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
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
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