In Sub-Saharan Africa,
increasing numbers of children with perinatally acquired HIV (PAHIV)
are living into adolescence. These adolescents face numerous unique challenges
such as parent illness/death and years of medication use. Optimizing care for
these youth requires an understanding of the factors that contribute to
physical health, psychological well-being, social relationships, and quality of
life (QOL).
This mixed methods study collected quantitative questionnaire data
from 40 Ghanaian adolescents with PAHIV (50% female, 12-19 years old) who
received care through an adolescent HIV clinic
in Kumasi, Ghana. The study also presents results from qualitative interviews
conducted with 20 adolescents.
Results from quantitative analyses suggested
that a significant number of participants were not virally suppressed (67%) and
participants reported barriers to treatment adherence, limited social support,
concerns about disclosure and HIV-related stigma, limited resources, and lower than expected
QOL.
Salient themes from the qualitative analyses included limited understanding of how HIV is transmitted, the interplay between food insecurity and treatment adherence and the need for developing safe relationships through which adolescents can discuss their illness without fear of accidental disclosure of their HIV status.
Salient themes from the qualitative analyses included limited understanding of how HIV is transmitted, the interplay between food insecurity and treatment adherence and the need for developing safe relationships through which adolescents can discuss their illness without fear of accidental disclosure of their HIV status.
Purchase full article at: http://goo.gl/8914bY
By:
- 1 Directorate of Child Health , Komfo Anokye Teaching Hospital , Kumasi , Ghana.
- 2 Department of Child Health , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.
- 3 Department of Psychiatry , Rhode Island Hospital , Providence , RI , USA.
- 4 Department of Psychiatry and Human Behavior , Alpert Medical School, Brown University , Providence , RI , USA.
- 5 Psychiatry Department , Komfo Anokye Teaching Hospital , Kumasi , Ghana.
- 6 Department of Behavioural Sciences , School of Medical Sciences, Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.
- 7 Directorate of Medicine , Komfo Anokye Teaching Hospital , Kumasi , Ghana.
- 8 Department of Medicine , Kwame Nkrumah University of Science and Technology , Kumasi , Ghana.
- 9i Department of Sociology , University of Ghana , Accra , Ghana.
- 10 Department of Medicine , The Miriam Hospital , Providence , RI , USA.
- 11 Department of Medicine , Alpert Medical School, Brown University , Providence , RI , USA.
- AIDS Care. 2016 Apr;28(4):460-4. doi: 10.1080/09540121.2015.1114997. Epub 2015 Dec 7.
More at: https://twitter.com/hiv insight
No comments:
Post a Comment