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Stigma and social barriers to medication adherence with urban youth living with HIV

Datos Bibliográficos

ID19441986
AutoresDeepa Rao (0000-0003-4076-0170, Northwestern University), T C Kekwaletswe (b Rosalind Franklin University of Medicine and Science , North Chicago , Illinois), Sybil Hosek (0000-0001-5230-0759, John H. Stroger, Jr. Hospital of Cook County), Jaime Martínez (0000-0002-7164-1951, John H. Stroger, Jr. Hospital of Cook County), F Rodríguez (0000-0002-3774-7517, c John H. Stroger Hospital of Cook County , Chicago , Illinois), Oliver Rodríguez (John H. Stroger, Jr. Hospital of Cook County)
Año2007
Volumen19
Número1
Páginas28-33
Fecha de publicación2007-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAIDS Care (JOURNAL)
Identificadores de la revistaISSN: 0954-0121 • E-ISSN: 1360-0451
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540120600652303
PMID17129855
OpenAlexW2076236055
IdiomaEN
Citas recibidas119
Referencias citadas7

Youth adherence to highly active anti-retroviral therapy (HAART) is poor, and little research exists that identifies the reasons youth have difficulty adhering to medications. Given that complete adherence is necessary for favourable health outcomes, it is essential to examine the obstacles youth face in adhering to HAART. The present investigation sought to identify these barriers and to systematically examine the experiences and attitudes youth have towards medications. Twenty-five adolescents and young adults presenting to a public primary care facility for treatment of HIV infection were asked to participate in focus groups which explored their attitudes and experiences around medication adherence. Participants provided richly detailed descriptions of the challenges of managing HIV stigma and their efforts to hide their status from friends, family, doctors, and even themselves. Fifty percent of respondents indicated that they skipped doses because they feared family or friends would discover their status. These results suggest that HIV stigma impacts treatment for youth on several levels, from the accuracy of communication with medical providers to medication adherence, subsequent health outcomes, and the emergence of treatment resistant strains

Family medicine · Focus group · Medication adherence · Psychiatry · Public health · Social stigma · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Nursing

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