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Direct and indirect effects of caregiver social support on adolescent psychological outcomes in two South African AIDS-affected communities

Abstract:
Caregiver social support has been shown to be protective for caregiver mental health, parenting and child psychosocial outcomes. This is the first known analysis to quantitatively investigate the relationship between caregiver social support and adolescent psychosocial outcomes in HIV-endemic, resource–scarce Southern African communities. A cross-sectional household survey was conducted over 2009–2010 with 2,477 South African adolescents aged 10–17 and their adult caregivers (18 years or older) in one urban and one rural community in South Africa’s KwaZulu-Natal province. Adolescent adjustment was assessed using adult caregiver reports of the Strengths and Difficulties questionnaire (SDQ), which measures peer problems, hyperactivity, conduct problems, emotional symptoms and child prosocial behavior. Hierarchical linear regressions and multiple mediation analyses, using bootstrapping procedures, were conducted to assess for: (a) direct effects of more caregiver social support on better adolescent psychosocial wellbeing; and (b) indirect effects mediated by better parenting and caregiver mental health. Direct associations (p < .001), and indirect associations mediated through better parenting, were found for all adolescent outcomes. Findings reinforce the importance of social support components within parenting interventions but also point to scope for positive intervention on adolescent psychosocial wellbeing through the broader family social network.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1007/s10464-015-9705-3

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Institution:
University of Oxford
Division:
SSD
Department:
Social Policy & Intervention
Role:
Author
More by this author
Institution:
University of Oxford
Division:
SSD
Department:
Social Policy & Intervention
Role:
Author


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Funder identifier:
https://ror.org/04qzfn040
Programme:
Health Economics and HIV/AIDS Research Division (HEARD)
More from this funder
Funder identifier:
https://ror.org/00xtpbs68
More from this funder
Funder identifier:
https://ror.org/05s0g1g46
More from this funder
Funder identifier:
https://ror.org/03n0ht308


Publisher:
Springer
Journal:
American Journal of Community Psychology More from this journal
Volume:
55
Issue:
3-4
Pages:
336-346
Publication date:
2015-01-27
DOI:
EISSN:
1573-2770
ISSN:
0091-0562


Language:
English
Keywords:
Pubs id:
pubs:506634
UUID:
uuid:09783d01-dbf8-4ddc-9f39-d5cddd4e3a58
Local pid:
pubs:506634
Source identifiers:
506634
Deposit date:
2015-10-28
ARK identifier:

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