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Positive futures: a qualitative study on the needs of adolescents on antiretroviral therapy in South Africa.

机译:积极的未来:南非青少年对抗逆转录病毒疗法需求的定性研究。

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摘要

With the increasing availability of highly active antiretroviral therapy, vertically infected children have a better chance of surviving into adolescence and adulthood. Additionally, sexual transmission of human immunodeficiency virus (HIV) remains a problem, and incidence and prevalence among youth remain high. Therefore, HIV-infected adolescents are becoming a more prominent sub-group in the HIV/AIDS epidemic. Experience from the developed world indicates that providing effective care and treatment for adolescents poses unique challenges. This study aimed to identify the experiences and needs of adolescents growing up in care or on treatment for HIV in Cape Town, South Africa. Four focus groups interviews were conducted with a total of 26 young people attending an adolescent infectious diseases clinic at a tertiary hospital. Questions explored participant's perceptions on their present and future lives, and their self-identified needs. Focus groups revealed that adolescents viewed their illness negatively, but that social issues such as violence and poverty were also concerns. Despite these stressors, most respondents remained positive about the present and future, and wanted support for achieving their goals. As increasing numbers of HIV-infected children enter adolescence, healthcare providers and communities must find ways to support these young people to transition into adulthood.
机译:随着高活性抗逆转录病毒疗法的日益普及,垂直感染的儿童更有机会存活到青春期和成年期。另外,人类免疫缺陷病毒(HIV)的性传播仍然是一个问题,年轻人中的发病率和患病率仍然很高。因此,感染艾滋病毒的青少年正成为艾滋病毒/艾滋病流行中更为突出的亚组。发达国家的经验表明,为青少年提供有效的照料和治疗带来了独特的挑战。这项研究旨在确定在南非开普敦的青少年在艾滋病毒的护理或治疗中成长的经验和需求。进行了四个焦点小组访谈,对总共26名年轻人在三级医院的青少年传染病诊所进行了访谈。问题探究参与者对他们现在和未来生活的看法,以及他们自我确定的需求。焦点小组透露,青少年对疾病的看法是负面的,但暴力和贫困等社会问题也令人担忧。尽管有这些压力,大多数受访者仍对当前和未来保持乐观,并希望获得支持以实现其目标。随着越来越多的艾滋病毒感染儿童进入青春期,医疗保健提供者和社区必须找到方法来支持这些年轻人过渡到成年。

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