Social support as a correlate of depression among people living with HIV and AIDS in Nigeria.

BACKGROUND: Depression is a highly prevalent mental disorder among PLHIV, whilst social support is important in disease prevention, health promotion, therapeutic measure especially for PLHIV. OBJECTIVES: To ascertain the different types and sources of social support and their association with depression among PLHIV in Nigeria. MATERIALS AND METHODS: The study was a correlation with 2515 PLHIV in three teaching hospitals in South-Eastern Nigeria. Data were collected between January to June, 2019 through interviews, using socio-demographic and Clinical Form and a Social Support Scale for PLHIV. SPSS-20 used for data analysis. RESULTS: It was shown that average scores of instrumental and emotional social supports (IESS) were satisfactory and not influenced by sex (p = 0.894; p = 0.496), education (p = 0.805; p = 0.182), marital status (p = 0.076; p = 0.446) and length of antiretroviral therapy (p = 0.510; p = 0.136). People diagnosed for less than three years had more instrumental support (p = 0.05) than those diagnosed over three years. The regression score also revealed a high predictive power of IESS on depression of PLHIV. CONCLUSION: PLHIV have satisfactory social support, especially from family not residing in the same household and emotional social support from friends. Analyses identified knowledge gaps in the community regarding the social support received by PLHIV and their depression symptoms.

Socio-demographic factors of early sexual debut and depression among adolescents.

BACKGROUND: Adolescent early sexual debut as it relates with socio-demographic factors and depression of secondary school adolescents. During the adolescent stage, attitudes, values and behaviours that shape a young person's behavior in the future develop. Age of sexual debut is generally low, yet there is dearth of knowledge on sexuality in the area of this study-Nsukka Education zone of Enugu State, Nigeria. OBJECTIVE: To determine the socio-demographic factors of early sexual debut and depression among adolescents in secondary schools in Nsukka Education zone of Enugu state, Nigeria. MATERIALS AND METHODS: A cross-sectional longitudinal study of 408 secondary school adolescents in Nsukka Education zone of Enugu state, Nigeria during the 2016/2017 school year. Data was collected using pre-tested, observation schedule, structured interview and well-structured questionnaire. Tests of statistical significance were carried out using chi-square and t-tests. A p value of < 0.005 was found to be significant." RESULTS: The age group at which respondents had their first sexual intercourse ranged between 13 to 19 years, the mean ages are 12.1±1.2 and 14.5±1.5 for males and females, while the modal and median ages at first sexual intercourse for male and female are 14 and 13 years respectively with a cumulative frequency percent of 56.5. The girls-initiated sex earlier than the boys (p= 0.001). Those brought up by one parent-initiated sex at an earlier age (p= 0.000), while age of sex initiation increased with maternal (p=0.000) and paternal education (p= 0.001). Depressed adolescent boys and girls were more likely than their non-depressed peers to have experienced sexual intercourse. The youngest adolescents who were depressed were more likely to have experienced intercourse than the older ones who were not depressed. Respondents sharing room with parents or adult relations of opposite sex were found to have initiated sex earlier than those staying alone or sharing room with same sex peers. CONCLUSION: Age at sexual debut was found to be associated with younger age, gender, living with a one parent and parents' educational status.

Stigmatization and discrimination as predictors of self-esteem of people living with HIV and AIDS in Nigeria.

BACKGROUND: Self-esteem is a major psychological health issue. People living with HIV and AIDS have been found to be victims of discrimination and stigmatization which affect their self-esteem. OBJECTIVES: The study investigated the influence of stigma and discrimination on self-esteem of people living with HIV and AIDS (PLHIV). METHODS: The design was a cross-sectional study carried out in four teaching hospitals in south-eastern Nigeria between 13th July 2016 - 11th May 2017. Four hundred and eighty-four (174 males and 310 females) PLHIV participated in the study. Quantitative study supplemented by qualitative in-depth interviews were used to collect data regarding discrimination, stigma and self-esteem of PLHIV whilst a structured questionnaire was used to elicit information about the socio-demographic variables. RESULTS: Stigmatization and discrimination were found to have significant influence on self-esteem of PLHIV. The results indicate that stigmatization and discrimination, together with income, work status, AIDS diagnosis status, and medication use status significantly influence self-esteem of PLHIV. These results imply that stigmatization and discrimination influences on self-esteem among PLHIV. CONCLUSION: Conclusively, intervention programmes should evolve enlightenment through television, movies, and educational programs that incorporate the ill effects of discrimination and stigma so as to boost self-esteem of PLHIV.

Peer pressure and home environment as predictors of disruptive and risky sexual behaviours of secondary school adolescents.

BACKGROUND: Not much is understood about the predictive power of home environment and peer pressure on disruptive behaviour and risky sexual behaviour of adolescents. OBJECTIVES: The study investigated the predictive power of home environment and peer pressure on disruptive behaviour and risky sexual behaviour of adolescents in secondary school class two in Enugu State, Nigeria. Four research questions and four null hypotheses guided the study. METHODS: The design was a cross sectional survey of correlational study. The study was carried out in the six Education zones in Enugu State, Nigeria. The population was all the 31,680 senior secondary class two (SS11) adolescents in 285 secondary schools in Enugu State, Nigeria in 2015/2016 academic session. The instruments for data collection were an observation schedule, an interview session and a structured questionnaire of four clusters. To determine the R-squares for each regression model, a multivariate multiple regression model was conducted using "MANOVA" and "MVREG". RESULTS: This study indicates adolescents who reported their home environments to be stimulated displayed compliant behavior and none or lowered risky sexual behaviour, whilst those with chaotic and unstimulated home environment displayed disruptive behaviours. It was found that adolescents who show a heightened sensitivity to positive peer pressure demonstrated compliant and no or lowered risky sexual behavior whilst, those that are engaged with negative peer pressure strongly exhibit disruptive and risky sexual behaviour. CONCLUSION: Unstimulated home environment and negative peer group could consequently interact to predispose these adolescents to disruptive behaviour and risky sexual behaviour.