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    Psychosocial Adjustment in Ugandan Children: Coping With Human Immunodeficiency Virus Exposure, Lifetime Adversity, and Importance of Social Support

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    Date
    2020
    Author
    Tuke, Robert
    Sikorskii, Alla
    Zalwango, Sarah K.
    Webster, Kyle D.
    Ismail, Alexander
    Pobee, Ruth A.
    Barkin, Jennifer L.
    Boivin, Michael J.
    Giordani, Bruno
    Ezeamama, Amara E.
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    Abstract
    Cumulative lifetime adversity and social support were investigated as determinants of psychosocial adjustment (esteem, distress, hopefulness, positive outlook/ future aspirations, and sense of purpose) over 12months in 6–10-years-old HIV-infected, HIV-exposed uninfected and HIV-unexposed uninfected children from Uganda. Each determinant and psychosocial adjustment indicator was self-reported using standardized questionnaires administered at baseline, 6, and 12 months. Linear mixed effects models were used to relate time-varying lifetime adversity and social support to psychosocial adjustment over 12 months. Regardless of HIV status, higher adversity predicted lower esteem (coefficient b = −2.98, 95% confidence interval (CI): [−4.62, −1.35]) and increased distress (b =3.96, 95% CI: [1.29, 6.62]) but was not associated with hopefulness, positive outlook or sense of purpose. Low social support predicted higher distress (b =9.05, 95% CI: [7.36, 10.73]), lower positive outlook
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    https://nru.uncst.go.ug/xmlui/handle/123456789/262
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    • Medical and Health Sciences [3670]

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