{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T19:58:00Z","timestamp":1785700680171,"version":"3.56.0"},"reference-count":48,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center, of the National Institute of Alcohol Abuse and Alcoholism of the National Institutes of Health","doi-asserted-by":"publisher","award":["D43 TW011526"],"award-info":[{"award-number":["D43 TW011526"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Depression undermines adherence to antiretroviral therapy (ART) and is often under-recognized among adolescents living with HIV (ALHIV) in Ghana. We examined the prevalence, associated factors, and lived experiences of depressive symptoms among ALHIV in Accra.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional study with an embedded qualitative component at a tertiary hospital. Depressive symptoms were assessed using PHQ-A (score \u22655). Logistic regression identified associations with sociodemographic and clinical factors. In-depth interviews with adolescents screening positive and key informant interviews with healthcare providers were analyzed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 215 adolescents (mean age 14.1 years; 52.6% male), 9.3% reported depressive symptoms. ART duration &lt;1-year increased odds of depression (AOR 7.2; 95% CI 1.5\u201336.0). Participants described challenges with guardian-led disclosure, stigma and treatment burden. Counselling and peer support mitigated distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study found a low prevalence of depressive symptoms likely attributable to post-counselling exposure. Strengthening structured HIV disclosure could further reduce depression and improve outcomes among ALHIV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582261473482","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T19:26:21Z","timestamp":1785439581000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Correlates of Depressive Symptoms Among Adolescents Receiving Antiretroviral Therapy in Tema, Ghana: A Cross-Sectional Study"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9801-8808","authenticated-orcid":false,"given":"Mariama","family":"Abdulai","sequence":"first","affiliation":[{"name":"University of Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harriet","family":"Bonful","sequence":"additional","affiliation":[{"name":"University of Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7380-696X","authenticated-orcid":false,"given":"Ruby","family":"Hornuvo","sequence":"additional","affiliation":[{"name":"University of Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adolphina","family":"Addo-Lartey","sequence":"additional","affiliation":[{"name":"University of Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adote","family":"Anum","sequence":"additional","affiliation":[{"name":"University of Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elijah","family":"Paintsil","sequence":"additional","affiliation":[{"name":"Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronika","family":"Shabanova","sequence":"additional","affiliation":[{"name":"Yale School of Medicine"},{"name":"Yale School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12981-021-00351-1"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1392872"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.2147\/HIV.S299538"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0002448"},{"key":"e_1_3_8_6_2","volume-title":"Global HIV target setting for 2030: Global Task Team on 2030 targets recommendations","author":"UNAIDS","year":"2025","unstructured":"UNAIDS. 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