Preliminary results from Hlanganani (Coming Together): A structured support group for HIV-infected adolescents piloted in Cape Town, South Africa

Snyder, Kate E.; Wallace, Melissa; Duby, Zoe; Aquino, Lisa D. H.; Stafford, Stephen; Hosek, Sybil; Futterman, Donna; Bekker, Linda‐Gail

doi:10.1016/j.childyouth.2014.03.027

Cited by 35 publications

(49 citation statements)

References 23 publications

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“…The three intervention studies which reported sampling data recruited through a combination of purposeful and convenience sampling at both the facility/community and individual levels [40–42]. …”

Section: Resultsmentioning

confidence: 99%

“…Three of the included intervention studies were individual-level randomised controlled trials [41,42,78] (Table 5), with one pre- and post-test experimental design study [40]. All interventions measured at least one high-risk sexual practice, with all measuring condom use or unprotected sex, three measuring number of sexual partners, and one measuring transactional sex.…”

Section: Resultsmentioning

confidence: 99%

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Sex in the shadow of HIV: A systematic review of prevalence, risk factors, and interventions to reduce sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa

et al. 2017

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BackgroundEvidence on sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa is urgently needed. This systematic review synthesizes the extant research on prevalence, factors associated with, and interventions to reduce sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa.MethodsStudies were located through electronic databases, grey literature, reference harvesting, and contact with researchers. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Quantitative studies that reported on HIV-positive participants (10–24 year olds), included data on at least one of eight outcomes (early sexual debut, inconsistent condom use, older partner, transactional sex, multiple sexual partners, sex while intoxicated, sexually transmitted infections, and pregnancy), and were conducted in sub-Saharan Africa were included. Two authors piloted all processes, screened studies, extracted data independently, and resolved any discrepancies. Due to variance in reported rates and factors associated with sexual risk-taking, meta-analyses were not conducted.Results610 potentially relevant titles/abstracts resulted in the full text review of 251 records. Forty-two records (n = 35 studies) reported one or multiple sexual practices for 13,536 HIV-positive adolescents/youth from 13 sub-Saharan African countries. Seventeen cross-sectional studies reported on individual, relationship, family, structural, and HIV-related factors associated with sexual risk-taking. However, the majority of the findings were inconsistent across studies, and most studies scored <50% in the quality checklist. Living with a partner, living alone, gender-based violence, food insecurity, and employment were correlated with increased sexual risk-taking, while knowledge of own HIV-positive status and accessing HIV support groups were associated with reduced sexual risk-taking. Of the four intervention studies (three RCTs), three evaluated group-based interventions, and one evaluated an individual-focused combination intervention. Three of the interventions were effective at reducing sexual risk-taking, with one reporting no difference between the intervention and control groups.ConclusionSexual risk-taking among HIV-positive adolescents and youth is high, with inconclusive evidence on potential determinants. Few known studies test secondary HIV-prevention interventions for HIV-positive youth. Effective and feasible low-cost interventions to reduce risk are urgently needed for this group.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Sex in the shadow of HIV: A systematic review of prevalence, risk factors, and interventions to reduce sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa

et al. 2017

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“…Table 1 presents descriptions of the 13 included interventions [29-42]. All 13 were conducted in sub-Saharan Africa: 7 in South Africa, 3 in Tanzania, and 1 each in Botswana, Cameroon, and Malawi.…”

Section: Resultsmentioning

confidence: 99%

“…Six interventions targeted HIV-infected adults, including newly diagnosed people living with HIV (PLHIV) [31, 33], HIV-infected women [29, 40], people initiating ART [39], and adults living with HIV generally [36, 38]. One intervention focused on HIV-infected youth [42]. …”

Section: Resultsmentioning

confidence: 99%

Increasing HIV serostatus disclosure in low and middle-income countries

Kennedy

Fonner

Armstrong

et al. 2015

Aids

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Objective To review the effectiveness of interventions to increase HIV serostatus disclosure in low- and middle-income countries. Design Systematic review of peer-reviewed articles providing pre-post or multi-arm evaluations of disclosure interventions, defined broadly as any intervention with the goal of increasing rates of voluntary disclosure of HIV serostatus through self-disclosure or partner notification. Methods Articles were included if they reported post-intervention evaluation results and were published between January 1, 1990 and August 1, 2014. Searching was conducted through 5 electronic databases, secondary searching of four journals, and hand searching reference lists of included articles. Systematic methods were used for screening and data abstraction, which was conducted in duplicate. Study quality (rigor) was assessed with eight items. Results Fourteen articles evaluating 13 interventions met the inclusion criteria, all from sub-Saharan Africa. Most interventions focused on people living with HIV and used cognitive-behavioral group sessions or peer/community health worker support to encourage disclosure to sexual partners, family members, or friends. One focused on maternal disclosure to HIV-uninfected children, while two examined voluntary partner notification interventions. Several studies had limitations due to weak designs, small sample sizes, or high attrition. Findings on disclosure were mixed, with most effect sizes being relatively small and some, more rigorous studies showing no effect. Partner notification interventions had the strongest evidence of impact. Conclusion The existing evidence base for interventions to increase disclosure is limited and shows variable results. Further research is needed to determine whether current approaches to increasing disclosure are effective or whether new approaches should be considered.

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“…Finally, many of these same programs (i.e., support groups) have been utilized to help PLWHA build skills to cope with living in a stigmatizing environment. In the Hlanganani intervention in South Africa, support group sessions focused on Bcoping and support skills^and included Brole play, relaxation exercises, interactive discussions, goal settings, and …cognitive behavioral tools…to facilitate… healthy behavior changes, social support, coping and disclosure [48].Î…”

Section: Interventions To Promote Social Normalizationmentioning

confidence: 99%

Understanding Sustained Retention in HIV/AIDS Care and Treatment: a Synthetic Review

et al. 2016

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Sustained retention represents an enduring and evolving challenge to HIV treatment programs in Africa. We present a theoretical framework for sustained retention borrowing from ecologic principles of sustainability and dynamic adaptation. We posit that sustained retention from the patient perspective is dependent on three foundational principles: (1) patient activation: the acceptance, prioritization, literacy, and skills to manage a chronic disease condition, (2) social normalization: the engagement of a social network and harnessing social capital to support care and treatment, and (3) livelihood routinization: the integration of care and treatment activities into livelihood priorities that may change over time. Using this framework, we highlight barriers specific to sustained retention and review interventions addressing long-term, sustained retention in HIV care with a focus on Sub-Saharan Africa.

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Preliminary results from Hlanganani (Coming Together): A structured support group for HIV-infected adolescents piloted in Cape Town, South Africa

Cited by 35 publications

References 23 publications

Sex in the shadow of HIV: A systematic review of prevalence, risk factors, and interventions to reduce sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa

Sex in the shadow of HIV: A systematic review of prevalence, risk factors, and interventions to reduce sexual risk-taking among HIV-positive adolescents and youth in sub-Saharan Africa

Increasing HIV serostatus disclosure in low and middle-income countries

Understanding Sustained Retention in HIV/AIDS Care and Treatment: a Synthetic Review

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