Adherence to antiretroviral therapy, stigma and behavioral risk factors in HIV-infected adolescents in Asia

被引:15
作者
Prasitsuebsai, Wasana [1 ]
Sethaputra, Chuenkamol [2 ]
Lumbiganon, Pagakrong [3 ]
Hansudewechakul, Rawiwan [4 ]
Chokephaibulkit, Kulkanya [5 ]
Khanh Huu Truong [6 ]
Lam Van Nguyen [7 ]
Razali, Kamarul Azahar Mohd [8 ]
Yusoff, Nik Khairulddin Nik [9 ]
Fong, Moy Siew [10 ]
Teeraananchai, Sirinya [1 ]
Ananworanich, Jintanat [11 ,12 ,13 ,14 ]
Durier, Nicolas [2 ,15 ]
机构
[1] Thai Red Cross AIDS Res Ctr, HIV Netherlands Australia Thailand Res Collaborat, Bangkok, Thailand
[2] TREAT Asia AmfAR, 388 Sukhumvit Rd,Suite 2104, Bangkok 10110, Klongtoey, Thailand
[3] Khon Kaen Univ, Srinagarind Hosp, Fac Med, Khon Kaen, Thailand
[4] Chiangrai Prachanukroh Hosp, Chiang Rai, Thailand
[5] Mahidol Univ, Fac Med, Siriraj Hosp, Bangkok, Thailand
[6] Childrens Hosp 1, Ho Chi Minh City, Vietnam
[7] Natl Hosp Pediat, Hanoi, Vietnam
[8] Hosp Kuala Lumpur, Inst Pediat, Kuala Lumpur, Malaysia
[9] Hosp Raja Perempuan Zainab II, Kelantan, Malaysia
[10] Hosp Likas, Kota Kinabalu, Malaysia
[11] Walter Reed Army Inst Res, US Mil HIV Res Program, Silver Spring, MD USA
[12] Henry M Jackson Fdn Adv Mil Med, Bethesda, MD USA
[13] Thai Red Cross AIDS Res Ctr, SEARCH, Bangkok, Thailand
[14] Univ Amsterdam, Amsterdam, Netherlands
[15] Dreamlopments LTD, Bangkok, Thailand
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2018年 / 30卷 / 06期
基金
美国国家卫生研究院;
关键词
HIV; adolescents; Asia; adherence; stigma; MEDICATION ADHERENCE; SOCIAL SUPPORT; DISCLOSURE; CHILDREN; THAILAND; YOUTH; IMPACT; MULTISITE; HIV/AIDS; COHORT;
D O I
10.1080/09540121.2018.1425363
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We studied behavioral risks among HIV-infected and uninfected adolescents using an audio computer-assisted self-interview. A prospective cohort study was initiated between 2013 and 2014 in Malaysia, Thailand, and Vietnam. HIV-infected adolescents were matched to uninfected adolescents (4:1) by sex and age group (12-14 and 15-18 years). We enrolled 250 HIV-infected (48% male; median age 14.5 years; 93% perinatally infected) and 59 uninfected (51% male; median age 14.1 years) adolescents. At enrollment, HIV-infected adolescents were on antiretroviral therapy (ART) for a median (IQR) of 7.5 (4.7-10.2) years, and 14% had HIV-RNA >1000copies/mL; 19% reported adherence <80%. Eighty-four (34%) HIV-infected and 26 (44%) uninfected adolescents reported having ever smoked cigarettes or drunk alcohol (p=0.13); 10% of HIV-infected and 17% of uninfected adolescents reported having initiated sexual activity; 6 of the HIV-infected adolescents had HIV-RNA >1000copies/mL. Risk behaviors were common among adolescents, with few differences between those with and without HIV.
引用
收藏
页码:727 / 733
页数:7
相关论文
共 34 条
[1]  
[Anonymous], 2008, GLOBAL CONSULTATION
[2]   A Comparison of Audio Computer-Assisted Self-Interviews to Face-to-Face Interviews of Sexual Behavior Among Perinatally HIV-Exposed Youth [J].
Dolezal, Curtis ;
Marhefka, Stephanie L. ;
Santamaria, E. Karina ;
Leu, Cheng-Shiun ;
Brackis-Cott, Elizabeth ;
Mellins, Claude Ann .
ARCHIVES OF SEXUAL BEHAVIOR, 2012, 41 (02) :401-410
[3]   Individual and Contextual Factors of Sexual Risk Behavior in Youth Perinatally Infected with HIV [J].
Elkington, Katherine S. ;
Bauermeister, Jose A. ;
Robbins, Reuben N. ;
Gromadzka, Olga ;
Abrams, Elaine J. ;
Wiznia, Andrew ;
Bamji, Mahrukh ;
Mellins, Claude A. .
AIDS PATIENT CARE AND STDS, 2012, 26 (07) :411-422
[4]   Perceptions of Audio Computer-Assisted Self-Interviewing (ACASI) among Women in an HIV-Positive Prevention Program [J].
Estes, Larissa J. ;
Lloyd, Linda E. ;
Teti, Michelle ;
Raja, Sheela ;
Bowleg, Lisa ;
Allgood, Kristi L. ;
Glick, Nancy .
PLOS ONE, 2010, 5 (02)
[5]   Evidence for scale up: the differentiated care research agenda [J].
Grimsrud, Anna ;
Barnabas, Ruanne V. ;
Ehrenkranz, Peter ;
Ford, Nathan .
JOURNAL OF THE INTERNATIONAL AIDS SOCIETY, 2017, 20
[6]   Benefits of Disclosure of HIV Status to Infected Children and Adolescents: Perceptions of Caregivers and Health Care Providers [J].
Gyamfi, Eric ;
Okyere, Paul ;
Appiah-Brempong, Emmanuel ;
Adjei, Rose Odotei ;
Mensah, Kofi Akohene .
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE, 2015, 26 (06) :770-780
[7]   Differences in young people's reports of sexual behaviors according to interview methodology: A randomized trial in India [J].
Jaya ;
Hindin, Michelle J. ;
Ahmed, Saifuddin .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2008, 98 (01) :169-174
[8]   Cohort Profile: The TREAT Asia Pediatric HIV Observational Database [J].
Kariminia, Azar ;
Chokephaibulkit, Kulkanya ;
Pang, Joselyn ;
Lumbiganon, Pagakrong ;
Hansudewechakul, Rawiwan ;
Amin, Janaki ;
Kumarasamy, Nagalingeswaran ;
Puthanakit, Thanyawee ;
Kurniati, Nia ;
Yusoff, Nik Khairulddin Nik ;
Saphonn, Vonthanak ;
Fong, Siew Moy ;
Razali, Kamarul ;
Nallusamy, Revathy ;
Sohn, Annette H. ;
Sirisanthana, Virat .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2011, 40 (01) :15-24
[9]   Impact of Internalized Stigma on HIV Prevention Behaviors Among HIV-Infected Individuals Seeking HIV Care in Kenya [J].
Kingori, Caroline ;
Reece, Michael ;
Obeng, Samuel ;
Murray, Maresa ;
Shacham, Enbal ;
Dodge, Brian ;
Akach, Emannuel ;
Ngatia, Peter ;
Ojakaa, David .
AIDS PATIENT CARE AND STDS, 2012, 26 (12) :761-768
[10]   How you ask really matters: randomised comparison of four sexual behaviour questionnaire delivery modes in Zimbabwean youth [J].
Langhaug, Lisa F. ;
Cheung, Yin Bun ;
Pascoe, Sophie J. S. ;
Chirawu, Petronella ;
Woelk, Godfrey ;
Hayes, Richard J. ;
Cowan, Frances M. .
SEXUALLY TRANSMITTED INFECTIONS, 2011, 87 (02) :165-173