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Illustrations of Coping and Mental Well-Being of Adolescents Living with HIV in Cape Town, South Africa During COVID: A Photovoice Study

Author

Listed:
  • Yolanda Mayman

    (School of Public Health, University of the Western Cape, Bellville 7535, South Africa)

  • Talitha Crowley

    (School of Nursing, University of the Western Cape, Bellville 7535, South Africa)

  • Brian van Wyk

    (School of Public Health, University of the Western Cape, Bellville 7535, South Africa)

Abstract

Adolescents living with HIV (ALHIV) are the fastest-growing population living with HIV globally. The COVID-19 pandemic disrupted health systems, thereby negatively affecting the quality and availability of HIV care and support services. This study describes the challenges and treatment experiences of ALHIV on ART at a public primary healthcare facility in a low-socioeconomic community in Cape Town, South Africa during the COVID-19 pandemic. A qualitative photovoice study was conducted with 21 adolescents (aged 14–19 years; 13 females and 8 males). Participants shared pictures illustrating their experiences during the COVID-19 pandemic in groups. Group discussions were audio-recorded and transcribed in full and subjected to content analysis. Seven themes emerged describing ALHIV’s personal, social, and economic challenges, their means of coping, and feelings of vulnerability. Challenges included the loss of significant others, lack of social support and opportunities, experiences of HIV-related stigma and discrimination in the household, loneliness, and isolation. In spite of difficulties, some ALHIV displayed resilience by continuing their medication routines during lockdown periods. After the COVID-19 pandemic, there is a need for the restoration of the health system and services, including psychosocial support to re-engage ALHIV in care and treatment.

Suggested Citation

  • Yolanda Mayman & Talitha Crowley & Brian van Wyk, 2024. "Illustrations of Coping and Mental Well-Being of Adolescents Living with HIV in Cape Town, South Africa During COVID: A Photovoice Study," IJERPH, MDPI, vol. 21(11), pages 1-20, November.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:11:p:1517-:d:1521276
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    References listed on IDEAS

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    1. S. Brent Jackson & Kathryn T. Stevenson & Lincoln R. Larson & M. Nils Peterson & Erin Seekamp, 2021. "Outdoor Activity Participation Improves Adolescents’ Mental Health and Well-Being during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(5), pages 1-18, March.
    2. Giancarlo Lucchetti & Leonardo Garcia Góes & Stefani Garbulio Amaral & Gabriela Terzian Ganadjian & Isabelle Andrade & Paulo Othávio de Araújo Almeida & Victor Mendes do Carmo & Maria Elisa Gonzale, 2021. "Spirituality, religiosity and the mental health consequences of social isolation during Covid-19 pandemic," International Journal of Social Psychiatry, , vol. 67(6), pages 672-679, September.
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    Cited by:

    1. Federica Graziano & Federica Toppino & Lisa Vennettillo & Giovanni Abbate Daga & Deborah Concas & Giulia Mazzone & Paola Quarello & Guido Teghille & Giulia Zucchetti & Chiara Davico, 2025. "Promoting Youth Mental Wellbeing: A Photovoice Project with Adolescents and Young Adults in the Hospital Context," IJERPH, MDPI, vol. 22(4), pages 1-22, April.

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