Effective Approaches for Programming to Reduce Adolescent Vulnerability to HIV Infection, HIV Risk, and HIV-Related Morbidity and Mortality

Napierala, Sue; Luecke, Ellen; Ross, David A.

doi:10.1097/qai.0000000000000178

Cited by 77 publications

(57 citation statements)

References 55 publications

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“…Yet, young people who have access to care face a host of complex challenges . Existing literature covers the scale of adherence problems in this population (Kim et al 2014;Hudelson and Cluver 2015), interventions to address these (Mavedzenge et al 2014), and caregivers' views about managing young people's knowledge about their HIV status and their adherence to medication (Vreeman et al 2013). Much less is known about young people's own perspectives about growing up with HIV and on ART.…”

mentioning

confidence: 99%

“Not Taking it Will Just be Like a Sin”: Young People Living with HIV and the Stigmatization of Less-Than-Perfect Adherence to Antiretroviral Therapy

Bernays

Paparini

Seeley

et al. 2017

Medical Anthropology

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mentioning

confidence: 99%

“Not Taking it Will Just be Like a Sin”: Young People Living with HIV and the Stigmatization of Less-Than-Perfect Adherence to Antiretroviral Therapy

Bernays

Paparini

Seeley

et al. 2017

Medical Anthropology

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“…A qualitative study among South African youth (12–24 years) revealed that they felt clinic staff provided inappropriate HIV-testing services for youth [26]. A systematic review of effective approaches to reducing HIV risk among adolescents suggested making health services more youth oriented (including accessible hours, privacy, and staff trained specifically to work with adolescents) [27]. In addition, youth-friendly services may link adolescents to a variety of other adolescent health services [28,29].…”

Section: Discussionmentioning

confidence: 99%

Voluntary medical male circumcision among adolescents

Kaufman

Dam

Lith

et al. 2017

Aids

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Objective:Voluntary medical male circumcision (VMMC) is one of the first opportunities for adolescent males in African countries to interact with the healthcare system. This study explored the approaches used during adolescent VMMC counseling and whether these strategies maximize broader HIV prevention opportunities.Methods:Qualitative interviews were conducted with 92 VMMC clients ages 10–19 years in South Africa (n = 36), Tanzania (n = 36), and Zimbabwe (n = 20) and 33 VMMC providers across the three countries. Discussions explored HIV prevention counseling, testing, and disclosure of results. Audio recordings were transcribed, translated into English, and coded thematically by two individuals.Results:Male adolescents in all three countries reported that limited information was provided about HIV prevention and care, and adolescents were rarely provided condoms. Although VMMC protocols require opt-out HIV testing, adolescents recounted having blood taken without knowing the purpose, not receiving results, nor completely understanding the link between VMMC and HIV. Most males interviewed assumed they had tested negative because they were subsequently circumcised without knowing test results. Providers reported spending little time talking about HIV prevention, including condom use. They admitted that younger adolescent clients often receive little information if assumed they are not sexually active or too young to understand and instead discussed nonsexually transmitted routes of HIV.Conclusion:In the sites of the three countries studied, HIV prevention and care messages were inconsistent and sometimes totally absent from VMMC counseling sessions. VMMC appears to be a missed opportunity to engage in further HIV prevention and care with adolescents.

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“…The majority of successful HIV/STI prevention interventions are based on cognitive and behavioral determinants of sexual risk (Mavedzenge, Luecke, & Ross, 2014). These models may not adequately address the risk mechanisms of adolescents who have psychiatric, cognitive, behavioral, and/or emotional deficits.…”

Section: Hiv/sti Prevention Interventions For Adolescents With Mentalmentioning

confidence: 99%

“…Through rigorous randomized controlled trials, investigators can design and disseminate manualized curricula for comprehensive HIV/STI risk assessment and prevention programs to be delivered in mental health treatment settings. While proven effective programs are available for the general adolescent population, challenges remain in identifying the best ways to help them access these services (Mavedzenge et al, 2014). A variety of inpatient and outpatient treatment settings—including residential treatment programs and day programs—can be targeted to engage youth currently receiving mental health treatment and address their unmet sexual health needs.…”

Section: Integrating Hiv and Mental Health Services For Hiv Preventionmentioning

confidence: 99%

Addressing Unmet Sexual Health Needs among Black Adolescents with Mental Illnesses

Brawner

Fannin

Reason

et al. 2016

Journal of Black Sexuality and Relationships

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Despite advances in HIV epidemiologic and prevention research, adolescents with mental illnesses remain a historically underserved group with respect to human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention resources. Black adolescents with mental illnesses in particular are a relatively underserved, hidden population in the field of sexual health. Strategies and guidelines are needed to account for underlying psychopathology among Black adolescents with mental illnesses in ways that current models have yet to address. In this paper, we propose several actionable mechanisms to better integrate HIV/STI and mental health related services and activities for sexual health promotion.

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Effective Approaches for Programming to Reduce Adolescent Vulnerability to HIV Infection, HIV Risk, and HIV-Related Morbidity and Mortality

Abstract: These priority interventions with proven effectiveness should be included in all HIV prevention programming for adolescents. There is a pressing need for more rigorous research on how best to enable adolescents to access these effective interventions.

Cited by 77 publications

References 55 publications

“Not Taking it Will Just be Like a Sin”: Young People Living with HIV and the Stigmatization of Less-Than-Perfect Adherence to Antiretroviral Therapy

“Not Taking it Will Just be Like a Sin”: Young People Living with HIV and the Stigmatization of Less-Than-Perfect Adherence to Antiretroviral Therapy

Voluntary medical male circumcision among adolescents

Addressing Unmet Sexual Health Needs among Black Adolescents with Mental Illnesses

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