Journal of the International Association of Providers of AIDS Care最新文献_第2页

Patients' and Care Providers' Reported Barriers and Suggestions for Improving HIV Viral Load Testing in Tanzania: A Qualitative Study in Dar es Salaam. 坦桑尼亚患者和护理人员报告的障碍及改进 HIV 病毒载量检测的建议：达累斯萨拉姆定性研究》。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241273385

Peter M Karoli, Elizabeth H Shayo, Grace A Shayo, Zenais A Kiwale, Claudia A Hawkins, Sylvia F Kaaya, Lisa R Hirschhorn

{"title":"Patients' and Care Providers' Reported Barriers and Suggestions for Improving HIV Viral Load Testing in Tanzania: A Qualitative Study in Dar es Salaam.","authors":"Peter M Karoli, Elizabeth H Shayo, Grace A Shayo, Zenais A Kiwale, Claudia A Hawkins, Sylvia F Kaaya, Lisa R Hirschhorn","doi":"10.1177/23259582241273385","DOIUrl":"10.1177/23259582241273385","url":null,"abstract":"The study explores barriers and suggestions for improving viral load testing (VLT) uptake in Tanzania, revealing that only 58% of patients receive VLT annually, contrary to the Tanzanian National Guidelines toward the 95-95-95 UNAIDS targets. Twelve individual interviews and three patient-focus groups were conducted as part of a qualitative study conducted in six human immunodeficiency virus (HIV) clinics in Dar es Salaam to identify potential suggestions for access enhancement, as well as barriers to VLT uptake. Using King's theory of goal attainment, we found that missing appointments was the primary individual barrier to VLT uptake, along with limited knowledge among individuals living with HIV. Participants also face system-level barriers, such as a lack of integrated care and evening service availability. The study suggests that, despite challenges, there is potential for improvement in the uptake and quality of VLT services in Tanzanian public health facilities through a holistic approach.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241273385"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11368890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142004501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Findings From the Todurujo na Kadurok (Empowering Youth) HIV Self-Testing and Edutainment Comic Randomized Controlled Trial With Refugee Youth in a Humanitarian Setting in Uganda. 在乌干达人道主义环境中对难民青年开展的 "Todurujo na Kadurok（增强青年能力）HIV 病毒自我检测和寓教于乐漫画随机对照试验 "的结果。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241307057

Carmen H Logie, Miranda G Loutet, Moses Okumu, Frannie MacKenzie, Madelaine Coelho, Simon Odong Lukone, Nelson Kisubi, Aiman Malhi, Peter Kyambadde, Lawrence Mbuagbaw

{"title":"Findings From the Todurujo na Kadurok (Empowering Youth) HIV Self-Testing and Edutainment Comic Randomized Controlled Trial With Refugee Youth in a Humanitarian Setting in Uganda.","authors":"Carmen H Logie, Miranda G Loutet, Moses Okumu, Frannie MacKenzie, Madelaine Coelho, Simon Odong Lukone, Nelson Kisubi, Aiman Malhi, Peter Kyambadde, Lawrence Mbuagbaw","doi":"10.1177/23259582241307057","DOIUrl":"10.1177/23259582241307057","url":null,"abstract":"Introduction: Humanitarian settings are underserved by HIV self-testing (HIV-ST).Methods: We conducted a randomized controlled trial to evaluate the effectiveness of HIV-ST (Arm 1), HIV-ST alongside edutainment comics (Arm 2), and edutainment comics (Arm 3), compared with the standard of care (SOC), in increasing HIV testing with refugee youth aged 16-24 in the Bidi Bidi Refugee Settlement, Uganda. Intervention effects on HIV testing at 3-month follow-up (T2) were assessed using generalized estimating equation models alongside open-ended questions.Results: Retention was 98% (n = 117/120) at T2. In adjusted analyses compared with the SOC, HIV testing changes from baseline to T2 were highest in Arm 2 (adjusted odds ratio [aOR]: 8.46; 95% confidence interval [CI]: 2.87-24.97), followed by Arm 3 (aOR: 4.14; 95% CI: 1.58-10.87), with no significant differences in Arm 1.Conclusion: HIV self-testing is feasible for refugee youth in Uganda and can be supplemented with edutainment comics to advance HIV prevention efforts.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241307057"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Curable Sexually Transmitted Infections Among a Population of South African Nonhealth Seeking Men Who Have Sex With Men Who Were Invited for Screening-A Brief Report.

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241299468

Matshidiso Adelaide Malefo, Olalekan Abdulwahab Ayo-Yusuf, Mathildah Mpata Mokgatle

{"title":"Curable Sexually Transmitted Infections Among a Population of South African Nonhealth Seeking Men Who Have Sex With Men Who Were Invited for Screening-A Brief Report.","authors":"Matshidiso Adelaide Malefo, Olalekan Abdulwahab Ayo-Yusuf, Mathildah Mpata Mokgatle","doi":"10.1177/23259582241299468","DOIUrl":"10.1177/23259582241299468","url":null,"abstract":"Background: This study assessed sexually transmitted infection (STI) results among nonhealth-seeking men who have sex with men (MSM) who had not previously screened for curable STIs. Methods: Secondary data analysis of a sample of 164 MSM who were STI infection naïve was performed. Data were collected in the Clinical Research Unit (MeCRU) among the MSM in the Tshwane North area, South Africa. Results: Over half of the sample (58.5%; n = 96) were in casual relationships, 81.7% (n = 134) had reported testing for HIV in the previous 3 months, and 68.9% tested positive for STIs. Logistic regression revealed that the odds of a positive STI test result were significantly higher among those who had reportedly tested for HIV in the previous 3 months compared to those who had not (OR = 2.43; 95% CI = 1.06-5.69). Conclusion: The study revealed a high prevalence of STI among nonhealth seeking MSM and STI diagnosis was associated with having tested for HIV in the previous 3 months. It is, therefore, important to offer regular STIs screening services to the MSM community.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241299468"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142785943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adapting Cognitive Remediation Group Therapy Online: Focus Groups with People Aging with HIV. 在线调整认知矫正小组疗法：与艾滋病毒携带者的焦点小组。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241242703

Andrew D Eaton, Jenny Hui, Marvelous Muchenje, Taylor Kon, Kate Murzin, Soo Chan Carusone, Nuelle Novik, Adria Quigley, Kristina Kokorelias, Francisco Ibáñez-Carrasco

{"title":"Adapting Cognitive Remediation Group Therapy Online: Focus Groups with People Aging with HIV.","authors":"Andrew D Eaton, Jenny Hui, Marvelous Muchenje, Taylor Kon, Kate Murzin, Soo Chan Carusone, Nuelle Novik, Adria Quigley, Kristina Kokorelias, Francisco Ibáñez-Carrasco","doi":"10.1177/23259582241242703","DOIUrl":"10.1177/23259582241242703","url":null,"abstract":"Cognitive health is a significant concern for people aging with HIV/AIDS. Psychosocial group therapies may help people aging with HIV who experience cognitive challenges cope with their symptoms. The COVID-19 pandemic revealed in-person group therapies need adaptation for technology-mediated delivery. Peer-led focus groups discussed adapting cognitive remediation group therapy (CRGT) as an online intervention. CRGT combines mindfulness-based stress reduction and brain training activities. Purposive sampling recruited people aging with HIV (40+) who self-identified cognitive concerns and resided in one of two Canadian provinces. Thematic content analysis was employed on transcripts by seven independent coders. Ten, 2-hour focus groups were conducted between August and November 2022. Participants (n=45) responded favorably to CRGT's modalities. Alongside support for its continued implementation in-person, participants requested online synchronous and online asynchronous formats. Preferred intervention facilitators were peers and mental health professionals. We also discuss how to adapt psychosocial HIV therapies for technology-mediated delivery.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241242703"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10976509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Community-Based Organizations Responded to the Covid-19 Crisis to Maintain HIV Services Among Vulnerable Populations in Burundi, Mauritania, and Lebanon: Qualitative Results From the Multicountry EPIC Program. 在布隆迪、毛里塔尼亚和黎巴嫩，社区组织如何应对 Covid-19 危机，以维持为弱势人群提供的艾滋病服务：多国 EPIC 计划的定性结果。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241263686

Marion Di Ciaccio, Othmane Bourhaba, Cécile Khoury, Ayman Assi, Sara Abu Zaki, Nicolas Lorente, Juliana Castro Avila, Annabelle Niyongabo, Dévote Gakima, Aminata Diouh, Lucas Riegel, Amal Ben Moussa, Gabriel Girard, Mehdi Karkouri, Rosemary M Delabre, Daniela Rojas Castro

{"title":"How Community-Based Organizations Responded to the Covid-19 Crisis to Maintain HIV Services Among Vulnerable Populations in Burundi, Mauritania, and Lebanon: Qualitative Results From the Multicountry EPIC Program.","authors":"Marion Di Ciaccio, Othmane Bourhaba, Cécile Khoury, Ayman Assi, Sara Abu Zaki, Nicolas Lorente, Juliana Castro Avila, Annabelle Niyongabo, Dévote Gakima, Aminata Diouh, Lucas Riegel, Amal Ben Moussa, Gabriel Girard, Mehdi Karkouri, Rosemary M Delabre, Daniela Rojas Castro","doi":"10.1177/23259582241263686","DOIUrl":"10.1177/23259582241263686","url":null,"abstract":"Little is known about the adaption of community-based organizations (CBOs) during the COVID-19 crisis. This study aimed to study how HIV CBOs and their community health workers (CHWs) faced the COVID-19 outbreak. Semi-structured interviews (n = 53) were conducted among CHWs in Burundi, Mauritania, and Lebanon in 2021. A thematic content analysis was performed. Results showed that CBOs had succeeded in maintaining HIV services and integrated COVID-19 prevention and awareness in their activities. COVID-19 led to innovation in terms of HIV services (eg, telemedicine and online psychosocial support) and to opportunities to try new modalities of antiretroviral therapy dispensation. Field workers (a specific group among CHWs) were negatively impacted by the COVID-19 crisis and showed resilience in their adaptation to ensure the continuity of their activities. Considering the essential role of field workers during the crisis, their status and the sustainability of their activities should be clearly supported by health policies and programs.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241263686"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disclosure of HIV Status in Healthcare Settings: Practices and Considerations among Women Living with HIV/AIDS in Vietnam. 在医疗机构披露 HIV 感染状况：越南感染艾滋病毒/艾滋病的妇女的做法和考虑因素。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241277655

Thu Trang Nguyen, Dang Thi Huong, Lynn T Nguyen, Bich Diep Nguyen, Le Minh Giang, Chunqing Lin

{"title":"Disclosure of HIV Status in Healthcare Settings: Practices and Considerations among Women Living with HIV/AIDS in Vietnam.","authors":"Thu Trang Nguyen, Dang Thi Huong, Lynn T Nguyen, Bich Diep Nguyen, Le Minh Giang, Chunqing Lin","doi":"10.1177/23259582241277655","DOIUrl":"10.1177/23259582241277655","url":null,"abstract":"Objective: This study investigated women living with HIV/AIDS (WLHA)'s practices and decision-making regarding disclosure of HIV status in healthcare settings in Vietnam. Introduction: Disclosure of HIV status in healthcare settings is under-studied.Methods: We conducted in-depth interviews with 30 WLHA in Hanoi, Vietnam. Thematic analysis was conducted to investigate the patterns, considerations, and consequences of HIV disclosure. Results: Most participants chose a selective disclosure strategy based on the type of procedure and healthcare setting. They considered several factors: concerns about stigma/discrimination, risks of confidentiality breach, relevance to healthcare provision, and altruism towards protecting providers and other patients. Selective disclosure or non-disclosure often prevented participants from accessing comprehensive care. Conclusion: The study underscores the need to prepare WLHA to make informed decisions regarding disclosure and provide them with service navigations and support. It also highlights the necessity of reducing stigma and enhancing confidentiality protection to ensure safe disclosure in healthcare settings.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241277655"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HIV Self-Testing for Efficient PrEP Delivery Is Highly Acceptable and Feasible in Public Health HIV Clinics in Kenya: A Mixed Methods Study. 在肯尼亚的公共卫生 HIV 诊所中，为高效提供 PrEP 而进行 HIV 自我检测具有很高的可接受性和可行性：一项混合方法研究。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241274311

Vallery Ogello, Kenneth Ngure, Paul Mwangi, Emmah Owidi, Njeri Wairimu, Lydia Etyang, Margaret Mwangi, Dominic Mwangi, Simon Maina, Nelly Mugo, Kenneth Mugwanya

{"title":"HIV Self-Testing for Efficient PrEP Delivery Is Highly Acceptable and Feasible in Public Health HIV Clinics in Kenya: A Mixed Methods Study.","authors":"Vallery Ogello, Kenneth Ngure, Paul Mwangi, Emmah Owidi, Njeri Wairimu, Lydia Etyang, Margaret Mwangi, Dominic Mwangi, Simon Maina, Nelly Mugo, Kenneth Mugwanya","doi":"10.1177/23259582241274311","DOIUrl":"10.1177/23259582241274311","url":null,"abstract":"HIV self-testing (HIVST) has the potential to reduce barriers associated with clinic-based preexposure prophylaxis (PrEP) delivery. We conducted a substudy nested in a prospective, pilot implementation study evaluating patient-centered differentiated care services. Clients chose either a blood-based or oral fluid HIVST kit at the first refill visit. Data were abstracted from program files and surveys were administered to clients. We purposively sampled a subset of PrEP clients and their providers to participate in in-depth interviews. We surveyed (n = 285). A majority (269/285, 94%) reported HIV risk. Blood-based HIVST was perceived as easy to use (76/140, 54%), and (41/140, 29%) perceived it to be more accurate. Oral fluid-based HIVST was perceived to be easy to use (95/107, 89%), but almost all (106/107, 99%) perceived it as less accurate. HIVST improved privacy, reduced workload, and saved time. HIVST demonstrates the potential to streamline facility-based PrEP care in busy African public health facilities.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241274311"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lower PrEP Retention among Young and Black Clients Accessing PrEP at a Cluster of Safety Net Clinics for Gay and Bisexual Men. 在为男同性恋和双性恋男性开设的安全网诊所群中接受 PrEP 治疗的年轻人和黑人客户中，PrEP 的保留率较低。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241275857

Harsh Agarwal, Mark Erwin, Scott Lyles, Maria Esposito, Zunaid Ahsan

引用次数: 0

Sexual Practices and HIV Risk Perception Among Men Who Have Sex with Men in Brazil. 巴西男男性行为者的性行为和艾滋病风险认知。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241283196

Telma Maria Evangelista de Araújo, Fernanda Raquel Costa Chaves, Mônica Graziela França Uchôa de Oliveira, André Felipe de Castro Pereira Chaves, Yndiara Kássia da Cunha Soares, Paulo de Tarso Moura Borges, Saulo Evangelista Moura Borges, Vitor Monte de Castro Alencar, Emerson Lucas Silva Camargo, Isabel Amélia Costa Mendes, Álvaro Francisco Lopes de Sousa

{"title":"Sexual Practices and HIV Risk Perception Among Men Who Have Sex with Men in Brazil.","authors":"Telma Maria Evangelista de Araújo, Fernanda Raquel Costa Chaves, Mônica Graziela França Uchôa de Oliveira, André Felipe de Castro Pereira Chaves, Yndiara Kássia da Cunha Soares, Paulo de Tarso Moura Borges, Saulo Evangelista Moura Borges, Vitor Monte de Castro Alencar, Emerson Lucas Silva Camargo, Isabel Amélia Costa Mendes, Álvaro Francisco Lopes de Sousa","doi":"10.1177/23259582241283196","DOIUrl":"10.1177/23259582241283196","url":null,"abstract":"Objectives: To investigate sexual practices and HIV risk perception among MSM, identifying associated risk factors and determinants. Methods: A cross-sectional epidemiological study was conducted with 144 MSM in Teresina, Piauí, Brazil, using the snowball sampling technique. Participants were recruited via snowball sampling and underwent rapid HIV testing, in addition to completing questionnaires on sexual practices, risk perception, and illicit drug use. Results: The majority of participants showed an unsatisfactory perception of HIV risk. Factors associated with this perception include non-penetrative sex as an HIV preventive measure, which increased the chances of having an unsatisfactory risk perception by 1.45 times (P = .04), engaging with known HIV-positive individuals without knowledge of their viral load (ORa = 2.70; P = .043), and using illicit drugs before/during sex (ORa = 0.29; P = .048). Conclusions: The results indicate a high prevalence of risky sexual practices and an unsatisfactory HIV risk perception among the MSM studied.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241283196"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'You Are Always Worried and Have No Peace, You Cannot Be a Normal Adolescent': A Qualitative Study of the Effects of Mental Health Problems on the Social Functioning of Adolescents Living with HIV in Uganda. 你总是忧心忡忡，不得安宁，你不可能成为一个正常的青少年"：心理健康问题对乌干达感染艾滋病毒的青少年社会功能影响的定性研究》。

IF 2.2

Journal of the International Association of Providers of AIDS Care Pub Date : 2024-01-01 DOI: 10.1177/23259582241298166

Esther Kalule Nanfuka, Agatha Kafuko, Rita Nakanjako, James Thomas Ssenfuuma, David Kaawa-Mafigiri

{"title":"'You Are Always Worried and Have No Peace, You Cannot Be a Normal Adolescent': A Qualitative Study of the Effects of Mental Health Problems on the Social Functioning of Adolescents Living with HIV in Uganda.","authors":"Esther Kalule Nanfuka, Agatha Kafuko, Rita Nakanjako, James Thomas Ssenfuuma, David Kaawa-Mafigiri","doi":"10.1177/23259582241298166","DOIUrl":"10.1177/23259582241298166","url":null,"abstract":"Adolescents living with HIV (ALHIV) are at heightened risk of experiencing mental health problems. However, research on the impact of mental health problems on ALHIV's everyday life is scanty. This article explores the effects of anxiety, depression and suicidal behaviour on the social functioning of ALHIV in a low-resource setting. The three mental health conditions were screened using the Patient Health Questionnaire modified for adolescents (PHQ-A) and Screen for Child Anxiety Related Disorder (SCARED), while social functioning was defined by normative role expectations of adolescents in the study setting. We conducted in-depth interviews with 31 ALHIV receiving care at two hospitals in Central Uganda. Data were analysed using thematic analysis techniques. We found that mental health problems impair the social functioning of ALHIV by obstructing them from realising normative expectations of adolescents within their socio-cultural milieu, including academic excellence, maintaining amicable relationships and good physical health. In a context of scarcity, impaired social functioning has grave implications for ALHIV's physical, psychological and social and economic wellbeing and concomitantly HIV treatment outcomes in the immediate and long term. Integration of mental health into HIV care is imperative, if the global goal to end AIDS is to be achieved.","PeriodicalId":17328,"journal":{"name":"Journal of the International Association of Providers of AIDS Care","volume":"23 ","pages":"23259582241298166"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0