"They said "be careful'": sexual health communication sources and messages for adolescent girls living with perintally-acquired HIV infection.
"They said "be careful'": sexual health communication sources and messages for adolescent girls living with perintally-acquired HIV infection.
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DOI：
10.1080/09540121.2017.1300626
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发表时间：
2017-10
期刊：
影响因子：
1.7
通讯作者：
Mellins CA
中科院分区：
文献类型：
--
作者：
Marhefka SL;Green SM;Sharma V;Mellins CA
由于高效抗逆转录病毒疗法(HAART)的进步，美国“围产期获得艾滋病毒感染”(PHIV+)的儿童已大量进入青春期和成年期。随着青少年艾滋病毒携带者的性行为活跃，必须了解他们的性健康信息来源以及这些来源传达的信息，以保障他们及其伴侣的性健康。本研究探讨青春期少女HIV+与未经围产期感染HIV的青春期少女(−)的性健康沟通需求，以了解HIV感染如何影响前者的性健康沟通需求。30名(20名HIV+和10名HIV−，平均年龄14.5岁)女孩完成了调查，并参加了45-90分钟的适合发展的半结构化访谈。访谈的目的是了解这些女孩的性健康交流的来源、她们收到的性健康信息、她们对这些交流的舒适或不舒服，并确定她们的性健康交流经历与她们的艾滋病毒−同龄人有何不同。对访谈记录进行编码和分析，以确定与性健康交流来源、性健康交流信息和性健康交流来源的舒适/不适有关的主题。我们的研究结果表明，女孩HIV+和女孩PHIV−在性健康信息来源上没有显著差异，但女孩PHIV+最愿意从她们的健康提供者那里接受性健康信息，而女孩PHIV+从照顾者那里获得的舒适度更高。然而，Girls PHIV+报告从她们的提供者和照顾者那里收到的信息含糊其辞。女孩艾滋病毒+的提供者和照顾者都处于独特的地位，可以向青少年提供关于性行为和负责任的性决策的信息。一些照顾者和提供者可能需要培训，使他们做好准备，向艾滋病毒携带者女孩提供适当和准确的性健康信息。
Due to advances in highly active antiretroviral treatment (HAART), children “who perinatally acquired HIV infection” (PHIV+) in the United States have been reaching adolescence and adulthood in large numbers. As youth PHIV+ become sexually active it is important to understand their sources of sexual health information and the messages communicated by those sources to safeguard their sexual health and that of their partners. This paper explores sexual health communication for adolescent girls PHIV+ in comparison to adolescent girls who were exposed but did not acquire HIV perinatally (PHIV−) to understand how HIV infection influences the sexual health communication needs of the former. A convenience sample size of 30 (20 PHIV+ and 10 PHIV−, mean age 14.5) girls completed survey and participated in a 45–90 minute developmentally appropriate semi-structured interview. The interviews aimed to elicit the girls’ sources of sexual health communication, the sexual health messages they receive, their comfort or discomfort with these communications, and to determine how their sexual health communication experiences differ from those of their PHIV− peers. Transcripts of the interviews were coded and analyzed for themes related to sexual health communication sources, sexual health communication messages and comfort/discomfort with sexual health communication sources. Our findings suggest that girls PHIV+ do not differ significantly from Girls PHIV− in their sources of sexual health information, yet girls PHIV+ are most comfortable receiving sexual health information from their health providers, whereas for girls PHIV, the comfort is higher with caregivers. However, the messages Girls PHIV+ reported receiving from their providers and caregivers were vague. Both providers and caregivers of Girls PHIV+ are uniquely positioned to provide information to adolescents about sexuality and responsible sex decision-making. Some caregivers and providers may need training to prepare them to provide appropriate and accurate sexual health information to girls PHIV+.
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影响因子：
3.8
作者：
Dolezal, Curtis;Marhefka, Stephanie L.;Mellins, Claude Ann
通讯作者：
Mellins, Claude Ann
DOI：
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