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HIV and mental health among young people in low-resource contexts in Southeast Asia: A qualitative investigation
Open accessAbstract
Young people aged 15−24 years comprise one-fourth of incident HIV infections in Southeast Asia. Given the high prevalence and impact of mental health issues among young people, we explored intersections of HIV and mental health, with a focus on adolescent and young key populations (AYKP) in Indonesia, the Philippines, Thailand, and Vietnam. Sixteen focus group discussions (4/country) with young people (n = 132; 16−24 years) and 41 key informant interviews with multisectoral HIV experts explored young people's lived experiences and unmet needs, existing programmes, and strategic directions for local and regional HIV responses. Cross-cutting challenges emerged in healthcare, family, school, and peer domains amid fragmented and under-resourced HIV and mental health services in socio-politically fraught environments. We identified strategic opportunities and initiatives in development and integration of youth-friendly HIV and mental health services; programmes to promote parent–adolescent communication about sex and HIV; and teacher training and resources to advance HIV and mental health awareness, serve as first-responders, and provide community referrals. Youth-led peer education programmes and LGBT-networks were central to the HIV response—promoting HIV prevention, sexual health, and mental health awareness for young people, and resilience and socioeconomic empowerment of peer educators themselves—thereby transforming sociocultural and political contexts of vulnerability.
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Poor mental health among adolescents with HIV adversely affects HIV treatment outcomes, retention in care, and quality of life, and is often associated with lapsed adherence to antiretroviral therapy.
“Such poor mental health levels among AWH are problematic because they adversely affects HIV treatment outcomes [4], retention in care [12], and quality of life [13] and are often associated with lapsed adherence to antiretroviral therapy (ART) [11,12,14,15].”
From Effectiveness of a mindfulness and acceptance-based intervention for improving the mental health of adolescents with HIV in Uganda: An open-label trial (2024) · cites this paper as [13]
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Metadata
- Authors
- Newman, P. A., Prabhu, S. M., Akkakanjanasupar, P., & Tepjan, S.
- Affiliations
- University of Toronto (CA)
- United Nations Children's Fund (US)
- VOICES-Thailand Foundation, Chiang Mai, Thailand
- Corresponding author
- Newman, Peter A.
- Venue
- Global Public Health
- Publisher
- Informa UK Limited
- Published
- 2021-05-12
- Volume
- 17
- Issue
- 7
- Pages
- 1200-1214
- ISSN
- 1744-1692 (ISSN-L)
- 1744-1706
- OpenAlex
- W3163138916
- Cited by
- 31
- References
- 47
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 7 · 2023: 7 · 2022: 3 · 2021: 1
- FWCI
- 5.08
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Global Public Health (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion, cc-by-nc-nd)
- Funders
- UNICEF
- Canadian Institutes of Health Research (PJT-152959)
- Social Sciences and Humanities Research Council (895-2019-1020)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Health and Behaviors
- Keywords
- HIV, mental health, youth, resource-limited settings, Southeast Asia, youth-friendly services, parent-adolescent communication, teacher professional development, peer education, HIV prevention, sexual health, resilience, socio-economic empowerment, unmet needs, health care access
- MeSH terms
- Acquired Immunodeficiency Syndrome, Adolescent, Asia, Southeastern, Humans, Mental Health, Peer Group, HIV Infections
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