Self-esteem and antiretroviral therapy adherence among young people living with HIV: An exploratory serial mediation analysis

Capitalising further on the benefits of antiretroviral therapy (ART) for individual treatment requires an improved understanding of the psychological processes that may affect optimal ART adherence among people living with HIV. We examined internalised HIV/AIDS-related stigma and body appreciation...

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Autores principales:	Patrick Nyamaruze, Kaymarlin Govender, Richard G. Cowden
Formato:	article
Lenguaje:	EN
Publicado:	Academy of Science of South Africa 2021
Materias:	adolescents young adults HIV HIV/AIDS stigma body perceptions medication adherence Science Q Science (General) Q1-390 Social Sciences H Social sciences (General) H1-99
Acceso en línea:	https://doaj.org/article/25a941c534d04f07932217147984a075
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spelling	oai:doaj.org-article:25a941c534d04f07932217147984a0752021-12-02T06:15:06ZSelf-esteem and antiretroviral therapy adherence among young people living with HIV: An exploratory serial mediation analysis10.17159/sajs.2021/83541996-7489https://doaj.org/article/25a941c534d04f07932217147984a0752021-11-01T00:00:00Zhttps://sajs.co.za/article/view/8354https://doaj.org/toc/1996-7489 Capitalising further on the benefits of antiretroviral therapy (ART) for individual treatment requires an improved understanding of the psychological processes that may affect optimal ART adherence among people living with HIV. We examined internalised HIV/AIDS-related stigma and body appreciation as mediators of the association between self-esteem and ART adherence among young people living with HIV (YPLHIV). A sample of 76 YPLHIV (Mage = 19.36, s.d.age = 2.56; male 56.58%) residing in an HIV hyperendemic region of South Africa completed self-report measures of self-esteem, internalised HIV/AIDS-related stigma, body appreciation, and ART adherence. Path-analytic mediation modelling was performed to test for direct and indirect effects linking self-esteem with ART adherence. Results of serial mediation analyses indicated that self-esteem and ART adherence were indirectly associated through a two-step path of internalised HIV/AIDS-related stigma and then body appreciation, as well as a one-step path through internalised HIV/AIDS-related stigma. The results provide preliminary support for internalised HIV/AIDS-related stigma and body appreciation as mechanisms underlying the association between self-esteem and ART adherence. Implications of the findings for promoting ART adherence among YPLHIV are discussed. Significance: • Self-esteem and ART adherence were indirectly related through internalised HIV/AIDS-related stigma followed by body appreciation. • Outcomes of intervention initiatives designed to promote ART adherence among young people living with HIV may be further improved by integrating components that target internalised HIV/AIDS-related stigma and body appreciation. Patrick NyamaruzeKaymarlin GovenderRichard G. CowdenAcademy of Science of South Africaarticleadolescentsyoung adultsHIVHIV/AIDS stigmabody perceptionsmedication adherenceScienceQScience (General)Q1-390Social SciencesHSocial sciences (General)H1-99ENSouth African Journal of Science, Vol 117, Iss 11/12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adolescents young adults HIV HIV/AIDS stigma body perceptions medication adherence Science Q Science (General) Q1-390 Social Sciences H Social sciences (General) H1-99
spellingShingle	adolescents young adults HIV HIV/AIDS stigma body perceptions medication adherence Science Q Science (General) Q1-390 Social Sciences H Social sciences (General) H1-99 Patrick Nyamaruze Kaymarlin Govender Richard G. Cowden Self-esteem and antiretroviral therapy adherence among young people living with HIV: An exploratory serial mediation analysis
description	Capitalising further on the benefits of antiretroviral therapy (ART) for individual treatment requires an improved understanding of the psychological processes that may affect optimal ART adherence among people living with HIV. We examined internalised HIV/AIDS-related stigma and body appreciation as mediators of the association between self-esteem and ART adherence among young people living with HIV (YPLHIV). A sample of 76 YPLHIV (Mage = 19.36, s.d.age = 2.56; male 56.58%) residing in an HIV hyperendemic region of South Africa completed self-report measures of self-esteem, internalised HIV/AIDS-related stigma, body appreciation, and ART adherence. Path-analytic mediation modelling was performed to test for direct and indirect effects linking self-esteem with ART adherence. Results of serial mediation analyses indicated that self-esteem and ART adherence were indirectly associated through a two-step path of internalised HIV/AIDS-related stigma and then body appreciation, as well as a one-step path through internalised HIV/AIDS-related stigma. The results provide preliminary support for internalised HIV/AIDS-related stigma and body appreciation as mechanisms underlying the association between self-esteem and ART adherence. Implications of the findings for promoting ART adherence among YPLHIV are discussed. Significance: • Self-esteem and ART adherence were indirectly related through internalised HIV/AIDS-related stigma followed by body appreciation. • Outcomes of intervention initiatives designed to promote ART adherence among young people living with HIV may be further improved by integrating components that target internalised HIV/AIDS-related stigma and body appreciation.
format	article
author	Patrick Nyamaruze Kaymarlin Govender Richard G. Cowden
author_facet	Patrick Nyamaruze Kaymarlin Govender Richard G. Cowden
author_sort	Patrick Nyamaruze
title	Self-esteem and antiretroviral therapy adherence among young people living with HIV: An exploratory serial mediation analysis
title_short	Self-esteem and antiretroviral therapy adherence among young people living with HIV: An exploratory serial mediation analysis
title_full	Self-esteem and antiretroviral therapy adherence among young people living with HIV: An exploratory serial mediation analysis
title_fullStr	Self-esteem and antiretroviral therapy adherence among young people living with HIV: An exploratory serial mediation analysis
title_full_unstemmed	Self-esteem and antiretroviral therapy adherence among young people living with HIV: An exploratory serial mediation analysis
title_sort	self-esteem and antiretroviral therapy adherence among young people living with hiv: an exploratory serial mediation analysis
publisher	Academy of Science of South Africa
publishDate	2021
url	https://doaj.org/article/25a941c534d04f07932217147984a075
work_keys_str_mv	AT patricknyamaruze selfesteemandantiretroviraltherapyadherenceamongyoungpeoplelivingwithhivanexploratoryserialmediationanalysis AT kaymarlingovender selfesteemandantiretroviraltherapyadherenceamongyoungpeoplelivingwithhivanexploratoryserialmediationanalysis AT richardgcowden selfesteemandantiretroviraltherapyadherenceamongyoungpeoplelivingwithhivanexploratoryserialmediationanalysis
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Self-esteem and antiretroviral therapy adherence among young people living with HIV: An exploratory serial mediation analysis

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