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"We did more than survive": lessons learned from studies of risk and resilience of young people growing up with HIV and mental health needs. | LitMetric

AI Article Synopsis

  • - AYA with HIV face significant challenges, including lower viral suppression rates and higher mental health risks compared to their non-HIV peers, largely due to their complex developmental stage.
  • - The traditional focus on risks in research has overlooked the resilience and positive resources many AYAHIV possess, highlighting the need for a more balanced perspective.
  • - The paper discusses epidemiological data, models of risk and resilience, global findings on health challenges, and promising interventions that enhance resilience to improve outcomes for AYAHIV.

Article Abstract

Despite advances in HIV-treatment, adolescents and young adults (AYA) with HIV (AYAHIV) face myriad challenges. They are less likely than children and older adults to be virally suppressed and are at higher risk for mental health conditions compared to their peers who do not have HIV. AYA are also developing in the context of numerous biomedical, neurocognitive, and psychosocial developmental changes. Normative challenges during this time can be exacerbated by HIV and can result in significant physical and mental health problems. Yet, many AYAHIV have shown resilience with positive assets and resources and few health or mental health problems. Historically research has had a risk-focused approach to understanding AYAHIV needs. This paper discusses the rationale for a shift from a risk-focused only approach to one that examines AYAHIV needs from both a risk and resilience perspective. This paper presents: (1) epidemiological data on AYAHIV; (2) conceptual models for understanding both risk (e.g., poverty, stress, trauma, limited resources) and resilience/protective factors (e.g., family and peer support, future orientation, problem-solving skills); (3) global data examining risk and protective factors for physical and mental health challenges; and (4) promising interventions that incorporate elements of resilience to improve overall outcomes among AYAHIV.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11283975PMC
http://dx.doi.org/10.1080/09540121.2024.2308745DOI Listing

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