Caregiver self-efficacy to talk about sex predicts conversations about HIV transmission risk with perinatally infected young people in Zimbabwe.
Caregiver self-efficacy to talk about sex predicts conversations about HIV transmission risk with perinatally infected young people in Zimbabwe.
复制标题
DOI：
10.1080/09540121.2020.1724253
复制
发表时间：
2020-12
影响因子：
1.7
通讯作者：
Green, E. P.
中科院分区：
文献类型：
--
作者：
Langhaug, Lisa;Finnegan, A.;Schenk, K.;Puffer, E. S.;Rusakaniko, S.;Green, E. P.
关键词：
鉴于艾滋病毒护理和治疗方面的进展，围产期感染的年轻人可以活到青春期。这些年轻人正在决定是否参与性关系，确保他们拥有负责任地参与性活动所需的信息至关重要，特别是在坚持治疗可能使他们的病毒无法检测的时代。这项分析的主要目的是研究是否一个艾滋病毒阳性的年轻人的知识向前传播与照顾者自我效能谈论性和一般照顾者的沟通。利用津巴布韦农村地区9至15岁艾滋病毒阳性儿童接受抗逆转录病毒治疗和前抗逆转录病毒治疗的照顾者12个月前瞻性队列的数据，我们发现，照顾者谈论性的自我效能感预测了照顾者和年轻人之间是否会发生关于艾滋病毒传播的对话。然而，到12个月结束时，在我们的样本中，近三分之二的艾滋病毒阳性青少年的照顾者仍然没有解释他们的青少年如何将病毒传播给他人，尽管这些照顾者说他们的青少年应该在基线时知道这些信息。我们讨论了在围产期感染艾滋病毒的年轻人群体中设计性健康和生殖健康（SRH）计划的影响，以确保这一代突破性的人获得他们需要的SRH支持。
Given advances in care and treatment for HIV, perinatally infected young people are surviving into adolescence. These young people are making decisions about engaging in sexual relationships and it is critical to ensure they have the information they need to engage responsibly in sexual activity, particularly in an era where adherence to treatment could make their virus undetectable. The main objective of this analysis was to examine whether an HIV-positive young person’s knowledge about forward transmission is associated with caregiver self-efficacy to talk about sex and general caregiver communication. Using data from a 12-month prospective cohort of caregivers of HIV-positive children aged 9 to 15 on ART and pre-ART in rural Zimbabwe, we found that caregiver self-efficacy to talk about sex predicted whether conversations about HIV transmission would occur between caregiver and the young person. However, by the end of 12-months, nearly two-thirds of caregivers of HIV-positive teenagers in our sample had still not explained how their adolescents could spread the virus to others despite these caregivers saying their adolescent should know this information at baseline. We discuss the implications for designing sexual and reproductive health (SRH) programs among populations of young people perinatally infected with HIV to ensure that this breakthrough generation receives the SRH support they need.
登录
查看更多内容
影响因子：
1.7
作者：
Bhana A;Mellins CA;Petersen I;Alicea S;Myeza N;Holst H;Abrams E;John S;Chhagan M;Nestadt DF;Leu CS;McKay M
通讯作者：
McKay M
影响因子：
1.7
作者：
Marhefka SL;Green SM;Sharma V;Mellins CA
通讯作者：
Mellins CA
Regai dzive Shiri项目：针对青年进行HIV预防干预的随机试验结果。
DOI：
10.1097/qad.0b013e32833e77c9
发表时间：
2010-10-23
期刊：
AIDS (London, England)
影响因子：
--
作者：
Cowan FM;Pascoe SJ;Langhaug LF;Mavhu W;Chidiya S;Jaffar S;Mbizvo MT;Stephenson JM;Johnson AM;Power RM;Woelk G;Hayes RJ;Regai Dzive Shiri trial team
通讯作者：
Regai Dzive Shiri trial team
影响因子：
2.5
作者：
Mavhu W;Willis N;Mufuka J;Mangenah C;Mvududu K;Bernays S;Mangezi W;Apollo T;Araya R;Weiss HA;Cowan FM
通讯作者：
Cowan FM
影响因子：
3.7
作者：
Finnegan, Amy;Langhaug, Lisa;Green, Eric P.
通讯作者：
Green, Eric P.