Psychosexual development among HIV-positive adolescents in Abidjan, Cote d'Ivoire
Psychosexual development among HIV-positive adolescents in Abidjan, Cote d'Ivoire
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DOI：
10.1016/s0968-8080(04)23109-3
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发表时间：
2004-05-01
影响因子：
--
通讯作者：
Adjoua, MCC
中科院分区：
文献类型：
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作者：
Dago-Akribi, HA;Adjoua, MCC
大约84 000名感染艾滋病毒/艾滋病的儿童生活在科特迪瓦，他们几乎得不到治疗或心理帮助。2000年10月在阿比让发起了“国家艾滋病研究机构”的约普贡儿童方案。它为感染艾滋病毒的儿童提供服务，并为儿童及其父母提供心理咨询。本文介绍了该项目中11名女孩和8名男孩（年龄73-17岁）的HIV阳性青少年的性心理发展、与HIV有关的生理和性心理变化问题以及与父母的关系。这些信息是通过个人治疗、小组讨论和家庭支持会议收集的。身体发育对这些青少年来说非常重要，特别是那些还没有发展出第二性征的青少年，他们比同龄人矮，体重轻。那些没有达到青春期的人无法参加传统的仪式，并且担心他们是否能结婚或霍韦孩子。在大多数情况下，感染艾滋病毒的青少年是在没有发生性关系的情况下感染性传播病毒的。在艾滋病毒感染是一个秘密，不可能与同龄人谈论的情况下，他们需要支持来处理他们的性发育和性感觉，沿着医疗保健。(C)2004年生殖健康问题。All rights reserved.
Some 84,000 children with HIV/AIDS live in Cote d'Ivoire, where very little therapeutic or psychological help is available to them. The Yopougon Child Programme of the "Agence Nationale de Recherche sur le Sida" was launched in Abidjan in October 2000. It provides services for HIV-infected children and psychological consultations for children and their parents. This paper is about the psychosexual development of the HIV-positive adolescents in the Programme, 11 girls and 8 boys aged 73-17, their problems with HIV-related physiological and psychosexual changes, and relationships with their parents. The information was gathered in individual therapy sessions, group discussions and family support sessions. Bodily development was of major importance to these adolescents, particularly among those who had not yet developed secondary sexual characteristics and were shorter and weighed less than their peers. Those who hod not achieved puberty were unable to participate in traditional rituals and worried whether they could ever marry or hove children. In most cases, adolescents with HIV hove been infected by a sexually transmitted virus without having had sexual relations themselves. They need support dealing with their sexual development and sexual feelings, along with medical care, in a context in which HIV infection is a secret, impossible to talk about with their peers. (C) 2004 Reproductive Health Matters. All rights reserved.