A qualitative enquiry into the meaning and experiences of wellbeing among young people living with and without HIV in KwaZulu-Natal, South Africa
Bibliographic Data
| ID | 4598413 |
|---|---|
| Authors | Darshini Govindasamy (0000-0001-5984-3588, Faculty of Public Health, corresponding author), Giulia Ferraris (0000-0003-0957-0918), Giulia Ferrari (0000-0001-7569-7912, Faculty of Public Health), Kealeboga Maruping (South African Medical Research Council), Paidamoyo Bodzo (0000-0002-3332-9115, South African Medical Research Council), Catherine Mathews (0000-0001-5368-1127, South African Medical Research Council), Janet Seeley (0000-0002-0583-5272, Faculty of Public Health) |
| Year | 2020 |
| Volume | 258 |
| Pages | 113103 |
| Publication date | 2020-08-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2020.113103 |
| PMID | 32535474 |
| OpenAlex | W3034163514 |
| Language | EN |
| Citations received | 7 |
| References cited | 39 |
Young people in sub-Saharan Africa encounter health and livelihood challenges which may compromise their wellbeing. Understanding how young people's wellbeing is defined could strengthen wellbeing policies. We investigated perceptions and experiences of young people's wellbeing, and whether these aligned with Ryff's psychological wellbeing (PWB) model. Data were collected between January-August 2018 through focus-group discussions (n = 12) and in-depth interviews (n = 16) with young people living with and without HIV, selected purposively from South African healthcare facilities. Key informant interviews (n = 14) were conducted with healthcare workers and subject-matter experts. Using a framework approach, we situated our analysis around dimensions of Ryff's PWB model: autonomy, self-acceptance, purpose in life, environmental mastery, positive relationships, personal growth. Young people's wellbeing was rooted in family and peer relationships. Acceptance and belongingness received from these networks fostered social integration. HIV-related stigma, crime and violence reduced their perceived control and social trust. For males, fulfilling gendered roles made them feel socially valued. Self-perceived failure to uphold sexual norms undermined women's social contribution and autonomy. Social integration and contribution framed young people's wellbeing. However, these dimensions were not fully captured by Ryff's PWB model. Models that consider relationality across socio-ecological levels may be relevant for understanding young people's wellbeing
Family medicine · Human immunodeficiency virus (HIV · Meaning (existential · Psychotherapist · Qualitative research · Social science · Sociology · Family Support in Illness · Gender Studies · Health, psychology, and well-being · Homelessness and Social Issues · Medicine · Psychology · Gerontology
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| Unique citing works | 7 |
|---|---|
| Citations per year | 1,75 |
| Citation span | 2022 - 2025 (4) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 7 |