The HIV testing experiences of adolescents in Ndola, Zambia: do families and friends matter?
The HIV testing experiences of adolescents in Ndola, Zambia: do families and friends matter?
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DOI：
10.1080/09540120701427498
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发表时间：
2008-01-01
影响因子：
1.7
通讯作者：
Sweat, M. D.
中科院分区：
文献类型：
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作者：
Denison, J. A.;Mccauley, A. P.;Sweat, M. D.
本研究探讨了青少年在决定是否接受艾滋病自愿咨询和检测（VCT）以及是否公开自己的艾滋病感染状况时，如何让家人、朋友和性伴侣参与其中。这项研究是基于对赞比亚恩多拉16至19奥尔兹的艾滋病毒感染者进行的40次定性深入访谈。研究结果表明：（a）几乎一半的青少年在寻求自愿咨询和检测之前会向家人寻求建议或批准;（B）家人或朋友的不赞成往往会阻止青少年参加自愿咨询和检测，直到他们找到支持他们的人;（c）被调查者经常独自或与朋友一起参加自愿咨询和检测，但很少与家人一起参加;和d）向家人和朋友披露是常见的，性伴侣不经常披露，与获得护理和支持服务无关。家庭成员需要获得关于自愿咨询和检验的信息，以便他们能够支持年轻人决定进行艾滋病毒检测和披露其艾滋病毒状况。这些结果强调了为青少年提供保密的自愿咨询和检验服务的必要性，以及制定和测试创新战略，向青少年、其家庭和性伴侣提供自愿咨询和检验信息和服务的必要性。
This study explored how adolescents involve their families, friends and sex partners when making decisions about seeking HIV voluntary counseling and testing (VCT) and disclosing their HIV-status. The study is based on 40 qualitative in-depth interviews with 16 to 19 year olds who knew their HIV status in Ndola, Zambia. The findings show that: a) almost half of the youth turned to family members for advice or approval prior to seeking VCT, b) a disapproving reaction from family members or friends often discouraged youth from attending VCT until they found someone supportive; c) informants often attended VCT alone or with a friend, but rarely with a family member; and d) disclosure was common to family and friends, infrequent to sex partners, and not linked to accessing care and support services. Family members need access to information on VCT so they can support young peoples' decisions to test for HIV and to disclose their HIV status. These results reinforce the need to provide confidential VCT services for adolescents and the need to develop and test innovative strategies to reach adolescents, their families and sex partners with VCT information and services.