HIV-Related Knowledge, Attitudes, Behaviors and Experiences of Kenyan Adolescents Living with HIV Revealed in WhatsApp Group Chats

Chory, Ashley; Nyandiko, Winstone; Martin, Roxanne; Aluoch, Josephine; Scanlon, Michael; Ashimosi, Celestine; Njoroge, Tabitha; McAteer, Carole I.; Apondi, Edith; Vreeman, Rachel C.

doi:10.1177/2325958221999579

Cited by 20 publications

(28 citation statements)

References 48 publications

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“…On the other hand, participants often cited their schoolmates as perpetrators of anti-HIV stigma whose stigmatizing statements and discriminatory beliefs inform participant perceptions of the prevalence of stigma among this group and lead to very specific fears of vengeful disclosure and social isolation. 51 These findings are consistent with previous literature addressing the concerns of adults living with HIV, as well as parent-child dyads. 39 , 52 …”

Section: Discussionsupporting

confidence: 91%

A Qualitative Examination of Perceived Stigma and its Sources Among Adolescents Living With HIV in Western Kenya

Callen

Chory

Sang

et al. 2022

Global Pediatric Health

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Introduction. Adolescents (10-19 years) living with HIV (ALWH) face unique challenges in controlling HIV long-term, including stigma and perception of stigma within their communities. Methods. We conducted a qualitative investigation of the sources of perceived HIV-related stigma with ALWH in western Kenya. Forty-six ALWH on ART, aware of their status, and engaged in care were enrolled. Interviews explored perceived stigma by probing the individuals and experiences that adolescents identify as causing or perpetuating their ongoing fears. Results. Participants (54% male, mean age 17.4) reported ongoing fears of stigmatization related to friends and peers not living with HIV. They described previous enacted and first-hand observations of stigma, most often occurring in pre-adolescence, by age mates or peers at school as the most common cause for their ongoing fears. Conclusions. Perceived stigma is prevalent among ALWH and develops from experiences in pre-adolescence. Anti-HIV stigma interventions addressing educators and children in school settings to combat perceived stigma at its source should be investigated.

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Section: Discussionsupporting

confidence: 91%

A Qualitative Examination of Perceived Stigma and its Sources Among Adolescents Living With HIV in Western Kenya

Callen

Chory

Sang

et al. 2022

Global Pediatric Health

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“…Psychosocial needs (stigma and disclosure) dominated the health‐related needs expressed by ALHIV on ART and their caregivers. ALHIV struggle with stigma, including internalized stigma, provider‐based stigma and public stigma mostly experienced within school settings [ 51 , 52 ]. Schools are key social environments where most adolescents spend their time, yet ALHIV continue to report complex experiences within the classroom environment, including stigma from peers and teachers.…”

Section: Resultsmentioning

confidence: 99%

“…Schools are key social environments where most adolescents spend their time, yet ALHIV continue to report complex experiences within the classroom environment, including stigma from peers and teachers. This is mostly driven by teachers and the nature of the message they convey about HIV [ 52 ]. However, only two studies have been conducted in SSA on interventions to improve the knowledge, attitude and behaviour of teachers, and few school‐based stigma‐reduction interventions for children and adolescents [ 52 , 53 ].…”

Section: Resultsmentioning

confidence: 99%

Health‐related needs reported by adolescents living with HIV and receiving antiretroviral therapy in sub‐Saharan Africa: a systematic literature review

et al. 2022

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Introduction Adolescents living with HIV (ALHIV) on antiretroviral therapy (ART) have specific health needs that can be challenging to deliver. Sub‐Saharan Africa (SSA) is home to 84% of the global population of ALHIV, of whom about 59% receive ART. Several studies in SSA have demonstrated health service gaps due to lack of synchronized healthcare for ALHIV receiving ART. We conducted a systematic review of health‐related needs among ALHIV on ART in SSA to inform decisions and policies on care. Methods We searched MEDLINE, Web of Science, EMBASE, PsycINFO, Cochrane library and grey literature for studies reporting health‐related needs among ALHIV receiving ART in SSA, between January 2003 and May 2020. Results and discussion Of the 2333 potentially eligible articles identified, 32 were eligible. Eligible studies were published between 2008 and 2019, in 11 countries: Zambia (7), Uganda (6), Tanzania (4), South Africa (4), Kenya (3), Ghana (2), Zimbabwe (2), Rwanda (1), Malawi (1), Botswana (1) and Democratic Republic of Congo (1). Seven categories of health needs among ALHIV were identified. In descending order of occurrence, these were: psychosocial needs (stigma reduction, disclosure and privacy support, and difficulty accepting diagnosis); dependency of care (need for family and provider support, and desire for autonomy); self‐management needs (desire for better coping strategies, medication adherence support and reduced ART side effects); non‐responsive health services (non‐adolescent friendly facility services and non‐compatible school system); need for food, financial and material support; inadequate information about HIV (desire for more knowledge to fight misinformation and misconception); and developmental and growth needs (desire to experience sex, parenthood and love). Ecological analysis identified different priority needs between ALHIV, their caregivers and healthcare providers, including psychosocial needs, financial challenges and non‐responsive health services, respectively. Conclusions To respond effectively to the health needs of ALHIV and improve ART adherence, interventions should focus on stigma reduction, disclosure challenges and innovative coping mechanisms for ART. Interventions that address the health needs of ALHIV from the perspective of carers and providers, such as financial support schemes and adolescent‐friendly healthcare strategies, should supplement efforts to improve adolescent ART adherence outcomes.

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“…Research result by Chory et al, (2021) stated that the stigma arises because there is an incorrect gap in knowledge about HIV/ AIDS, including knowledge about transmission and prevention. In line with the research conducted Hidayah et al, (2018) the level of knowledge of adolescents about HIV/ AIDS in the good category was higher for girls than for boys.…”

Section: Resultsmentioning

confidence: 99%

“…It becomes a factor that affects the stigma against PLWHA. The existence of misunderstanding or ignorance about HIV impacts fears of PLHIV, resulting in some PLHIV keeping their health status secret (Chory et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Analisis AIDS Stigmation of Adolescents In Medan City

Siregar

2021

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AIDS is a disease that is still high in all parts of the world, including Indonesia. Gender is a factor in the occurrence of stigmatization in adolescents. This study aimed to determine the stigma factor for HIV/ AIDS among adolescents in Medan City. This research is a quantitative descriptive study using a cross-sectional study design with a quantitative approach. This research was conducted in Medan City conducted from August to December 2020. The data source in this study was primary data obtained from interviews. Collecting data by direct interviews using a structured questionnaire. Analysis of the data in this study using descriptive analysis and crosstab using the SPSS version 22 program. The results showed that as much54 girls do not want to swim in the same swimming pool as HIV/ AIDS, 55 girls do not want to eat/drink a plate with HIV/ AIDS, 46 girls do not want to use the toilet with HIV/ AIDS, 36 girls do not want to touch their skin with HIV/ AIDS. HIV/ AIDS, 52 teenagers do not want to sleep together with HIV/ AIDS, and 57 young women do not want to wear the same clothes as HIV/ AIDS. It was concluded that female adolescents are more likely to stigma on people living with HIV/ AIDS than male adolescents. It is necessary to carry out socialization and health education to adolescents to eliminate the stigmatization of HIV/ AIDS.

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HIV-Related Knowledge, Attitudes, Behaviors and Experiences of Kenyan Adolescents Living with HIV Revealed in WhatsApp Group Chats

Cited by 20 publications

References 48 publications

A Qualitative Examination of Perceived Stigma and its Sources Among Adolescents Living With HIV in Western Kenya

A Qualitative Examination of Perceived Stigma and its Sources Among Adolescents Living With HIV in Western Kenya

Health‐related needs reported by adolescents living with HIV and receiving antiretroviral therapy in sub‐Saharan Africa: a systematic literature review

Analisis AIDS Stigmation of Adolescents In Medan City

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