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Self-harm in young people with perinatal HIV and HIV negative young people in England: cross sectional analysis.

Abstract：

BACKGROUND:Self-harm in adolescents is of growing concern internationally but limited evidence exists on the prevalence of self-harm in those living with HIV, who may be at higher risk of poor mental health outcomes. Therefore our aim was to determine the prevalence and predictors of self-harm among young people with perinatally-acquired HIV (PHIV) and HIV negative (with sibling or mother living with HIV) young people living in England. METHODS:303 PHIV and 100 HIV negative young people (aged 12-23 years) participating in the Adolescents and Adults Living with Perinatal HIV cohort study completed an anonymous self-harm questionnaire, as well as a number of standardised mental-health assessments. Logistic regression investigated predictors of self-harm. RESULTS:The median age was 16.7 years in both groups, and 40.9% of the PHIV and 31.0% of the HIV negative groups were male. In total 13.9% (56/403) reported having ever self-harmed, with no difference by HIV status (p = 0.089). Multivariable predictors of self-harm were female sex (adjusted odds ratio (AOR) 5.3, (95% confidence interval 1.9, 14.1), p = 0.001), lower self-esteem (AOR 0.9 (0.8, 0.9) per 1 point increase, p < 0.001) and having ever used alcohol (AOR 3.8 (1.8, 7.8), p < 0.001). Self-esteem z-scores for both PHIV and HIV negative participants were 1.9 standard deviations below the mean for population norms. CONCLUSIONS:Self-harm is common among PHIV and HIV negative adolescents in England. Reassuringly however, they do not appear to be at an increased risk compared to the general adolescent population (15-19% lifetime prevalence). The low level of self-esteem (compared to available normative data) in both groups is worrying and warrants further attention.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Copelyn J,Thompson LC,Le Prevost M,Castro H,Sturgeon K,Rowson K,Brice S,Foster C,Gibb DM,Judd A,Adolescents and Adults Living with Perinatal HIV (AALPHI) Steering Committee.

doi

10.1186/s12889-019-7424-7

subject

Has Abstract

pub_date

2019-08-27 00:00:00

pages

1165

issue

issn

1471-2458

pii

10.1186/s12889-019-7424-7

journal_volume

pub_type

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Self-harm in young people with perinatal HIV and HIV negative young people in England: cross sectional analysis.