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Sung-Jae Lee, PhD, Roger Detels, PhD, Mary Jane Rotheram-Borus, PhD and Naihua Duan, PhD

Sung-Jae Lee, Mary Jane Rotheram-Borus, and Naihua Duan are with the Center for Community Health, University of California, Los Angeles. Roger Detels is with the Department of Epidemiology, University of California, Los Angeles.

Correspondence: Requests for reprints should be sent to Sung-Jae Lee, University of California, Center for Community Health, 10920 Wilshire Blvd, Suite 350, Los Angeles, CA 90024. (e-mail: sjlee{at}mednet.ucla.edu).

Objectives. We examined the associations between social support and mental and behavioral outcomes among adolescents whose parents were infected with or died of HIV/AIDS.

Methods. Families (parents who were HIV infected and their adolescent children) were randomly assigned to a coping skills intervention or a standard care group. After completing the intervention, the parents and adolescents were assessed for 2 years.

Results. Adolescents who had more social support providers reported significantly lower levels of depression and fewer conduct problems; adolescents who had more negative influence from role models reported more behavior problems. Reductions in depression, multiple problem behaviors, and conduct problems were significantly associated with better social support.

Conclusions. Our findings underscore the complex relations between social support and mental and behavioral outcomes among adolescents affected by HIV/AIDS. Future prevention programs must focus on increasing social support to reduce negative outcomes among adolescents affected by HIV/AIDS as well as the need to reduce influence from negative role models.

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