» Articles » PMID: 38075594

Not Everyone Can Afford an Apple a Day: Stigma and Food Insecurity in Rural South African Young Adults

Overview
Journal Afr J AIDS Res
Date 2023 Dec 11
PMID 38075594
Authors
Affiliations
Soon will be listed here.
Abstract

The HIV epidemic in South Africa has created a generation of orphaned and vulnerable children (OVCs). Little is known about the experiences of these "former" OVCs once they pass their 18th birthday. We conducted a qualitative study to understand the experiences of food insecurity for rural South African young adults. We conducted 20 in-depth interviews with 11 men and 9 women aged 18-25, and 2 focus group discussions. Many ate a single meal a day provided by the school feeding scheme or by friends. Despite this, nearly all participants emphasised the emotional and social, rather than the physical, tolls of food insecurity. These experiences of social shame predominantly stem from instrumental stigma - the perception within the broader community that because these former OVCs lived in relative poverty they would not be able to contribute to the web of community ties which function as a social safety net. Interventions designed to support former OVCs must focus on building social capital and supporting emotional resiliency in addition to providing material support.

Citing Articles

Association between sexual violence and depression is mediated by perceived social support among female university students in the kingdom of Eswatini.

Fielding-Miller R, McDougal L, Frost E, Masuku S, Shabalala F BMC Public Health. 2024; 24(1):2526.

PMID: 39289704 PMC: 11406860. DOI: 10.1186/s12889-024-20040-8.


Food Insecurity: A Barrier to Reproductive Justice Globally.

Fledderjohann J, Patterson S, Owino M Int J Sex Health. 2024; 35(2):296-311.

PMID: 38595861 PMC: 10903663. DOI: 10.1080/19317611.2023.2201841.


Economic Well-being and Associated Mediating Pathways to Improved Antiretroviral Therapy Adherence Among Adolescents Living With HIV: A Prospective Cohort Study in South Africa.

Steinert J, Shenderovich Y, Smith M, Zhou S, Toska E, Cluver L J Acquir Immune Defic Syndr. 2022; 91(4):343-352.

PMID: 35969470 PMC: 9592174. DOI: 10.1097/QAI.0000000000003071.


Normative vs personal attitudes toward persons with HIV, and the mediating role of perceived HIV stigma in rural Uganda.

Tsai A, Kakuhikire B, Perkins J, Downey J, Baguma C, Satinsky E J Glob Health. 2021; 11:04956.

PMID: 34552725 PMC: 8442577. DOI: 10.7189/jogh.11.04056.


Epidemiology of Campus Sexual Assault Among University Women in Eswatini.

Fielding-Miller R, Shabalala F, Masuku S, Raj A J Interpers Violence. 2019; 36(21-22):NP11238-NP11263.

PMID: 31738110 PMC: 7231640. DOI: 10.1177/0886260519888208.

References
1.
Anema A, Vogenthaler N, Frongillo E, Kadiyala S, Weiser S . Food insecurity and HIV/AIDS: current knowledge, gaps, and research priorities. Curr HIV/AIDS Rep. 2009; 6(4):224-31. PMC: 5917641. DOI: 10.1007/s11904-009-0030-z. View

2.
Cornish F, Priego-Hernandez J, Campbell C, Mburu G, McLean S . The impact of community mobilisation on HIV prevention in middle and low income countries: a systematic review and critique. AIDS Behav. 2014; 18(11):2110-34. PMC: 4196137. DOI: 10.1007/s10461-014-0748-5. View

3.
Pappin M, Marais L, Sharp C, Lenka M, Cloete J, Skinner D . Socio-economic status and socio-emotional health of orphans in South Africa. J Community Health. 2014; 40(1):92-102. DOI: 10.1007/s10900-014-9903-1. View

4.
Cluver L, Orkin M, Boyes M, Gardner F, Meinck F . Transactional sex amongst AIDS-orphaned and AIDS-affected adolescents predicted by abuse and extreme poverty. J Acquir Immune Defic Syndr. 2011; 58(3):336-43. DOI: 10.1097/QAI.0b013e31822f0d82. View

5.
Cluver L, Orkin M . Cumulative risk and AIDS-orphanhood: interactions of stigma, bullying and poverty on child mental health in South Africa. Soc Sci Med. 2009; 69(8):1186-93. DOI: 10.1016/j.socscimed.2009.07.033. View