So hurt and broken’

A qualitative study of experiences of violence and HIV outcomes among Zambian youth living with HIV

Datos Bibliográficos

ID15540676
AutoresKatherine G Merrill (0000-0001-5308-4154, Johns Hopkins University, autor de correspondencia), Jacquelyn C Campbell (0000-0003-3689-4547, Johns Hopkins University), Caitlin E Kennedy (0000-0001-6820-063X, Johns Hopkins University), Virginia M Burke (0000-0002-3248-9213, Johns Hopkins University), Sam Miti (0000-0002-2217-6897), Christiana Frimpong, Michele R Decker (0000-0002-7085-7080, Johns Hopkins University), Elizabeth A Abrams (0000-0003-4817-3448, Johns Hopkins University), Jonathan K Mwansa, Julie A Denison (0000-0002-4670-093X, Johns Hopkins University)
Año2021
Volumen17
Número3
Páginas444-456
Fecha de publicación2021-01-11
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaGlobal Public Health (JOURNAL)
Identificadores de la revistaISSN: 1744-1692 • E-ISSN: 1744-1706
EditorialTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2020.1864749
PMID33428559
OpenAlexW3120242427
IdiomaEN
Citas recibidas4
Referencias citadas46

Emerging data show associations between violence victimisation and negative HIV outcomes among youth in sub-Saharan Africa. We conducted in-depth interviews with adolescents and young adults living with HIV (aged 15-24 years) in Ndola, Zambia, to better understand this relationship. We purposively selected 41 youth (24 females, 17 males) with varied experiences of violence and virologic results. Analysis used thematic coding. Two-thirds of participants said violence affected their medication adherence, clinic attendance, and/or virologic results. They focused on the negative effects of psychological abuse from family members in homes and peers at schools, which were the most salient forms of violence raised, and sexual violence against females. In contrast, they typically depicted physical violence from caregivers and teachers as a standard discipline practice, with few impacts. Youth wanted HIV clinic settings to address verbal abuse and emotional maltreatment, alongside physical and sexual violence, including through peer mentoring. Violence - especially verbal and emotional forms - must be recognised as a potential barrier to HIV self-management among youth living with HIV in the region. Further testing of clinic, home, and school-based interventions may be critical to reducing levels of violence and improving HIV outcomes in this vulnerable but resilient population. Trial registration: ClinicalTrials.gov identifier: NCT04115813

Attendance · Domestic violence · Environmental health · Physical abuse · Poison control · Population · Psychiatry · Psychological intervention · Qualitative research · Sexual abuse · Suicide prevention · Thematic analysis · Verbal abuse · Victimisation · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV/AIDS Research and Interventions · Intimate Partner and Family Violence · Medicine · Psychology