Survey of children accessing HIV services in a high prevalence setting: time for adolescents to count?
Survey of children accessing HIV services in a high prevalence setting: time for adolescents to count?
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DOI：
10.2471/blt.09.066126
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发表时间：
2010-06-01
期刊：
影响因子：
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通讯作者：
Corbett, Elizabeth L
中科院分区：
文献类型：
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作者：
Ferrand, Rashida;Lowe, Sara;Corbett, Elizabeth L
目的建立青少年感染人类免疫缺陷病毒（HIV）的儿童中接受艾滋病毒的护理和支持的比例，以及诊所工作人员认为是艾滋病毒感染的儿童和青少年所面临的主要问题。在它，我们要求的儿童（年龄0-19岁）登记的护理年龄细分，并询问什么是年幼的儿童（0-5岁）和青少年（10-19岁）所面临的两个主要问题。在提供完整数据的98个（75%）中，登记了196032名患者，其中24958名（13%）为儿童。在接受艾滋病毒护理的儿童中，33%为0-4岁; 25%为5-9岁; 25%为10-14岁; 17%为15-19岁。工作人员强调指出，年幼儿童和青少年最常面临的问题各不相同。对于年龄较小的儿童来说，这些问题是营养不良和缺乏适当的药物（分别有46%和40%的诊所引用）;对于青少年，它们涉及心理社会问题和药物依从性差（56%和36%的人引用，）结论：针对津巴布韦接受艾滋病毒护理的大量青少年的干预措施需要针对心理社会问题和药物依从性差，工作人员是这个年龄组的主要关注点。
Objective To establish the proportion of adolescents among children infected with human immunodeficiency virus (HIV) in Zimbabwe who receive HIV care and support, and what clinic staff perceives to be the main problems faced by HIV-infected children and adolescents.Methods In July 2008, we sent a questionnaire to all 131 facilities providing HIV care in Zimbabwe. In it we requested an age breakdown of the children (aged 0-19 years) registered for care and asked what were the two major problems faced by younger children (0-5 years) and adolescents (10-19 years).Findings Nationally, 115 (88%) facilities responded. In 98 (75%) that provided complete data, 196 032 patients were registered and 24 958 (13%) of them were children. Of children under HIV care, 33% were aged 0-4 years; 25%, 5-9 years; 25%, 10-14 years; and 17%, 15-19 years. Staff highlighted differences in the problems most commonly faced by younger children and adolescents. For younger children, such problems were malnutrition and lack of appropriate drugs (cited by 46% and 40% of clinics, respectively); for adolescents they concerned psychosocial issues and poor drug adherence (cited by 56% and 36%, respectively).Conclusion Interventions for the large cohort of adolescents who are receiving HIV care in Zimbabwe need to target the psychosocial concerns and poor drug adherence reported by staff as being the main concerns in this age group.