Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Examining the relationship of social support and family cohesion on ART adherence among HIV-positive adolescents in southern Uganda

Baseline findings

Bibliographic Data

ID12893631
AuthorsChristopher Damulira (0000-0002-5186-009X, corresponding author), Miriam Mukasa (0000-0002-8928-5289), William Byansi (0000-0003-2880-9357, Washington University in St. Louis), Proscovia Nabunya (0000-0002-9088-5839, Washington University in St. Louis), Apollo Kivumbi (0000-0003-0463-7415), Phionah Namatovu (0000-0001-6197-4413), Flavia Namuwonge (0000-0001-7640-0607), Daji Dvalishvili (Washington University in St. Louis), Ozge Sensoy Bahar (0000-0002-7230-0438, Washington University in St. Louis), Fred M Ssewamala (0000-0002-4849-5650, Washington University in St. Louis)
Year2019
Volume14
Issue2
Pages181-190
Publication date2019-02-16
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueVulnerable Children and Youth Studies (JOURNAL)
Journal identifiersISSN: 1745-0136 • E-ISSN: 1745-0128
PublisherRoutledge (PUBLISHER • GB)
DOI10.1080/17450128.2019.1576960
PMID31149021
OpenAlexW2913713809
LanguageEN
Citations received31
References cited30

Several studies in sub-Saharan Africa have linked social support to better ART (antiretroviral therapy) adherence among adults living with HIV. Less is known about the role of social support and family cohesion in ART adherence among children below 18 years. This paper focuses on HIV-infected adolescents as they transition through the vulnerable developmental stage of adolescence to examine the association between family cohesion and social support, and ART adherence in southern Uganda. We utilized baseline data from Suubi+Adherence study, a five-year randomized longitudinal clinical trial with the overall goal of examining the impact and cost associated with an innovative asset-based social intervention to increase adherence to HIV treatment for HIV-infected adolescents in Uganda. This study employed self-reports to measure social support, family cohesion and ART adherence to treatment from 702 participants in 39 clinics situated in southern Uganda. Regression results indicated that after adjusting for sociodemographic characteristics that family cohesion and social support from caregivers/family were associated with self-reported adherence to ART among HIV-infected adolescents. Social support from classmates, teachers, and friends were not associated with ART adherence. Study results suggest that strengthening family relationships and promoting social support within families caring for adolescents living with HIV can be crucial in addressing ART adherence challenges among adolescents in sub-Saharan Africa

Baseline (sea · Cohesion (chemistry · Developmental psychology · Family medicine · Group cohesiveness · Human immunodeficiency virus (HIV · Political science · Social support · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology

  • Family contributions and challenges to HIV care support among youth in rural Kenya and Uganda during the SEARCH-Youth study

    Open Access•Lawrence Owino, Jason Johnson-Peretz et al.•AIDS Care•2026

  • Barriers and facilitators to viral load suppression among adolescents and young people living with HIV receiving intensive adherence counselling in east central Uganda

    Open Access•David Livingstone Ejalu, Nangendo Joan et al.•PLOS Global Public Health•2026

  • The Impact of Different Parental Figures of Adolescents Living With HIV

    Open Access•Gloria Wowolo, Wangnan Cao et al.•Frontiers in Public Health•2022

  • The effect of family support on self‐reported adherence to ART among adolescents perinatally infected with HIV in Uganda

    Open Access•Proscovia Nabunya, Kizito Samuel et al.•Journal of Adolescence•2023

  • The longitudinal impact of an evidence‐based multiple family group intervention ( Amaka Amasanyufu ) on family cohesion among children in Uganda

    Open Access•William Byansi, Ozge Sensoy Bahar et al.•Family Process•2024

  • ‘You are not alone’ - The role of social relationships in engagement in care for adolescents living with perinatally acquired HIV in Western Kenya

    Open Access•Taren L McGray, Ken Ondenge et al.•SSM - Qualitative Research in…•2023

  • Navigating antiretroviral adherence in boarding secondary schools in Nairobi, Kenya

    Open Access•Nicholas Kipkurui, Emmah Owidi et al.•PLOS Global Public Health•2023

  • “I can’t fail. And my son can’t fail.”

    Open Access•Kirsty Sievwright, Haneefa T Saleem et al.•PLOS Global Public Health•2025

  • A qualitative analysis of family support for adolescent HIV care in South Africa

    Vincenzo F Malo, Tiarney D Ritchwood et al.•AIDS Care•2023

  • “We did more than survive”

    Ohemaa B Poku, Ohemaa Poku et al.•AIDS Care•2024

  • Changes in caregiver psychosocial factors known to affect pediatric HIV disclosure

    Adwoa K A Afrane, Arthi Bobbala et al.•AIDS Care•2026

  • “Whenever you need support, you first turn to the group”

    Elise Healy, Gabrielle O’Malley et al.•AIDS Care•2023

  • Social support, gender and pill burden influence viral load suppression among HIV-infected adolescents and young adults in rural south-western Uganda

    Whitney Elena Brown, Hakim Malagala et al.•Vulnerable Children and Youth…•2020

  • The effect of depression on antiretroviral drug non-adherence among women living with HIV in Gondar health facilities, northwest Ethiopia

    Open Access•Tadele Amare, Tadele Amare Zeleke et al.•Frontiers in Psychiatry•2025

  • Factors Associated With HIV Disclosure and HIV-Related Stigma Among Adolescents Living With HIV in Southwestern Uganda

    Open Access•Proscovia Nabunya, William Byansi et al.•Frontiers in Psychiatry•2020

  • Psychosocial Support Programme Improves Adherence and Health Systems Experiences for Adolescents on Antiretroviral Therapy in Mpumalanga Province, South Africa

    Open Access•Emeka Francis Okonji, Brian Van Wyk et al.•International Journal of…•2022

  • Prevalence and correlates of depressive symptoms among high school adolescent girls in southern Uganda

    Open Access•Proscovia Nabunya, Christopher Damulira et al.•BMC Public Health•2020

  • Suubi+Adherence-Round 2

    Open Access•Fred M Ssewamala, Ozge Sensoy Bahar et al.•BMC Public Health•2021

  • The role of social support in antiretroviral therapy uptake and retention among pregnant and postpartum women living with HIV in the Greater Accra region of Ghana

    Open Access•Edward Kwabena Ameyaw, Jerry John Nutor et al.•BMC Public Health•2024

  • The role of family factors in antiretroviral therapy (ART) adherence self-efficacy among HIV-infected adolescents in southern Uganda

    Open Access•Proscovia Nabunya, Ozge Sensoy Bahar et al.•BMC Public Health•2020

  • Suubi + Adherence4Youth

    Open Access•Fred M Ssewamala, John A Sauceda et al.•BMC Public Health•2023

  • Identifying Adolescents at Highest Risk of ART Non-adherence, Using the World Health Organization-Endorsed HEADSS and HEADSS+ Checklists

    Open Access•Lucie D Cluver, Y Shenderovich et al.•AIDS and Behavior•2023

  • Self-Reported Adherence to Antiretroviral Therapy (ART) Among Women Engaged in Commercial Sex Work in Southern Uganda

    Open Access•Joshua Kiyingi, Proscovia Nabunya et al.•AIDS and Behavior•2022

  • Cultural Adaption, Translation, Preliminary Reliability and Validity of Key Psychological and Behavioural Measures for 18 to 25 Year-Olds Living with HIV in Uganda

    Open Access•Michael Evangeli, Caroline Foster et al.•AIDS and Behavior•2023

  • Social and Economic Equity and Family Cohesion as Potential Protective Factors from Depression Among Adolescents Living with HIV in Uganda

    Open Access•Patricia Cavazos-Rehg, Christine Xu et al.•AIDS and Behavior•2020

  • Preliminary Impact of Group-Based Interventions on Stigma and the Mental Health of Caregivers of Adolescents Living with HIV in Uganda

    Open Access•Proscovia Nabunya, Simon Kizito et al.•AIDS and Behavior•2024

  • A Scoping Review Assessing the Relationship Between Structural, Functional, and Perceived Social Support with Antiretroviral Therapy (ART) in the Last Decade

    Open Access•Anubhuti Poudyal, Ada Thapa et al.•AIDS and Behavior•2026

  • Beyond Neighbors

    Open Access•Catherine Lima-Chantre, Catherine L Chantre et al.•AIDS and Behavior•2025

  • Antiretroviral Therapy Concealment Behaviors and their Association with Antiretroviral Therapy Adherence among People with HIV

    Open Access•Rebecca Fisk-Hoffman, Christina Parisi et al.•AIDS and Behavior•2023

  • Are Family Factors Differentially Associated with Externalizing Symptoms Among Youth with Perinatally Acquired HIV

    Open Access•Deborah A G Drabick, Rafaella J Jakubovic et al.•Child Psychiatry & Human…•2024

  • Leveraging the Photovoice Methodology for Critical Realist Theorizing

    Open Access•Ferdinand C Mukumbang, Brian Van Wyk•International Journal of…•2020

  • Social Support as a Predictor of Early Diagnosis, Linkage, Retention, and Adherence to HIV Care

    Open Access•Daniel J Kelly, Christine Hartman et al.•Journal of the Association of…•2014

  • Social Support and Patient Adherence to Medical Treatment

    M Robin Dimatteo, M Siewers et al.•Health Psychology•2004

  • Social Stigma Concerns and HIV Medication Adherence

    Lance S Rintamaki, Terry C Davis et al.•AIDS Patient Care and STDs•2006

  • Determinants of adherence to antiretroviral therapy among HIV-positive adults in sub-Saharan Africa

    Open Access•Tessa Heestermans, Joyce L Browne et al.•BMJ Global Health•2016

  • Explaining Adherence Success in Sub-Saharan Africa

    Open Access•N C Ware, John Idoko et al.•PLoS Medicine•2009

  • Circumplex Model of Marital and Family Systems

    Open Access•David H Olson, Candyce S Russell et al.•Family Process•1983

  • Families living with HIV

    Mary Jane Rotheram–Borus, M J Rotheram-Borus et al.•AIDS Care•2005

  • Equity in adherence to antiretroviral therapy among economically vulnerable adolescents living with HIV in Uganda

    Open Access•Laura Gauer Bermudez, Larissa Jennings et al.•AIDS Care•2016

  • Relationship between viral load and self-report measures of medication adherence among youth with perinatal HIV infection

    Ann Usitalo, Erin Leister et al.•AIDS Care•2014

  • “When we are together I feel at home.” Types and sources of social support among youth newly diagnosed with HIV in Kenya

    Kathryn Lypen, Nicole M Lockwood et al.•African Journal of AIDS Research•2015

  • The influence of Aids stigma and discrimination and social cohesion on HIV testing and willingness to disclose HIV in rural KwaZulu-Natal, South Africa

    Open Access•Quarraisha Abdool Karim, Anna Meyer-Weitz et al.•Global Public Health•2008

  • Structural barriers to ART adherence in Southern Africa

    Open Access•Ashraf Kagee, Robert H Remien et al.•Global Public Health•2010

  • HIV Disclosure Among Women of African Descent

    Open Access•Jane M Simoni, Penelope Demas et al.•AIDS and Behavior•2000

  • Barriers to Medication Adherence in Behaviorally and Perinatally Infected Youth Living with HIV

    Open Access•Karen MacDonell, Sylvie Naar‐king et al.•AIDS and Behavior•2012

  • Stakeholding

    Michael Sherraden•Social Service Review•1990

  • Toward a Theory of Social Support

    Open Access•Sally A Shumaker, Arlene Brownell•Journal of Social Issues•1984

  • A multilevel intervention for HIV-affected families in China

    Open Access•Li Li, Guoping Ji et al.•Social Science & Medicine•2011

  • Measuring Friendship Quality During Pre- and Early Adolescence

    Open Access•William M Bukowski, Betsy Hoza et al.•Journal of Social and Personal…•1994

  • Barriers and facilitators to patients' adherence to antiretroviral treatment in Zambia

    Open Access•Nawa Sanjobo, Jan C Frich et al.•SAHARA-J Journal of Social…•2008

Unique citing works31
Citations per year5,17
Citation span2020 - 2026 (7)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 29
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae