Illustrations of Coping and Mental Well-Being of Adolescents Living with HIV in Cape Town, South Africa During COVID: A Photovoice Study.

Yolanda Mayman, Talitha Crowley, Brian van Wyk
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Abstract

Adolescents living with HIV (ALHIV) are the fastest-growing population living with HIV globally. The COVID-19 pandemic disrupted health systems, thereby negatively affecting the quality and availability of HIV care and support services. This study describes the challenges and treatment experiences of ALHIV on ART at a public primary healthcare facility in a low-socioeconomic community in Cape Town, South Africa during the COVID-19 pandemic. A qualitative photovoice study was conducted with 21 adolescents (aged 14-19 years; 13 females and 8 males). Participants shared pictures illustrating their experiences during the COVID-19 pandemic in groups. Group discussions were audio-recorded and transcribed in full and subjected to content analysis. Seven themes emerged describing ALHIV's personal, social, and economic challenges, their means of coping, and feelings of vulnerability. Challenges included the loss of significant others, lack of social support and opportunities, experiences of HIV-related stigma and discrimination in the household, loneliness, and isolation. In spite of difficulties, some ALHIV displayed resilience by continuing their medication routines during lockdown periods. After the COVID-19 pandemic, there is a need for the restoration of the health system and services, including psychosocial support to re-engage ALHIV in care and treatment.

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南非开普敦感染艾滋病毒的青少年在 COVID 期间的应对方式和心理健康图解:一项摄影选择研究。
青少年艾滋病毒感染者(ALHIV)是全球增长最快的艾滋病毒感染人群。COVID-19 大流行扰乱了医疗系统,从而对 HIV 护理和支持服务的质量和可用性产生了负面影响。本研究描述了 COVID-19 大流行期间,南非开普敦一个低社会经济社区的公立初级医疗机构中接受抗逆转录病毒疗法的 ALHIV 所面临的挑战和治疗经历。我们对 21 名青少年(14-19 岁,13 名女性和 8 名男性)进行了一项定性图片选择研究。参与者以小组为单位分享了他们在 COVID-19 大流行期间的经历图片。小组讨论进行了录音和全文转录,并进行了内容分析。七个主题描述了 ALHIV 在个人、社会和经济方面所面临的挑战、他们的应对方法以及脆弱感。挑战包括失去重要他人、缺乏社会支持和机会、在家庭中遭受与艾滋病毒有关的侮辱和歧视、孤独和孤立。尽管困难重重,但一些 ALHIV 仍表现出了顽强的生命力,他们在封锁期间继续按常规服药。在 COVID-19 大流行之后,有必要恢复卫生系统和服务,包括社会心理支持,以使 ALHIV 重新参与护理和治疗。
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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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