HIV diagnosis disclosure: searching for its meaning and how it is perceived by a group of vertically infected adolescents / young adults – a qualitative perspective

2020 ◽  
Vol 15 (4) ◽  
pp. 307-317
Author(s):  
Barreto Filho Lf ◽  
Hofer CB ◽  
Machado ES ◽  
Abreu TF ◽  
Frota ACC ◽  
...  
Keyword(s):  
Young Adults ◽  
Hiv Diagnosis ◽  
Diagnosis Disclosure

scholarly journals 425. Longitudinal Trends in Risk Behaviors and Sexually Transmitted Diseases among Adolescents and Young Adults at a Sexually Transmitted Diseases Clinic, 2013–2017

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S213-S213 ◽  
Author(s):  
Jack Rusley ◽  
Jun Tao ◽  
Daphne Koinis-Mitchell ◽  
Alex Rosenthal ◽  
Madeline Montgomery ◽  
...  
Keyword(s):  
Young Adults ◽  
Condom Use ◽  
Sexually Transmitted Diseases ◽  
Risk Behaviors ◽  
Sexual Behaviors ◽  
Adolescents And Young Adults ◽  
Hiv Diagnosis ◽  
Sexually Transmitted ◽  
Condomless Sex ◽  
Over Time

Abstract Background Sexually transmitted disease (STD) rates continue to rise in the United States (US). Over half of all new STDs occur in adolescents and young adults (AYA). Few studies have evaluated how sexual behaviors such as number of partners or condom use may contribute to this increase. We aimed to determine the association of sexual behaviors and condom use with STD incidence over time among AYA. Methods We reviewed all AYA ages 13–26 years attending a public STD clinic in Rhode Island from 2013–2017. We reviewed demographic and behavioral data including age, gender identity, risk group, race, ethnicity, insurance status, sexual behaviors, substance use, self-reported STD/HIV diagnosis (lifetime, past year), condom use, and HIV/STD testing results. We report proportions in 2013 and 2017, and performed trend analyses (Cocharn-Armitage test for categorical variables and Kruskal–Wallis trend test for continuous variables) to determine trends over time. Results A total of 3,822 AYA visited the clinic during the study time period. An increasing trend was observed for: multiple (≥5) partners (29% of AYA in 2013 vs. 38% in 2017, P < 0.001), self-reported past year and lifetime STD diagnosis (12 vs. 21%, P < 0.001 and 19 vs. 33%, P < 0.001, respectively), and lab-documented diagnosis of any STD (15 vs. 25%, P < 0.001), syphilis (2 vs. 5%, P = 0.006), any chlamydia (11 vs. 20%, P = 0.001), and any gonorrhea (3 vs. 8%, P = 0.008). A decreasing trend was observed for: white race (66% in 2013 vs. 43% in 2017, P < 0.001), uninsured (73 vs. 53%, P < 0.001), condomless sex during oral as well as vaginal/anal sex (22 vs. 10%, P = 0.001 and 16 vs. 8%, P = 0.001, respectively), and self-reported HIV diagnosis (2.5% to 0.9%, P = 0.016). Conclusion Among AYA, risk behaviors such as condomless sex and multiple partners increased significantly from 2013–2017, which may be contributing to an increase in STDs. Increased public health efforts are needed to promote education and other interventions to address behaviors associated with STD transmission. Disclosures All authors: No reported disclosures.

scholarly journals HIV diagnosis disclosure to infected children and adolescents; challenges of family caregivers in the Central Region of Ghana

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Anna Hayfron-Benjamin ◽  
Dorcas Obiri-Yeboah ◽  
Stephen Ayisi-Addo ◽  
Peter Mate Siakwa ◽  
Sylvia Mupepi
Keyword(s):  
Children And Adolescents ◽  
Family Caregivers ◽  
Central Region ◽  
Hiv Diagnosis ◽  
Diagnosis Disclosure

scholarly journals Representações sociais de mulheres frente a descoberta do diagnóstico do HIV / Women social representations in face to HIV diagnosis disclosure

2018 ◽  
Vol 10 (2) ◽  
pp. 334 ◽  
Author(s):  
Ana Luiza Souza de Farias Lôbo ◽  
Amuzza Aylla Pereira dos Santos ◽  
Laura Maria Tenório Ribeiro Pinto ◽  
Sueli Terezinha Cruz Rodrigues ◽  
Larissa Jucá Dantas Barros ◽  
...  
Keyword(s):  
Social Representations ◽  
Hiv Diagnosis ◽  
Diagnosis Disclosure ◽  
Hiv Women ◽  
Hiv Aids

Objetivo: descrever as representações sociais de mulheres diante do recebimento do diagnóstico de HIV. Método: Estudo descritivo, exploratório com abordagem qualitativa, realizado com 21 mulheres que se encontravam em dois centros de referência para pessoas que vivem com HIV/aids. Os dados foram coletados de maio a junho de 2016. Utilizou-se como referencial teórico a Teoria das Representações Sociais, e os dados foram analisados por meio da técnica de análise de conteúdo na perspectiva de Bardin. Resultados: Demonstraram as representações sociais das mulheres frente à descoberta do diagnóstico do HIV. O diagnóstico do HIV é recebido com grande impacto pela mulher que apresenta sentimentos distintos no momento da descoberta, como: angústia, medo, tristeza, terror, surpresa, incredibilidade, injustiça e vergonha.  Conclusão: Existe uma complexa representação social que gera impacto no modo de viver e conviver das mulheres que vivem com HIV, como a culpabilização, isolamento, estigmatização e preconceito

scholarly journals Effect of HIV diagnosis disclosure on psychosocial outcomes in Thai children with perinatal HIV infection

2015 ◽  
Vol 27 (4) ◽  
pp. 288-295 ◽  
Author(s):  
V Boon-yasidhi ◽  
T Naiwatanakul ◽  
K Chokephaibulkit ◽  
R Lolekha ◽  
P Leowsrisook ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Psychosocial Outcomes ◽  
Hiv Diagnosis ◽  
Diagnosis Disclosure ◽  
Perinatal Hiv

scholarly journals Rapid Antiretroviral Therapy Among Individuals With Acute and Early HIV

2020 ◽  
Author(s):  
Thomas C S Martin ◽  
Matthew Abrams ◽  
Christy Anderson ◽  
Susan J Little
Keyword(s):  
Antiretroviral Therapy ◽  
Hiv Transmission ◽  
Hiv Diagnosis ◽  
Diagnosis Disclosure

Abstract HIV transmission is increased during acute and early HIV (AEH). Rapid antiretroviral therapy may shorten the duration of infectivity. We show rapid antiretroviral therapy in AEH is acceptable and effective, with 69.0% of participants starting ART within 7 days of HIV diagnosis disclosure, and 88.1% achieving suppression by 48 weeks.

Continuum of Care Following Sports-Related Concussion

2020 ◽  
Vol 29 (3) ◽  
pp. 1389-1403
Author(s):  
Jessica Brown ◽  
Kelly Knollman-Porter
Keyword(s):  
Young Adults ◽  
Life Span ◽  
Sports Injuries ◽  
Continuum Of Care ◽  
Medical Professional ◽  
Structured Interviews ◽  
Youth Athletes ◽  
Speech Language Pathologist ◽  
History Of ◽  
Injury Reporting

Purpose Although guidelines have changed regarding federally mandated concussion practices since their inception, little is known regarding the implementation of such guidelines and the resultant continuum of care for youth athletes participating in recreational or organized sports who incur concussions. Furthermore, data regarding the role of speech-language pathologists in the historic postconcussion care are lacking. Therefore, the purpose of this retrospective study was to investigate the experiences of young adults with history of sports-related concussion as it related to injury reporting and received follow-up care. Method Participants included 13 young adults with history of at least one sports-related concussion across their life span. We implemented a mixed-methods design to collect both quantitative and qualitative information through structured interviews. Participants reported experiencing 42 concussions across the life span—26 subsequent to sports injuries. Results Twenty-three concussions were reported to a parent or medical professional, 14 resulted in a formal diagnosis, and participants received initial medical care for only 10 of the incidents and treatment or services on only two occasions. Participants reported concussions to an athletic trainer least frequently and to parents most frequently. Participants commented that previous experience with concussion reduced the need for seeking treatment or that they were unaware treatments or supports existed postconcussion. Only one concussion incident resulted in the care from a speech-language pathologist. Conclusion The results of the study reported herein shed light on the fidelity of sports-related concussion care management across time. Subsequently, we suggest guidelines related to continuum of care from injury to individualized therapy.

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