Who Benefited from an Efficacious Intervention for Youth Living with HIV: A Moderator Analysis

Lightfoot, Marguerita; Tevendale, Heather D.; Comulada, W. Scott

doi:10.1007/s10461-006-9174-7

Cited by 7 publications

(8 citation statements)

References 22 publications

(14 reference statements)

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“…This having been said, these conclusions pertain to group data and do not rule out these possibilities in individual cases. Moreover, the association between entry CD4% and depression clearly warrants further study, to include continuing research into relations (and interactions) of youth depression with adherence 28,31,72 ; parenting behavior 73 ; caregiver depression 19,58 and HIV status 74 ; disclosure of HIV status 71 ; substance use 19,26 ; risky sexual behavior 19,22 ; social and academic functioning; and quality of life.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Study of Emerging Mental Health Concerns in Youth Perinatally Infected With HIV and Peer Comparisons

Gadow¹,

Angelidou²,

Chernoff³

et al. 2012

Journal of Developmental & Behavioral Pediatrics

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Objective Cross-sectional research indicates high rates of mental health concerns among youth with perinatal HIV infection (PHIV), but few studies have examined emerging psychiatric symptoms over time. Methods Youth with PHIV and peer comparisons who were HIV-exposed but uninfected or living in house-holds with HIV-infected family members (HIV-affected) and primary caregivers participated in a prospective, multisite, longitudinal cohort study. Groups were compared for differences in the incidence of emerging psychiatric symptoms during 2 years of follow-up and for differences in psychotropic drug therapy. Logistic regression models were used to evaluate the association of emerging symptoms with HIV status and psychosocial risk factors. Results Of 573 youth with study entry assessments, 92% attended at least 1 annual follow-up visit (PHIV: 296; comparisons: 229). A substantial percentage of youth who did not meet symptom criteria for a psychiatric disorder at study entry did so during follow-up (PHIV = 36%; comparisons = 42%). In addition, those who met criteria at study entry often met criteria during follow-up (PHIV = 41%; comparisons = 43%). Asymptomatic youth with PHIV were significantly more likely to receive psychotropic medication during follow-up than comparisons. Youth with greater HIV disease severity (entry CD4% <25% vs 25% or more) had higher probability of depression symptoms (19% vs 8%, respectively). Conclusions Many youth in families affected by HIV are at risk for development of psychiatric symptoms.

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Section: Discussionmentioning

confidence: 99%

Longitudinal Study of Emerging Mental Health Concerns in Youth Perinatally Infected With HIV and Peer Comparisons

Gadow¹,

Angelidou²,

Chernoff³

et al. 2012

Journal of Developmental & Behavioral Pediatrics

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“…Lightfoot and colleagues (2007) used regression models to examine whether background contextual factors moderated the success of an intervention for youth living with AIDS. Their findings have important implications for deciding what kind of an intervention is appropriate and beneficial for an individual young person living with AIDS (Lightfoot, Tevendale, Comulada, & Rotheram-Borus, 2007). The present study adds to this body of literature by showing that intervention effects of a couple-focused HIV prevention program on one partner's behavior may be modified by the other partner's baseline attitudes.…”

Section: Discussionmentioning

confidence: 99%

Parental Protectiveness and Unprotected Sexual Activity among Latino Adolescent Mothers and Fathers

Lesser¹,

Koniak‐Griffin

Huang

et al. 2009

AIDS Education and Prevention

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Latino pregnant and parenting adolescents living in inner cities are one of the populations at risk for acquiring HIV. Although teen parenthood has been predominantly looked at with a focus on potential adverse physical, emotional, and socioeconomic outcomes for the mother and child; a growing body of literature has documented the strengths and resiliency of young parents. Respeto/Proteger: Respecting and Protecting Our Relationships is a culturally rooted couple-focused and asset-based HIV prevention program developed for young Latino parents. In this program, parental protectiveness (defined as the parent-child emotional attachment that positively influences parental behavior) is viewed as an intrinsic and developing critical factor that supports resiliency and motivates behavioral change. The primary purpose of this article is to describe the longitudinal randomized study evaluating the effect of this intervention on unprotected vaginal sex 6 months post intervention and to determine whether parental protectiveness had a moderating effect on the intervention. The unique features of our database allow for examination of both individual and couple outcomes.

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“…There are now a number of studies that have identified important predictors of the behavioral health risks assessed in this paper, including cognitive function, 51,52 caregiver supervision and monitoring, [53][54][55] caregiver mental health, 11,56 and parent-child relationship factors, 11,[55][56][57] many of which could be targeted in these services. To date, only a few efficacy-based interventions have been developed that target caregiver-child relationship factors as well as supervision and monitoring to support mental health and reduce risk behavior in PHIV + youth and youth living with HIV + caregivers, 39,58 as well as nonadherence in PHIV + youth 39,59 and none of the interventions developed for PHIV + youth have been tested in large scale randomized control trials. Further study using prospective cohorts may be necessary to identify specific psychosocial mediators among older youth that could be targeted in interventions for multiple behavioral health risks among adolescent children of HIV-infected women, particularly HIV-infected adolescents.…”

Section: Mellins Et Almentioning

confidence: 99%

Behavioral Health Risks in Perinatally HIV-Exposed Youth: Co-Occurrence of Sexual and Drug Use Behavior, Mental Health Problems, and Nonadherence to Antiretroviral Treatment

Mellins

Tassiopoulos

Malee

et al. 2011

AIDS Patient Care and STDs

154

121

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In a sample of perinatally HIV-infected (PHIV +) and perinatally HIV-exposed, uninfected (PHEU) adolescents, we examined the co-occurrence of behavioral health risks including mental health problems, onset of sexual and drug use behaviors, and (in PHIV + youth) nonadherence to antiretroviral therapy (ART). Participants, recruited from 2007 to 2010, included 349 youth, ages 10-16 years, enrolled in a cohort study examining the impact of HIV infection and ART. Measures of the above behavioral health risks were administered to participants and primary caregivers. Nearly half the participants met study criteria for at least one behavioral health risk, most frequently, mental health problems (28%), with the onset of sexual activity and substance use each reported by an average of 16%. Among the sexually active, 65% of PHIV + and 50% of PHEU youth reported unprotected sex. For PHIV + youth, 34% reported recent ART nonadherence, of whom 45% had detectable HIV RNA levels. Between 16% (PHIV +) and 11% (PHEU) of youth reported at least two behavioral health risks. Older age, but not HIV status, was associated with having two or more behavioral health risks versus none. Among PHIV + youth, living with a birth mother (versus other caregivers) and detectable viral load were associated with co-occurrence of behavioral health risks. In conclusion, this study suggests that for both PHIV + and PHEU youth, there are multiple behavioral health risks, particularly mental health problems, which should be targeted by service systems that can integrate prevention and treatment efforts.

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Who Benefited from an Efficacious Intervention for Youth Living with HIV: A Moderator Analysis

Cited by 7 publications

References 22 publications

Longitudinal Study of Emerging Mental Health Concerns in Youth Perinatally Infected With HIV and Peer Comparisons

Longitudinal Study of Emerging Mental Health Concerns in Youth Perinatally Infected With HIV and Peer Comparisons

Parental Protectiveness and Unprotected Sexual Activity among Latino Adolescent Mothers and Fathers

Behavioral Health Risks in Perinatally HIV-Exposed Youth: Co-Occurrence of Sexual and Drug Use Behavior, Mental Health Problems, and Nonadherence to Antiretroviral Treatment

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