The intersection of abandonment, HIV-positive status and residential care for a group of perinatally infected adolescents.
Identifieur interne : 000128 ( Main/Exploration ); précédent : 000127; suivant : 000129The intersection of abandonment, HIV-positive status and residential care for a group of perinatally infected adolescents.
Auteurs : Jeanette Schmid [Afrique du Sud] ; Jenita Chiba [Afrique du Sud]Source :
- African journal of AIDS research : AJAR [ 1727-9445 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs socioéconomiques, Femelle, Grossesse, Groupes focalisés, Humains, Infections à VIH (psychologie), Infections à VIH (transmission), Infections à VIH (épidémiologie), Jeune adulte, Mâle, Recherche qualitative, Services de santé communautaires, Transmission verticale de maladie infectieuse.
- MESH :
- psychologie : Infections à VIH.
- épidémiologie : Infections à VIH.
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs socioéconomiques, Femelle, Grossesse, Groupes focalisés, Humains, Jeune adulte, Mâle, Recherche qualitative, Services de santé communautaires, Transmission verticale de maladie infectieuse.
English descriptors
- KwdEn :
- MESH :
- epidemiology : HIV Infections.
- psychology : HIV Infections.
- transmission : HIV Infections.
- Adolescent, Adult, Community Health Services, Female, Focus Groups, Humans, Infectious Disease Transmission, Vertical, Male, Middle Aged, Pregnancy, Qualitative Research, Socioeconomic Factors, Young Adult.
Abstract
Although anti-retroviral treatments have significantly reduced the incidence of mother-to-child transmission of HIV and AIDS, there remains, for the foreseeable future, a group of adolescents who have been perinatally infected. Noting the paucity of information regarding the impact of paediatric AIDS and its intersection with residential care, this paper investigates the lived realities of 20 South African adolescents who were vertically infected with HIV and AIDS, were abandoned, and have been raised in residential care. The exploratory study highlights that for these youth the dimensions of their adolescence, HIV-positive status and associated abandonment as well as life in residential care are mutually reinforcing and interconnected. Issues of race and class also interact with these social dimensions. Ultimately, these dimensions intersect to create a particular form of social exclusion. Intentional, critical intervention is required on the micro level to support these teens develop a coherent identity. On the meso level, the residential facility should actively facilitate community integration, particularly with the adolescents' communities (and where possible, families) of origin. Governments need to strengthen intersectoral, rights-based responses and in particular, address the consequences of cognitive impairment associated with perinatal transmission.
DOI: 10.2989/16085906.2017.1296476
PubMed: 28367745
Affiliations:
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qualifier="épidémiologie" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Community Health Services</term><term>Female</term><term>Focus Groups</term><term>Humans</term><term>Infectious Disease Transmission, Vertical</term><term>Male</term><term>Middle Aged</term><term>Pregnancy</term><term>Qualitative Research</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Grossesse</term><term>Groupes focalisés</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Recherche qualitative</term><term>Services de santé communautaires</term><term>Transmission verticale de maladie infectieuse</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although anti-retroviral treatments have significantly reduced the incidence of mother-to-child transmission of HIV and AIDS, there remains, for the foreseeable future, a group of adolescents who have been perinatally infected. Noting the paucity of information regarding the impact of paediatric AIDS and its intersection with residential care, this paper investigates the lived realities of 20 South African adolescents who were vertically infected with HIV and AIDS, were abandoned, and have been raised in residential care. The exploratory study highlights that for these youth the dimensions of their adolescence, HIV-positive status and associated abandonment as well as life in residential care are mutually reinforcing and interconnected. Issues of race and class also interact with these social dimensions. Ultimately, these dimensions intersect to create a particular form of social exclusion. Intentional, critical intervention is required on the micro level to support these teens develop a coherent identity. On the meso level, the residential facility should actively facilitate community integration, particularly with the adolescents' communities (and where possible, families) of origin. Governments need to strengthen intersectoral, rights-based responses and in particular, address the consequences of cognitive impairment associated with perinatal transmission.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li></country></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Schmid, Jeanette" sort="Schmid, Jeanette" uniqKey="Schmid J" first="Jeanette" last="Schmid">Jeanette Schmid</name></noRegion><name sortKey="Chiba, Jenita" sort="Chiba, Jenita" uniqKey="Chiba J" first="Jenita" last="Chiba">Jenita Chiba</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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