{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:22:20Z","timestamp":1791210140675,"version":"4.1.0"},"reference-count":64,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,12,9]],"date-time":"2014-12-09T00:00:00Z","timestamp":1418083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      Informal family and community support deriving from social relations can play an important role in protecting mental and physical health in resource\u2010scarce contexts and may help facilitate health service access and uptake. Yet, to date, there has been surprisingly little empirical research investigating the role of social support as a resource for health in\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      \u2010affected\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      outhern\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      frican communities, despite the known importance of social connectedness, high rates of physical and mental health conditions, and existing \u2018treatment gaps\u2019.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This paper brings together and discusses findings of multiple linked analyses, from the first large\u2010scale explanatory sequential mixed methods research investigating the relationship between social support and health with caregiver populations in\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      \u2010endemic\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      outh\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      frica.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, findings highlight the protective role of social support for caregiver mental health, the multiple perceived psychological and behavioural mechanisms possibly explaining the relationship between social support and both mental and physical health, and gender differences in the provision, effects, and availability of support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Drawing from these findings and the broader literature, four potential foci for future research in\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      outhern\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      frica are identified and discussed, as are implications for research design and methodologies. These involve achieving a better understanding of the following: The pathways and processes explaining common and differential effects of social support across different population groups; the potential protective role of social support for physical health; and the role of factors such as gender and social and cultural norms in shaping the relationship between social support and health.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"box\" position=\"anchor\">\n                        <jats:caption>\n                          <jats:title>Statement of contribution<\/jats:title>\n                        <\/jats:caption>\n                        <jats:p>\n                          <jats:italic>\n                            <jats:bold>What is already known on this subject?<\/jats:bold>\n                          <\/jats:italic>\n                        <\/jats:p>\n                        <jats:p>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>Mental and physical health are closely related.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>\n                                <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                                increases the risk of mental health conditions.\n                              <\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Studies mainly from high\u2010income countries have shown social relations and support to be protective of health.<\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                        <jats:p>\n                          <jats:italic>\n                            <jats:bold>What does this study add?<\/jats:bold>\n                          <\/jats:italic>\n                        <\/jats:p>\n                        <jats:p>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>\n                                First mixed methods research of this dimension on social support and health in\n                                <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                                outhern\n                                <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                                frica.\n                              <\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>\n                                Highlights importance of social support for mental health among caregivers of children in\n                                <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                                \u2010endemic\n                                <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                                outh\n                                <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                                frica.\n                              <\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Points to biological and psychological pathways explaining the support\u2013health relationship in this sample.<\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                 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