Loneliness in South African youth and its association with HIV infection, substance use and mental health

Youth are susceptible to experiencing loneliness, which is associated with poor mental health and substance use. However, there are limited data from low-middle-income settings especially in youth living with HIV. This study investigated loneliness in South African youth and association with perinat...

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Main Authors: Gabriella N. Stein, Nicole Phillips, Mothabisi N. Nyathi, Jacqueline Hoare
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:International Journal of Adolescence and Youth
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/02673843.2025.2495877
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author Gabriella N. Stein
Nicole Phillips
Mothabisi N. Nyathi
Jacqueline Hoare
author_facet Gabriella N. Stein
Nicole Phillips
Mothabisi N. Nyathi
Jacqueline Hoare
author_sort Gabriella N. Stein
collection DOAJ
description Youth are susceptible to experiencing loneliness, which is associated with poor mental health and substance use. However, there are limited data from low-middle-income settings especially in youth living with HIV. This study investigated loneliness in South African youth and association with perinatal HIV infection (PHIV), mental health and substance use. A cross-sectional descriptive exploratory study of youth with PHIV and HIV negative youth aged 17–24 years was conducted measuring loneliness and associations with depression, anxiety, post-traumatic stress disorder (PTSD), trauma exposure, coping, resilience and substance use. Of 122 youth, a moderate to high degree of loneliness was found in 92.6%. Loneliness was associated with female sex, depression, anxiety, PTSD, negative coping, lower levels of resilience and exposure to trauma. Loneliness was not associated with PHIV or substance use. Given the high levels of loneliness, peer-based interventions for youth aimed at improving social support, depression and anxiety should be strengthened.
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spelling doaj-art-5823ab4785b142029df0de9a4ee0a22a2025-08-20T03:15:04ZengTaylor & Francis GroupInternational Journal of Adolescence and Youth0267-38432164-45272025-12-0130110.1080/02673843.2025.2495877Loneliness in South African youth and its association with HIV infection, substance use and mental healthGabriella N. Stein0Nicole Phillips1Mothabisi N. Nyathi2Jacqueline Hoare3Department of Psychiatry and Mental Health, Neuroscience Institute, University of Cape Town, Cape Town, South AfricaDepartment of Psychiatry and Mental Health, Neuroscience Institute, University of Cape Town, Cape Town, South AfricaDepartment of Paediatrics & Child Health and SA- MRC Unit on Child & Adolescent Health, University of Cape Town, Cape Town, South AfricaDepartment of Psychiatry and Mental Health, Neuroscience Institute, University of Cape Town, Cape Town, South AfricaYouth are susceptible to experiencing loneliness, which is associated with poor mental health and substance use. However, there are limited data from low-middle-income settings especially in youth living with HIV. This study investigated loneliness in South African youth and association with perinatal HIV infection (PHIV), mental health and substance use. A cross-sectional descriptive exploratory study of youth with PHIV and HIV negative youth aged 17–24 years was conducted measuring loneliness and associations with depression, anxiety, post-traumatic stress disorder (PTSD), trauma exposure, coping, resilience and substance use. Of 122 youth, a moderate to high degree of loneliness was found in 92.6%. Loneliness was associated with female sex, depression, anxiety, PTSD, negative coping, lower levels of resilience and exposure to trauma. Loneliness was not associated with PHIV or substance use. Given the high levels of loneliness, peer-based interventions for youth aimed at improving social support, depression and anxiety should be strengthened.https://www.tandfonline.com/doi/10.1080/02673843.2025.2495877Lonelinessmental healthsubstance useyouthHIVSouth Africa
spellingShingle Gabriella N. Stein
Nicole Phillips
Mothabisi N. Nyathi
Jacqueline Hoare
Loneliness in South African youth and its association with HIV infection, substance use and mental health
International Journal of Adolescence and Youth
Loneliness
mental health
substance use
youth
HIV
South Africa
title Loneliness in South African youth and its association with HIV infection, substance use and mental health
title_full Loneliness in South African youth and its association with HIV infection, substance use and mental health
title_fullStr Loneliness in South African youth and its association with HIV infection, substance use and mental health
title_full_unstemmed Loneliness in South African youth and its association with HIV infection, substance use and mental health
title_short Loneliness in South African youth and its association with HIV infection, substance use and mental health
title_sort loneliness in south african youth and its association with hiv infection substance use and mental health
topic Loneliness
mental health
substance use
youth
HIV
South Africa
url https://www.tandfonline.com/doi/10.1080/02673843.2025.2495877
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AT mothabisinnyathi lonelinessinsouthafricanyouthanditsassociationwithhivinfectionsubstanceuseandmentalhealth
AT jacquelinehoare lonelinessinsouthafricanyouthanditsassociationwithhivinfectionsubstanceuseandmentalhealth