Disadvantaged Neighborhood Influences on Depression and Anxiety in Youth with Perinatally Acquired Human Immunodeficiency Virus: How Life Stressors Matter

Autor/inn/en	Kang, Ezer; Mellins, Claude A.; Dolezal, Curtis; Elkington, Katherine S.; Abrams, Elaine J.
Titel	Disadvantaged Neighborhood Influences on Depression and Anxiety in Youth with Perinatally Acquired Human Immunodeficiency Virus: How Life Stressors Matter
Quelle	In: Journal of Community Psychology, 39 (2011) 8, S.956-971 (16 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0090-4392
DOI	10.1002/jcop.20483
Schlagwörter	Acquired Immunodeficiency Syndrome (AIDS); Neighborhoods; Social Problems; Disadvantaged; Mental Health; Adolescents; Depression (Psychology); Anxiety; Influences; Regression (Statistics); Children; Measures (Individuals); Community; Disabilities; Medical Services; New York + Suchen Sie Ihr Suchwort? Neighbourhoods; Nachbarschaft; Social problem; Soziales Problem; Psychohygiene; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Angst; Influence; Einfluss; Einflussfaktor; Regression; Regressionsanalyse; Child; Kind; Kinder; Messdaten; Handicap; Behinderung; Arzt
Abstract	Children living with perinatal HIV illness (PHIV+) disproportionately reside in disadvantaged neighborhoods and contend with persistent mental health challenges. This study examined the influences of disadvantaged residential neighborhood on anxiety and depression, and potential resources that buffer against internalizing problems when youths were exposed to neighborhood stressors. Multilevel analysis of 196 PHIV+ and 129 perinatally HIV-exposed but uninfected youth (PHIV-) in New York City found that higher exposure to neighborhood disorder was associated with higher levels of depression and anxiety for PHIV+ and PHIV- youths. Stressful events unrelated to residential neighborhoods significantly mediated the relationship between neighborhood disorder and anxiety and depression. Social problem solving and religiosity did not moderate the relationship between neighborhood disorder and internalizing problems. Our findings highlighted that interventions that attenuate the negative effects of stressful life events were equally critical in addressing the broader impact of disadvantaged neighborhoods on the mental health of youth affected by HIV. (Contains 4 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10