"I have grown up controlling myself a lot." Fear and misconceptions about sex among adolescents vertically-infected with HIV in Tanzania
"I have grown up controlling myself a lot." Fear and misconceptions about sex among adolescents vertically-infected with HIV in Tanzania
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DOI：
10.1016/s0968-8080(13)41689-0
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发表时间：
2013-05-01
影响因子：
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通讯作者：
Oliveras, Elizabeth
中科院分区：
文献类型：
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作者：
Busza, Joanna;Besana, Giulia V. R.;Oliveras, Elizabeth
随着整个非洲获得艾滋病毒治疗的机会增加，一代艾滋病毒阳性儿童正在向成年过渡，同时患有需要终身药物治疗的慢性疾病，这可能会加剧青春期的焦虑。这项定性研究探讨了坦桑尼亚感染艾滋病毒的青少年如何体验他们初生的性行为，作为家庭护理方案评估的一部分。我们采访了14名15-19岁的围产期感染艾滋病毒的青少年，10名他们的父母或其他主要照顾者，以及12名提供支持、实用建议和转介到临床服务的志愿家庭护理提供者。青少年对他们的性行为表示不安，担心鉴于他们的艾滋病毒状况，性和关系是不适当和危险的。他们担心必须向伴侣透露自己的状况，担心感染他人的风险，也担心自己的健康。因此，许多人预期无限期推迟或避免性生活。护理人员和以家庭为基础的护理提供者强化了对性活动的负面看法，部分原因是对艾滋病毒性行为有害影响的普遍误解。青少年获得准确的信息、适当的指导或全面的生殖健康服务的机会有限，而且在开始性关系时，他们的需求很可能得不到满足。护理规划可以通过促进青少年与其照顾者、提供者和艾滋病毒阳性同龄人之间关于性的公开交流，帮助缩小这一差距。(C) 2013年生殖健康事项
With increased access to HIV treatment throughout Africa, a generation of HIV positive children is now transitioning to adulthood while living with a chronic condition requiring lifelong medication, which can amplify the anxieties of adolescence. This qualitative study explored how adolescents in Tanzania with HIV experience their nascent sexuality, as part of an evaluation of a home-based care programme. We interviewed 14 adolescents aged 15-19 who had acquired HIV perinatally, 10 of their parents or other primary caregivers, and 12 volunteer home-based care providers who provided support, practical advice, and referrals to clinical services. Adolescents expressed unease about their sexuality, fearing that sex and relationships were inappropriate and hazardous, given their HIV status. They worried about having to disclose their status to partners, the risks of infecting others and for their own health. Thus, many anticipated postponing or avoiding sex indefinitely. Caregivers and home-based care providers reinforced negative views of sexual activity, partly due to prevailing misconceptions about the harmful effects of sex with HIV. The adolescents had restricted access to accurate information, appropriate guidance, or comprehensive reproductive health services and were likely to experience significant unmet need as they initiated sexual relationships. Care programmes could help to reduce this gap by facilitating open communication about sexuality between adolescents and their caregivers, providers, and HIV-positive peers. (C) 2013 Reproductive Health Matters