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HIV and mental health among young people in low-resource contexts in Southeast Asia: A qualitative investigation.
- Source :
-
Global public health [Glob Public Health] 2022 Jul; Vol. 17 (7), pp. 1200-1214. Date of Electronic Publication: 2021 May 12. - Publication Year :
- 2022
-
Abstract
- Young people aged 15-24 years comprise one-fourth of incident HIV infections in Southeast Asia. Given the high prevalence and impact of mental health issues among young people, we explored intersections of HIV and mental health, with a focus on adolescent and young key populations (AYKP) in Indonesia, the Philippines, Thailand, and Vietnam. Sixteen focus group discussions (4/country) with young people ( n = 132; 16-24 years) and 41 key informant interviews with multisectoral HIV experts explored young people's lived experiences and unmet needs, existing programmes, and strategic directions for local and regional HIV responses. Cross-cutting challenges emerged in healthcare, family, school, and peer domains amid fragmented and under-resourced HIV and mental health services in socio-politically fraught environments. We identified strategic opportunities and initiatives in development and integration of youth-friendly HIV and mental health services; programmes to promote parent-adolescent communication about sex and HIV; and teacher training and resources to advance HIV and mental health awareness, serve as first-responders, and provide community referrals. Youth-led peer education programmes and LGBT-networks were central to the HIV response-promoting HIV prevention, sexual health, and mental health awareness for young people, and resilience and socioeconomic empowerment of peer educators themselves-thereby transforming sociocultural and political contexts of vulnerability.
Details
- Language :
- English
- ISSN :
- 1744-1706
- Volume :
- 17
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Global public health
- Publication Type :
- Academic Journal
- Accession number :
- 33977867
- Full Text :
- https://doi.org/10.1080/17441692.2021.1924822