Barcelona 2013
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| Abstract #600 - E-Posters English | ||||
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Session: 50.72: E-Posters English (Poster) on Sunday in Chaired by Authors: Presenting Author: Prof. Ashraf Kagee - Stellenbosch Univversity, South Africa |
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| Additional Authors: Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS, | ||||
| Aim: High risk sexual behaviour, alcohol and drug use, and mental health problems combine to yield high levels of HIV-risk behaviour among adolescents living with psychiatric problems. The aim of the study was to explore parental views regarding the most important factors associated with increased HIV risk among South African adolescents in mental health care. | ||||
| Method / Issue: Four focus group discussions were conducted with a total of 28 primary caregivers, all of which were women. Participants were ?coloured? (N=11) and African (N=17) and ranged in age from 25-55 years (M= 44.0). They participated with their 12 ? 18 year old (M= 15.0) receiving outpatient mental health services. Atlas.ti 4.2 was used in the thematic analysis. | ||||
| Results / Comments: The major community problems identified by caregivers in this study as affecting the health and well-being of adolescents receiving psychiatric care were substance abuse and its relationship with risky sexual behavior, gangsterism, unemployment, early sexual debut, teenage pregnancy, the lack of resources in the community, mental health problems as creating vulnerability to HIV, and HIV itself. These findings appear to approximate quite closely the major factors that have been identified in the literature, e.g. early sexual debut, sexual risk behaviour, high rates of alcohol abuse, the relationship between mental health and HIV, and have been targeted in most HIV prevention programmes. | ||||
| Discussion: Many of the issues raised by caregivers were framed as occurring outside of the home and thus beyond the control of parents, that is. external to their household dynamics, and thus potentially beyond the purview of the parent-adolescent relationship and their ability to address. To this extent, the data have implications for the design of family-based interventions to ameliorate caregivers? perceived causes of HIV-risk among their youth. | ||||
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