8354_doi_deposit
20211129100000
assa
nadiag@assaf.org.za
assa
South African Journal of Science
S. Afr. J. Sci
1996-7489
11292021
117
11/12
Self-esteem and antiretroviral therapy adherence among young people living with HIV: An exploratory serial mediation analysis
Patrick
Nyamaruze
Discipline of Psychology, School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa
https://orcid.org/0000-0003-2390-5307
Kaymarlin
Govender
Health Economics and HIV and AIDS Research Division, University of KwaZulu-Natal, Durban, South Africa
https://orcid.org/0000-0002-9586-1510
Richard G.
Cowden
Department of Psychology, University of the Free State, Bloemfontein, South Africa
https://orcid.org/0000-0002-9027-4253
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.
11292021
1
10.17159/sajs.2016/crossmark
sajs.co.za
false
2020-05-18
2021-07-22
2021-11-29
https://creativecommons.org/licenses/by/4.0/
10.17159/sajs.2021/8354
20211129100000
https://sajs.co.za/article/view/8354
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https://sajs.co.za/article/view/8354/17659
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https://sajs.co.za/article/view/8354/17659
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https://sajs.co.za/article/view/8354/17659
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https://sajs.co.za/article/view/8354/17659
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https://sajs.co.za/article/view/8354/17659
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https://sajs.co.za/article/view/8354/17659
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https://sajs.co.za/article/view/8354/17659