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Family Contextual Factors are Differentially Associated with Depressive Symptoms among Boys and Girls with Perinatally Acquired HIV

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Abstract

Youth with perinatally acquired HIV (PHIV) are at risk for depressive symptoms, which are associated with a range of adverse outcomes. Although family contextual factors associated with depressive symptoms differ among boys and girls without PHIV, it is unclear whether this is also the case among youth with PHIV. Participants included 314 youth with PHIV (M = 12.88, SD = 3.08 years old; 51% male; 85% Black/Latinx) and their caregivers. Higher levels of caregivers’ own depressive symptoms, caregiver-child detachment, and family conflict were associated with higher levels of caregiver-reported youth depressive symptoms. Less consistent discipline was associated with higher levels of youth-reported depressive symptoms. Higher youth-reported depressive symptoms were associated with greater family cohesion among boys and greater caregiver detachment among girls. Consideration of contextual variables is essential for interventions for depressive symptoms among youth with PHIV, but attention to sex differences with family contextual factors is also important.

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Acknowledgments

Overall support for the International Maternal Pediatric Adolescent AIDS Clinical Trials Network (IMPAACT) was provided by the National Institute of Allergy and Infectious Diseases (NIAID) of the National Institutes of Health (NIH) under Award Numbers UM1AI068632 (IMPAACT LOC), UM1AI068616 (IMPAACT SDMC), and UM1AI106716 (IMPAACT LC), with co-funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the National Institute of Mental Health (NIMH). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

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Authors and Affiliations

  1. Department of Psychology, Temple University, Philadelphia, PA, USA

    Deborah A. G. Drabick, Rafaella Jakubovic, Lindsay Myerberg & Jenika Hardeman

  2. Department of Pediatrics, Stony Brook Children’s Hospital, Stony Brook, NY, USA

    Sharon Nachman

  3. Department of Psychiatry and Behavioral Health, Stony Brook University, Stony Brook, NY, USA

    Kenneth D. Gadow

  4. Department of Psychology, Temple University, Weiss Hall, 1701 N 13th Street, Philadelphia, PA, 19122-6085, USA

    Deborah A. G. Drabick

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  1. Deborah A. G. Drabick
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  2. Rafaella Jakubovic
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Correspondence to Deborah A. G. Drabick.

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Drabick, D.A.G., Jakubovic, R., Myerberg, L. et al. Family Contextual Factors are Differentially Associated with Depressive Symptoms among Boys and Girls with Perinatally Acquired HIV. AIDS Behav 25, 259–268 (2021). https://doi.org/10.1007/s10461-020-02966-3

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