Understanding health-related behavior among adolescents living with HIV in Lima, Peru

Autor: Maribel Muñoz, Emiliano Valle, Carly A. Rodriguez, Leonid Lecca, Jerome T Galea, Lenka Kolevic, Molly F. Franke, Milagros Wong
Rok vydání: 2019
Předmět:
0301 basic medicine
Data Analysis
Male
Sexual activity
medicine.medical_treatment
Health Behavior
Psychological intervention
Adolescent health
HIV Infections
Social Environment
law.invention
Condoms
0302 clinical medicine
law
Peru
030212 general & internal medicine
Misinformation
Child
Qualitative Research
Reproductive health
education.field_of_study
lcsh:RJ1-570
Age Factors
Self-Help Groups
Anti-Retroviral Agents
Female
Research Article
medicine.medical_specialty
Self Disclosure
Adolescent
Substance-Related Disorders
Sexual Behavior
Population
Support group
HIV Long-Term Survivors
Medication Adherence
03 medical and health sciences
Condom
medicine
Humans
Interpersonal Relations
education
business.industry
lcsh:Pediatrics
030112 virology
Sexual intercourse
Adolescent Behavior
Adherence
Family medicine
Pediatrics
Perinatology and Child Health
business
Zdroj: BMC Pediatrics
BMC Pediatrics, Vol 19, Iss 1, Pp 1-12 (2019)
ISSN: 1471-2431
Popis: Background The global HIV burden among adolescents ages 10–19 is growing. This population concurrently confronts the multifaceted challenges of adolescence and living with HIV. With the goal of informing future interventions tailored to this group, we assessed sexual activity, HIV diagnosis disclosure, combination antiretroviral therapy (cART) adherence, and drug use among adolescents living with HIV (ALHIV) in Lima, Peru. Methods Adolescents at risk or with a history of suboptimal cART adherence completed a self-administered, health behaviors survey and participated in support group sessions, which were audio recorded and used as a qualitative data source. Additionally, we conducted in-depth interviews with caregivers and care providers of ALHIV. Thematic content analysis was performed on the group transcripts and in-depth interviews and integrated with data from the survey to describe adolescents’ health related behaviors. Results We enrolled 34 ALHIV, of which 32 (14 male, 18 female, median age 14.5 years) completed the health behavior survey. Nine (28%) adolescents reported prior sexual intercourse, a minority of whom (44%) reported using a condom. cART adherence was highest in the 10–12 age group with 89% reporting ≤2 missed doses in the last month, compared to 36% in adolescents 13 years or older. Over 80% of adolescents had never disclosed their HIV status to a friend or romantic partner. Adolescents, caregivers, and health service providers described sexual health misinformation and difficulty having conversations about sexual health and HIV. Conclusions In this group of ALHIV, adherence to cART declined with age and condom use among sexually active adolescents was low. Multifactorial interventions addressing sexual health, gaps in HIV-related knowledge, and management of disclosure and romantic relationships are urgently needed for this population.
Databáze: OpenAIRE
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