Psychosocial challenges and protective influences for socio-emotional coping of HIV+ adolescents in South Africa: a qualitative investigation.
Psychosocial challenges and protective influences for socio-emotional coping of HIV+ adolescents in South Africa: a qualitative investigation.
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DOI：
10.1080/09540121003623693
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发表时间：
2010-08
期刊：
影响因子：
1.7
通讯作者：
Mellins C
中科院分区：
文献类型：
--
作者：
Petersen I;Bhana A;Myeza N;Alicea S;John S;Holst H;McKay M;Mellins C
虽然抗逆转录病毒疗法在南非的推广应会导致母婴传播、死亡率和孤儿减少，但也将伴随着大量患有慢性传染病的儿童进入青春期和成年期。青春期是艾滋病毒感染者特别容易受到心理健康问题和从事高风险行为，包括不遵守医疗规定的时期。这项定性研究的目的是了解心理社会挑战以及促进艾滋病毒阳性青少年社会情绪应对的保护性影响，以便为南非这一人群的心理健康促进和艾滋病毒预防规划提供信息。在南非一家大型艾滋病毒/艾滋病诊所，对艾滋病毒阳性青少年（25人）和艾滋病毒阳性儿童的照顾者（15人）进行了深入的定性访谈。使用NVivo 8软件按主题分析数据。青少年面临的心理社会挑战包括：孤儿失去亲生父母;接受自己的艾滋病毒阳性状况，包括身份认同困难;外部污名化和歧视;以及披露困难。对照顾者来说，披露和缺乏财政、家庭和社会支持成为主要挑战。药物、艾滋病毒信息、未来方向和社会支持被认为对青少年的应对和总体福祉很重要，而财政和社会支持则是促进支持性教育环境的关键。虽然南非的艾滋病毒阳性青少年与高收入国家的青少年有着类似的担忧，但由于ARVS推出较晚，损失程度增加，以及贫困、耻辱和最低支持的寄养安排等挑战，社会情感应对可能会受到影响。青少年心理健康促进方案需要采取生态办法，在个人、人际、社区和政策各级加强保护性影响。
While the roll-out of ART in South Africa should lead to a reduction in mother to child transmission (MTCT), 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. 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. 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. 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 rollout 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.
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影响因子：
5.4
作者：
Carpiano, RM
通讯作者：
Carpiano, RM
影响因子：
3.8
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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DOI：
10.1080/09540120500456565
发表时间：
2006-04-01
影响因子：
1.7
作者：
Orner, P
通讯作者：
Orner, P
影响因子：
5.4
作者：
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通讯作者：
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