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Gepubliceerd in: Journal of Behavioral Medicine 1/2015

01-02-2015

Social support as a protective factor for depression among women caring for children in HIV-endemic South Africa

Auteurs: Marisa Casale, Lauren Wild, Lucie Cluver, Caroline Kuo

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2015

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Abstract

Social support has been shown to be a protective resource for mental health among chronically ill adults and caregiver populations. However, to date no known studies have quantitatively explored the relationship between social support and depression among women caring for children in HIV-endemic Southern Africa, although they represent a high risk population for mental health conditions. Using data from a household survey with 2,199 adult female caregivers of children, living in two resource-deprived high HIV-prevalence South African communities, we conducted hierarchical logistic regression analysis with interaction terms to assess whether social support had a main effect or stress-buffering effect on depression. Findings provide evidence of stress-buffering of non-HIV-related chronic illness, but not HIV-related illness. Results reinforce the importance of social support for the mental health of chronically ill caregivers, and suggest that factors related to the specific nature of HIV/AIDS may be hindering the potential stress-buffering effects of social support among people living with the disease. Implications for future research and interventions are discussed.
Voetnoten
1
Main effects occur when social support is directly associated with better health outcomes, indicating that people with more social support have better mental health outcomes than people with less social support, regardless of the presence or level of stress (House et al. 1988). Stress-buffering, instead, would indicate that social support is protective of health primarily or only in the presence of stressful circumstances (House et al. 1988).
 
2
Further information on the survey research and broader national Young Carers project is available on the following website: www.​youngcarers.​org.​za.
 
3
It should be noted that caregivers identified as HIV-positive (through self-report or the VA) were included in the HIV-positive subgroup, whether or not they reported suffering from one of these other chronic conditions. Approximately 32 % of individuals identified as HIV-positive also reported experiencing one or more other chronic illnesses. It should also be noted that the rates of (HIV- or other-) illness in this sample are likely to be over-representative of those in the general caregiver population, given the sampling strategy adopted.
 
4
We note that the results reported hold when the regressions are repeated using the continuous CES-D score variable. Results also hold when four separate regressions are conducted in order to test each individual ‘stressor’ interaction term, after controlling for all variables included in regression model 2.
 
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Metagegevens
Titel
Social support as a protective factor for depression among women caring for children in HIV-endemic South Africa
Auteurs
Marisa Casale
Lauren Wild
Lucie Cluver
Caroline Kuo
Publicatiedatum
01-02-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-014-9556-7

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