Family Support for Adolescent Girls and Young Women Living With HIV in Zambia: Benefits, Challenges, and Recommendations for Intervention Development.
Family Support for Adolescent Girls and Young Women Living With HIV in Zambia: Benefits, Challenges, and Recommendations for Intervention Development.
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赞比亚感染艾滋病毒的少女和年轻妇女的家庭支助：干预措施发展的好处、挑战和建议。
DOI：
10.1097/jnc.0000000000000225
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发表时间：
2021-03-01
期刊：
影响因子：
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通讯作者：
Subramanian S
中科院分区：
文献类型：
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作者：
Roberts ST;Edwards P;Mulenga D;Chelwa N;Nyblade L;Brander C;Musheke M;Mbizvo M;Subramanian S
缺乏家庭参与是少女和年轻女性 (AGYW) 坚持抗逆转录病毒治疗 (ART) 的障碍。本研究评估了家庭对 AGYW 参与艾滋病毒护理连续性的支持，为赞比亚卢萨卡的以家庭为中心的干预措施的设计提供信息。我们对 40 名 HIV 感染者进行了 16 次深度访谈和 4 次焦点小组讨论。确定了三项加强家庭支持的策略。首先，AGYW 高度重视情感和工具支持，应进一步发展或加强。其次，AGYW 希望家庭提供更多信息支持和关于艾滋病毒的公开讨论，干预措施应旨在加强这些类型的支持。第三，现有的评估支持加剧了 AGYW 中预期的耻辱并阻碍了披露，但参与者希望与艾滋病毒感染者有更多的互动。因此，应重新构建评估支持，以帮助 AGYW 决定应向谁披露信息，以及如何安全地披露信息。
Lack of family involvement is barrier to antiretroviral therapy (ART) adherence among adolescent girls and young women (AGYW). This study assessed family support for AGYW’s engagement along the HIV care continuum to inform the design of a family-focused intervention in Lusaka, Zambia. We conducted 16 in-depth interviews and four focus group discussions with 40 AGYW living with HIV. Three strategies were identified to strengthen family support. First, emotional and instrumental support are highly valued by AGYW and should be further developed or reinforced. Second, AGYW wanted more informational support and open discussion of HIV from family, and a intervention should aim to enhance these types of support. Third, existing appraisal support reinforced anticipated stigma among AGYW and discouraged disclosure, yet participants wished for more interactions with peers living with HIV. Appraisal support should therefore be reframed to help AGYW decide to whom they should disclose, and how to do so safely.