Providers Caring for Adolescents with Perinatally-Acquired HIV: Current Practices and Barriers to Communication About Sexual and Reproductive Health
Providers Caring for Adolescents with Perinatally-Acquired HIV: Current Practices and Barriers to Communication About Sexual and Reproductive Health
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DOI：
10.1089/apc.2014.0162
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发表时间：
2014-11-01
影响因子：
4.9
通讯作者：
Fair, Cynthia D.
中科院分区：
文献类型：
--
作者：
Albright, Jamie N.;Fair, Cynthia D.
患有围产期获得性艾滋病毒（PHIV）的青少年和年轻成年人（AYA）人群对艾滋病毒医疗保健提供者（HHCP）提出了挑战。他们原本不指望能活过童年，现在却能很好地活到成年。HHCP向PHIV AYA提供的性和生殖（SRH）信息/服务类型知之甚少。HHCP（n=67）采用滚雪球抽样招募，并完成了在线调查。提供者与男女患者讨论的最常认可的性健康和生殖健康主题包括安全套使用（77.3%）、性病预防（73.1%）和筛查（62.1%）。提供者的报告表明，女性接受的关于性健康和生殖健康主题的教育总体上要多得多。最常见的性健康和生殖健康沟通障碍包括更紧迫的健康问题（53.0%），父母/监护人不接受（43.9%），以及预约期间缺乏时间（43.9%）。提供者报告的与卫生保健专业人员的性健康和生殖健康对话高度集中于横向传播和预防怀孕。* 促进艾滋病毒携带者性健康和生殖健康的突出社会方面（例如，管理披露和浪漫的关系）是不太常见的讨论，虽然这样的谈话可能有助于减少二次传播，并提高与PHIV的AYA的整体福祉。研究结果表明，必须做进一步的工作，以确定战略，以解决未满足的性健康和生殖健康需求的老年人口的AYA与PHIV。
The population of adolescents and young adults (AYA) with perinatally-acquired HIV (PHIV) present challenges to HIV healthcare providers (HHCPs). Originally not expected to survive childhood, they are now living well into young adulthood. Little is known about the type of sexual and reproductive (SRH) information/services offered to AYA with PHIV by HHCPs. HHCPs (n=67) were recruited using snowball sampling, and completed an online survey. Providers' most frequently endorsed SRH topics discussed with both male and female patients included condom use (77.3%), STD prevention (73.1%), and screening (62.1%). Providers' reports indicated that females received significantly more education about SRH topics overall. The most frequently noted barriers to SRH communication included more pressing health concerns (53.0%), parent/guardian not receptive (43.9%), and lack of time during appointment (43.9%). Provider-reported SRH conversations with HHCPs were highly focused on horizontal transmission and pregnancy prevention. Salient social aspects of SRH promotion for AYAs with PHIV (e.g., managing disclosure and romantic relationships) were less commonly discussed, though such conversations may serve to reduce secondary transmission and enhance the overall well-being of AYA with PHIV. Findings indicated that further work must be done to identify strategies to address unmet SRH needs of the aging population of AYA with PHIV.