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首页> 外文期刊>AIDS care. >Psychosocial challenges and protective influences for socio-emotional coping of HIV+ adolescents in South Africa: a qualitative investigation.
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Psychosocial challenges and protective influences for socio-emotional coping of HIV+ adolescents in South Africa: a qualitative investigation.

机译：南非HIV +青少年应对社会情绪的心理社会挑战和保护性影响：定性调查。

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INTRODUCTION: While the roll-out of antiretroviral therapy in South Africa should lead to a reduction in mother to child transmission, mortality and orphaning, it will also be accompanied by a large number of children entering adolescence and adulthood with a chronic infectious disease. Adolescence is a particularly vulnerable period for HIV-infected people in relation to mental health problems and engagement in high-risk behaviours, including non-compliance with medical treatment. The goal of this qualitative study was to develop an understanding of the psychosocial challenges as well as protective influences promoting socio-emotional coping in HIV+ adolescents in order to inform mental health promotion and HIV prevention programming for this population in South Africa. METHOD: In-depth qualitative interviews were conducted with HIV+ adolescents (25) and caregivers of HIV+ children (15) at a large HIV/AIDS Clinic in South Africa. Data were analysed thematically using NVivo8 software. RESULTS: Psycho-social challenges for adolescents included dealing with loss of biological parents in the case of orphans; coming to terms with their HIV+ status including identity difficulties; external stigma and discrimination; and disclosure difficulties. For caregivers, disclosure and lack of financial, family and social support emerged as key challenges. Medication, HIV information, a future orientation and social support was identified as important for coping and general well-being of adolescents, with financial and social support emerging as key for promoting supportive caregiving contexts. CONCLUSION: While HIV+ adolescents in South Africa experience similar concerns to those in high-income countries, socio-emotional coping may be compromised by increased levels of loss due to the late roll-out of ARVS and challenges to caregiving contexts including poverty, stigma and minimally supported foster care arrangements. There is a need for mental health promotion programmes for adolescents to adopt an ecological approach, strengthening protective influences at the individual, interpersonal, community and policy levels.
机译：简介：虽然在南非推出抗逆转录病毒疗法应减少母婴传播，死亡率和孤儿率，但同时还会伴随着大量儿童进入青春期和成年期并伴有慢性传染病。青春期是艾滋病毒感染者特别容易受到伤害的时期，涉及精神健康问题和参与高风险行为，包括不遵医治。这项定性研究的目的是加深对社会心理挑战的理解，以及对HIV +青少年促进社会情感应对的保护性影响，以便为南非这一人群提供心理健康促进和HIV预防规划。方法：在南非一家大型HIV / AIDS诊所对HIV +青少年（25）和HIV +儿童的照护者（15）进行了深入的定性访谈。使用NVivo8软件对数据进行了主题分析。结果：对青少年的心理社会挑战包括处理孤儿中失去亲生父母的问题;与他们的艾滋病毒+状况相适应，包括身份认同困难;外在的污名和歧视;和披露困难。对于看护人而言，公开信息以及缺乏经济，家庭和社会支持已成为主要挑战。药物，艾滋病毒的信息，未来的方向和社会支持被认为对应付青少年和总体福祉很重要，而财政和社会支持正在成为促进支持性照护环境的关键。结论：虽然南非的HIV +青少年与高收入国家的青少年类似，但由于ARVS推出较晚，以及因护理环境（包括贫困，耻辱感和提供最少支持的寄养服务安排。需要为青少年制定心理健康促进计划，以采用生态方法，加强在个人，人际关系，社区和政策层面的保护性影响。

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