Connor P Bondarchuk, Tiffany Lemon, Elzette Rousseau, Siyaxolisa Sindelo, Andrew Medina-Marino, Nkosiyapha Sibanda, Lisa M Butler, Linda-Gail Bekker, Valerie A Earnshaw, Ingrid T Katz
{"title":"在新诊断为艾滋病毒感染者的南非青年中，患者-提供者关系在卫生知识普及和复原力之间起中介作用。","authors":"Connor P Bondarchuk, Tiffany Lemon, Elzette Rousseau, Siyaxolisa Sindelo, Andrew Medina-Marino, Nkosiyapha Sibanda, Lisa M Butler, Linda-Gail Bekker, Valerie A Earnshaw, Ingrid T Katz","doi":"10.1177/13591053251378301","DOIUrl":null,"url":null,"abstract":"<p><p>South African adolescents and young adults (AYAs) with HIV experience worse HIV-related clinical and psychological outcomes compared to older South Africans. Psychological resilience is protective against poorer outcomes, but little is known about disparities in psychological resilience among AYAs with HIV nor the mechanisms by which these differences arise. This study analyzed baseline data from a cohort of 100 AYA ages 18-24 years in Cape Town and Buffalo City. Mediation analyses revealed that high health literacy was associated with a more satisfactory patient-provider relationship, a more satisfactory patient-provider relationship was associated with a greater degree of psychological resilience, and the indirect effect of health literacy on psychological resilience was significant. These findings suggest that high health literacy and strong patient-provider relationships may be associated with greater psychological resilience among AYAs with HIV. By identifying these modifiable factors, this study highlights how public health interventions aimed at strengthening health literacy and the patient-provider relationship may enhance psychological resilience in this vulnerable population.</p>","PeriodicalId":51355,"journal":{"name":"Journal of Health Psychology","volume":" ","pages":"13591053251378301"},"PeriodicalIF":2.2000,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The patient-provider relationship mediates the relationship between health literacy and resilience in young South Africans newly diagnosed with HIV.\",\"authors\":\"Connor P Bondarchuk, Tiffany Lemon, Elzette Rousseau, Siyaxolisa Sindelo, Andrew Medina-Marino, Nkosiyapha Sibanda, Lisa M Butler, Linda-Gail Bekker, Valerie A Earnshaw, Ingrid T Katz\",\"doi\":\"10.1177/13591053251378301\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>South African adolescents and young adults (AYAs) with HIV experience worse HIV-related clinical and psychological outcomes compared to older South Africans. Psychological resilience is protective against poorer outcomes, but little is known about disparities in psychological resilience among AYAs with HIV nor the mechanisms by which these differences arise. This study analyzed baseline data from a cohort of 100 AYA ages 18-24 years in Cape Town and Buffalo City. Mediation analyses revealed that high health literacy was associated with a more satisfactory patient-provider relationship, a more satisfactory patient-provider relationship was associated with a greater degree of psychological resilience, and the indirect effect of health literacy on psychological resilience was significant. These findings suggest that high health literacy and strong patient-provider relationships may be associated with greater psychological resilience among AYAs with HIV. By identifying these modifiable factors, this study highlights how public health interventions aimed at strengthening health literacy and the patient-provider relationship may enhance psychological resilience in this vulnerable population.</p>\",\"PeriodicalId\":51355,\"journal\":{\"name\":\"Journal of Health Psychology\",\"volume\":\" \",\"pages\":\"13591053251378301\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-10-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Health Psychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1177/13591053251378301\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1177/13591053251378301","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
The patient-provider relationship mediates the relationship between health literacy and resilience in young South Africans newly diagnosed with HIV.
South African adolescents and young adults (AYAs) with HIV experience worse HIV-related clinical and psychological outcomes compared to older South Africans. Psychological resilience is protective against poorer outcomes, but little is known about disparities in psychological resilience among AYAs with HIV nor the mechanisms by which these differences arise. This study analyzed baseline data from a cohort of 100 AYA ages 18-24 years in Cape Town and Buffalo City. Mediation analyses revealed that high health literacy was associated with a more satisfactory patient-provider relationship, a more satisfactory patient-provider relationship was associated with a greater degree of psychological resilience, and the indirect effect of health literacy on psychological resilience was significant. These findings suggest that high health literacy and strong patient-provider relationships may be associated with greater psychological resilience among AYAs with HIV. By identifying these modifiable factors, this study highlights how public health interventions aimed at strengthening health literacy and the patient-provider relationship may enhance psychological resilience in this vulnerable population.
期刊介绍：
ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.
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