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Disclosure of Their Status to Youth with Human Immunodeficiency Virus Infection in the Dominican Republic: A Mixed-Methods Study

机译:在多米尼加共和国向青年人感染人类免疫缺陷病毒的状态披露:混合方法研究

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摘要

A mixed-methods study was conducted to determine the proportion of HIV-infected children who knew their status, identify characteristics associated with children's knowledge of their status, and describe caregivers' and adolescents' experiences relevant to disclosure in the Dominican Republic (DR). Of 327 patients aged 6-18 years treated in the principal DR pediatric HIV facilities, 74 (22.6 %) knew their status. Patients aged 13 years or older and/or who had participated in non-clinical activities for HIV-infected children were more likely to know their status. Caregivers who had disclosed cited healthcare providers' advice, children's desire to know and concerns that children might initiate sexual activity before knowing or discover their status by accidental or malicious disclosure. Non-disclosing caregivers worried that children would be traumatized by disclosure and/or stigmatized if they revealed it to others. Adolescents supported disclosure by 10-12 years of age, considered withholding of children's HIV diagnosis ill-advised, and recommended a disclosure process focused initially on promoting non-stigmatizing attitudes about HIV.
机译:进行了混合方法研究,以确定知道自己状况的HIV感染儿童的比例,确定与他们的状况知识相关的特征,并描述多米尼加共和国(DR)的照护者和青少年的经历。在主要的DR小儿HIV设施中接受治疗的327位6-18岁的患者中,有74位(22.6%)知道他们的状况。 13岁或13岁以上和/或参加了针对HIV感染儿童的非临床活动的患者更有可能了解其状况。披露了照料者的照料者引用了医护人员的建议,孩子的了解愿望以及担心孩子可能在通过意外或恶意披露了解或发现自己的状态之前发起性行为。不公开的照顾者担心,如果儿童向他人透露,他们会因披露而受到伤害和/或受到侮辱。青少年支持在10到12岁时进行披露,认为不建议对儿童进行HIV诊断,因此建议其披露过程最初应侧重于培养对HIV的非污名化态度。

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