/s12887-023-04504-1