{"title":"影响青少年获得艾滋病毒治疗服务的心理社会因素的系统综述","authors":"Tarique Variava, J. Watermeyer","doi":"10.3390/adolescents3010002","DOIUrl":null,"url":null,"abstract":"Despite the global realization that increasing access to antiretroviral treatment promotes significant bio-medical gains amongst adolescents living with HIV (ALHIV), the psychosocial impact of HIV on the health and well-being of ALHIV has been overlooked. Objective: To identify, synthesize, and discuss the psychosocial factors that affect ALHIV who are accessing HIV treatment services in South Africa. Data sources: Only empirical research published in English were searched for via four electronic research databases (i.e., ProQuest, Web of Science, EBSCO, and Sabinet Online) of the University of the Witwatersrand on 1 August 2020. Eligibility criteria: Full-text articles published in English were included in the sample on the following basis: (1) the identified studies included HIV-positive adolescents (≥ 10 years old and ≤ 19 years old) residing in South Africa; (2) the phenomena under investigation within the identified studies related to psychosocial factors which affect ALHIV accessing HIV treatment services in South Africa; (3) measures exploring any form of psychosocial factors associated with ALHIV in South Africa that had to be utilized; (4) study research designs were either an observational or cohort study; (5) studies were of a quantitative or qualitative nature, and (6) studies ought to have been published between 1 January 2000 and 31 July 2020. Data extraction: Data from the articles included in this systematic review were extracted using predefined data fields, including study quality indicators. Data synthesis: A total of 18 empirical articles met the inclusion criteria informing this research report. From the articles included in this systematic review, it was evident that ALHIV accessing HIV treatment services in South Africa were impacted by seven major psychosocial factors. Specifically, this included their (1) psychosocial development, (2) quality of life, (3) experience of adversity, (4) availability of social support, (5) experience of HIV stigma, (6) HIV status disclosure, and (7) adherence to ART. Conclusion: The physiological, social, behavioural, and cognitive functioning of ALHIV accessing HIV treatment services predisposed them to psychosocial distress, which in turn had implications for their health and well-being.","PeriodicalId":72070,"journal":{"name":"Adolescents (Basel, Switzerland)","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Systematic Review Exploring the Psychosocial Factors Affecting Adolescent Access to HIV Treatment Services\",\"authors\":\"Tarique Variava, J. 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Eligibility criteria: Full-text articles published in English were included in the sample on the following basis: (1) the identified studies included HIV-positive adolescents (≥ 10 years old and ≤ 19 years old) residing in South Africa; (2) the phenomena under investigation within the identified studies related to psychosocial factors which affect ALHIV accessing HIV treatment services in South Africa; (3) measures exploring any form of psychosocial factors associated with ALHIV in South Africa that had to be utilized; (4) study research designs were either an observational or cohort study; (5) studies were of a quantitative or qualitative nature, and (6) studies ought to have been published between 1 January 2000 and 31 July 2020. Data extraction: Data from the articles included in this systematic review were extracted using predefined data fields, including study quality indicators. Data synthesis: A total of 18 empirical articles met the inclusion criteria informing this research report. From the articles included in this systematic review, it was evident that ALHIV accessing HIV treatment services in South Africa were impacted by seven major psychosocial factors. Specifically, this included their (1) psychosocial development, (2) quality of life, (3) experience of adversity, (4) availability of social support, (5) experience of HIV stigma, (6) HIV status disclosure, and (7) adherence to ART. Conclusion: The physiological, social, behavioural, and cognitive functioning of ALHIV accessing HIV treatment services predisposed them to psychosocial distress, which in turn had implications for their health and well-being.\",\"PeriodicalId\":72070,\"journal\":{\"name\":\"Adolescents (Basel, Switzerland)\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-12-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Adolescents (Basel, Switzerland)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3390/adolescents3010002\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescents (Basel, Switzerland)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3390/adolescents3010002","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
尽管全球都认识到,增加抗逆转录病毒治疗的机会有助于艾滋病毒感染者获得重大的生物医学成果,但艾滋病毒对艾滋病毒感染者健康和福祉的心理社会影响却被忽视了。目的:识别、综合和讨论影响南非获得艾滋病毒治疗服务的ALHIV患者的心理社会因素。数据来源:2020年8月1日,仅通过威特沃特斯兰德大学的四个电子研究数据库(即ProQuest、Web of Science、EBSCO和Sabinet Online)搜索了英文版的实证研究。合格标准:样本中包括英文全文文章,依据如下:(1)已确定的研究包括居住在南非的艾滋病毒阳性青少年(≥10岁且≤19岁);(2) 在已确定的研究中,正在调查的现象与影响南非艾滋病患者获得艾滋病毒治疗服务的心理社会因素有关;(3) 探讨南非必须利用的与ALHIV相关的任何形式的心理社会因素的措施;(4) 研究设计为观察性或队列研究;(5) 研究具有定量或定性性质,(6)研究应在2000年1月1日至2020年7月31日期间发表。数据提取:本系统综述中包含的文章数据是使用预定义的数据字段提取的,包括研究质量指标。数据综合:共有18篇实证文章符合本研究报告的纳入标准。从这篇系统综述中的文章中可以明显看出,南非获得艾滋病毒治疗服务的ALHIV受到七个主要心理社会因素的影响。具体而言,这包括他们(1)心理社会发展,(2)生活质量,(3)逆境经历,(4)社会支持的可用性,(5)艾滋病毒污名化经历,(6)艾滋病毒状况披露,以及(7)坚持抗逆转录病毒疗法,这反过来又对他们的健康和福祉产生了影响。
A Systematic Review Exploring the Psychosocial Factors Affecting Adolescent Access to HIV Treatment Services
Despite the global realization that increasing access to antiretroviral treatment promotes significant bio-medical gains amongst adolescents living with HIV (ALHIV), the psychosocial impact of HIV on the health and well-being of ALHIV has been overlooked. Objective: To identify, synthesize, and discuss the psychosocial factors that affect ALHIV who are accessing HIV treatment services in South Africa. Data sources: Only empirical research published in English were searched for via four electronic research databases (i.e., ProQuest, Web of Science, EBSCO, and Sabinet Online) of the University of the Witwatersrand on 1 August 2020. Eligibility criteria: Full-text articles published in English were included in the sample on the following basis: (1) the identified studies included HIV-positive adolescents (≥ 10 years old and ≤ 19 years old) residing in South Africa; (2) the phenomena under investigation within the identified studies related to psychosocial factors which affect ALHIV accessing HIV treatment services in South Africa; (3) measures exploring any form of psychosocial factors associated with ALHIV in South Africa that had to be utilized; (4) study research designs were either an observational or cohort study; (5) studies were of a quantitative or qualitative nature, and (6) studies ought to have been published between 1 January 2000 and 31 July 2020. Data extraction: Data from the articles included in this systematic review were extracted using predefined data fields, including study quality indicators. Data synthesis: A total of 18 empirical articles met the inclusion criteria informing this research report. From the articles included in this systematic review, it was evident that ALHIV accessing HIV treatment services in South Africa were impacted by seven major psychosocial factors. Specifically, this included their (1) psychosocial development, (2) quality of life, (3) experience of adversity, (4) availability of social support, (5) experience of HIV stigma, (6) HIV status disclosure, and (7) adherence to ART. Conclusion: The physiological, social, behavioural, and cognitive functioning of ALHIV accessing HIV treatment services predisposed them to psychosocial distress, which in turn had implications for their health and well-being.