Knowledge and disclosure of HIV status among adolescents and young adults attending an adolescent HIV clinic in Accra, Ghana.
Identifieur interne : 000095 ( PubMed/Curation ); précédent : 000094; suivant : 000096Knowledge and disclosure of HIV status among adolescents and young adults attending an adolescent HIV clinic in Accra, Ghana.
Auteurs : Ernest Kenu [Ghana] ; Adjoa Obo-Akwa ; Gladys B. Nuamah ; Anita Brefo ; Miriam Sam ; Margaret LarteySource :
- BMC research notes [ 1756-0500 ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Agents antiVIH (usage thérapeutique), Connaissances, attitudes et pratiques en santé, Divulgation (), Divulgation (éthique), Enquêtes de santé, Enquêtes et questionnaires, Femelle, Ghana, Humains, Infections à VIH (psychologie), Infections à VIH (traitement médicamenteux), Infections à VIH (virologie), Jeune adulte, Mâle, Observance du traitement médicamenteux (), Observance du traitement médicamenteux (psychologie), Partenaire sexuel (psychologie), Établissements de soins ambulatoires, Études transversales.
- MESH :
- psychologie : Infections à VIH, Observance du traitement médicamenteux, Partenaire sexuel.
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Agents antiVIH.
- virologie : Infections à VIH.
- éthique : Divulgation.
- Adolescent, Connaissances, attitudes et pratiques en santé, Divulgation, Enquêtes de santé, Enquêtes et questionnaires, Femelle, Ghana, Humains, Jeune adulte, Mâle, Observance du traitement médicamenteux, Établissements de soins ambulatoires, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adolescent, Ambulatory Care Facilities, Anti-HIV Agents (therapeutic use), Cross-Sectional Studies, Disclosure (ethics), Disclosure (statistics & numerical data), Female, Ghana, HIV Infections (drug therapy), HIV Infections (psychology), HIV Infections (virology), Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Male, Medication Adherence (psychology), Medication Adherence (statistics & numerical data), Sexual Partners (psychology), Surveys and Questionnaires, Young Adult.
- MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- geographic : Ghana.
- drug therapy : HIV Infections.
- ethics : Disclosure.
- psychology : HIV Infections, Medication Adherence, Sexual Partners.
- statistics & numerical data : Disclosure, Medication Adherence.
- virology : HIV Infections.
- Adolescent, Ambulatory Care Facilities, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Male, Surveys and Questionnaires, Young Adult.
Abstract
In Ghana it is estimated that 1.2% of HIV infections occur in young people aged 15-24 but the representation in our clinics is small. Adherence to treatment, appointment keeping and knowledge of HIV status remains a challenge. Disclosure has been shown to result in better adherence to therapy, good clinical outcomes, psychological adjustment and reduction in the risk of HIV transmission when the young person becomes sexually active. A baseline study was conducted to ascertain if adolescents and young adults knew their HIV status and their knowledge on HIV. Informed consent and assent were obtained from willing participants. Self-administered questionnaires on general knowledge of HIV, HIV treatment and disclosure were collected and analyzed.
DOI: 10.1186/1756-0500-7-844
PubMed: 25424862
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Adherence to treatment, appointment keeping and knowledge of HIV status remains a challenge. Disclosure has been shown to result in better adherence to therapy, good clinical outcomes, psychological adjustment and reduction in the risk of HIV transmission when the young person becomes sexually active. A baseline study was conducted to ascertain if adolescents and young adults knew their HIV status and their knowledge on HIV. Informed consent and assent were obtained from willing participants. Self-administered questionnaires on general knowledge of HIV, HIV treatment and disclosure were collected and analyzed.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25424862</PMID><DateCreated><Year>2014</Year><Month>12</Month><Day>03</Day></DateCreated><DateCompleted><Year>2016</Year><Month>03</Month><Day>07</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1756-0500</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><PubDate><Year>2014</Year><Month>Nov</Month><Day>26</Day></PubDate></JournalIssue><Title>BMC research notes</Title><ISOAbbreviation>BMC Res Notes</ISOAbbreviation></Journal><ArticleTitle>Knowledge and disclosure of HIV status among adolescents and young adults attending an adolescent HIV clinic in Accra, Ghana.</ArticleTitle><Pagination><MedlinePgn>844</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1756-0500-7-844</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In Ghana it is estimated that 1.2% of HIV infections occur in young people aged 15-24 but the representation in our clinics is small. Adherence to treatment, appointment keeping and knowledge of HIV status remains a challenge. Disclosure has been shown to result in better adherence to therapy, good clinical outcomes, psychological adjustment and reduction in the risk of HIV transmission when the young person becomes sexually active. A baseline study was conducted to ascertain if adolescents and young adults knew their HIV status and their knowledge on HIV. Informed consent and assent were obtained from willing participants. Self-administered questionnaires on general knowledge of HIV, HIV treatment and disclosure were collected and analyzed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty-four young persons participated in the study. The mean age was 16.9±SD 2.5 and 62% (21/32) were female. All of them were still in school. Eighty-five percent were aware that young people their age could fall sick, 91% had heard of HIV, 70% knew someone with HIV and 45% thought that adolescents were not at risk of HIV. On modes of HIV transmission, 66.7% knew HIV was transmitted through sex and 63.6% knew about mother to child transmission. Fifty three percent (18/34) knew their HIV status, 50% (17/34) were on antiretroviral and 35% (6/17) of them admitted to missing ARV doses. One person who said he was HIV negative and another who did not know his status were both on ARVs.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Disclosure of HIV status to adolescents and young people is dependent on a complex mix of factors and most practitioners recommend an age and developmentally appropriate disclosure. Thus it is highly individualized. The knowledge and awareness of HIV was 91% compared to 97% of adults in the most recent Ghana Demographic and Health Survey however only about two thirds had acceptable in depth knowledge on HIV. Only half knew their HIV status which was not the best considering their ages. There is the need to strengthen education to young persons with HIV, support adhere to ARVs for better outcomes and assist care givers to disclose HIV status to them.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kenu</LastName><ForeName>Ernest</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Korle-Bu Teaching Hospital, Accra, Ghana. Ernest_kenu@yahoo.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Obo-Akwa</LastName><ForeName>Adjoa</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Nuamah</LastName><ForeName>Gladys B</ForeName><Initials>GB</Initials></Author><Author ValidYN="Y"><LastName>Brefo</LastName><ForeName>Anita</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Sam</LastName><ForeName>Miriam</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Lartey</LastName><ForeName>Margaret</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>11</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Res Notes</MedlineTA><NlmUniqueID>101462768</NlmUniqueID><ISSNLinking>1756-0500</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D019380">Anti-HIV Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>AIDS Care. 2012;24(5):606-11</RefSource><PMID Version="1">22081975</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Pediatr Psychol. 2001 Sep;26(6):343-52</RefSource><PMID Version="1">11490035</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Care. 2011 Jul;23(7):873-9</RefSource><PMID Version="1">21400305</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Care. 2008 Aug;20(7):842-52</RefSource><PMID Version="1">18608054</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Res Treat. 2011;2011:595301</RefSource><PMID Version="1">21776378</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Patient Care STDS. 1999 Jan;13(1):41-5</RefSource><PMID Version="1">11362086</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Behav. 2006 Jul;10(4 Suppl):S85-93</RefSource><PMID Version="1">16791525</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2007 Nov 1;46(3):349-54</RefSource><PMID Version="1">17721397</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Patient Care STDS. 2010 Apr;24(4):247-56</RefSource><PMID Version="1">20397899</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Pediatrics. 1999 Jan;103(1):164-6</RefSource><PMID Version="1">9917458</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Child Care Health Dev. 2000 Jan;26(1):29-40</RefSource><PMID Version="1">10696516</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Care. 2007 Oct;19(9):1088-94</RefSource><PMID Version="1">18058392</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Expert Rev Anti Infect Ther. 2010 Dec;8(12):1403-16</RefSource><PMID Version="1">21133665</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000554" MajorTopicYN="N">Ambulatory Care Facilities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019380" MajorTopicYN="N">Anti-HIV Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D030881" MajorTopicYN="N">Disclosure</DescriptorName><QualifierName UI="Q000941" MajorTopicYN="N">ethics</QualifierName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="N">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055118" MajorTopicYN="N">Medication Adherence</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012747" MajorTopicYN="N">Sexual Partners</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC4256736</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate 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