Adolescent human immunodeficiency virus self-management : needs of adolescents in the Eastern Cape

dc.contributor.authorAdams, Leoneen_ZA
dc.contributor.authorCrowley, Talithaen_ZA
dc.date.accessioned2021-02-23T10:14:24Z
dc.date.available2021-02-23T10:14:24Z
dc.date.issued2021
dc.descriptionCITATION: Adams, L. & Crowley, T. 2021. Adolescent human immunodeficiency virus self-management : needs of adolescents in the Eastern Cape. African Journal of Primary Health Care & Family Medicine, 13(1):a2756, doi:10.4102/phcfm.v13i1.2756.
dc.descriptionThe original publication is available at https://phcfm.org/index.php/phcfm
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund
dc.description.abstractBackground: Human immunodeficiency virus (HIV) is a chronic illness and adolescents living with HIV (ALHIV) need the support of the whole family to self-manage (handle, direct and control) their chronic illness. Little is known about self-management amongst ALHIV in the context of the Eastern Cape, South Africa. Aim: This study explored the self-management needs of ALHIV in the Nelson Mandela Bay area of the Eastern Cape to make recommendations that can be used in further research to develop a programme to support adolescents with self-management. Setting: The study was conducted at two primary healthcare clinics in the Nelson Mandela Bay area of the Eastern Cape. Methods: A qualitative descriptive design was applied. Thirteen adolescents between the age of 14 and 19 years were interviewed. The data were collected through individual interviews. Data analysis was done using the six steps described by Creswell. Results: Adolescents living with HIV have limited knowledge and understanding about HIV and sexual reproductive health. Some ALHIV lack self-regulation skills related to decisions about disclosure, managing stigma and emotions, taking treatment, effective communication and setting goals. Human immunodeficiency virus services were not adolescent-friendly, with long queues and no dedicated services for adolescents. Family and friends were a key self-management resource for ALHIV. Conclusion: Adolescents living with HIV have several self-management needs in the domains of knowledge and beliefs, self-regulation skills and abilities, and self-management resources. Healthcare workers should support adolescents and their caregivers to acquire self-management skills as this may lead to better treatment and health outcomes.en_ZA
dc.description.urihttps://phcfm.org/index.php/phcfm/article/view/2756
dc.description.versionPublishers version
dc.format.extent9 pages ; illustrations
dc.identifier.citationAdams, L. & Crowley, T. 2021. Adolescent human immunodeficiency virus self-management : needs of adolescents in the Eastern Cape. African Journal of Primary Health Care & Family Medicine, 13(1):a2756, doi:10.4102/phcfm.v13i1.2756
dc.identifier.issn2071-2936 (online)
dc.identifier.issn2071-2928 (print)
dc.identifier.otherdoi:10.4102/phcfm.v13i1.2756
dc.identifier.urihttp://hdl.handle.net/10019.1/109590
dc.language.isoen_ZAen_ZA
dc.publisherAOSIS
dc.rights.holderAuthors retain copyright
dc.subjectHIV-positive youth -- Eastern Cape (South Africa)en_ZA
dc.subjectSelf-care, Health -- Teenagers -- Eastern Cape (South Africa)en_ZA
dc.titleAdolescent human immunodeficiency virus self-management : needs of adolescents in the Eastern Capeen_ZA
dc.typeArticleen_ZA
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