Showing 1 - 20 of 73 Results for "adolescents"

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Prevention and Services for Adolescents and Young People
The interventions in this section should also be viewed in conjunction with other topics where young women are included. Studies with adolescent-specific data are also included in the following sections: %{c:5}; %{c:7}; %{c:11}; %{c:13}; %{c:17}; %{c:21}; and %{c:23}. HIV among adolescents is a growing concern. UNAIDS notes that adolescent girls and young women are a key population in danger o...
Adolescents living with HIV need information and services through adolescent-friendly HIV and contraception services. [See %{s:25}]
Provision and Access
1 study
Treatment support sessions can increase adherence among adolescents.
Increasing Access to Services
5 studies Gray II, IIIb, V adherence, adolescents, parents, reatment, support, testing, treatment, ttesting South Africa, Thailand, Zambia, Zimbabwe
Adolescents living with HIV need information and treatment services through adolescent-friendly HIV and family planning services. [See also %{s:25}]
Meeting the Sexual and Reproductive Health Needs of Women Living With HIV
1 study
Interventions are needed to increase adherence for adolescents. Multiple studies from developed and developing countries reported young age as a risk factor for treatment interruption and that adolescents were less adherent to antiretroviral therapy than adults.
Adherence and Support
1 study
Promoting condom use at sexual debut may increase consistent condom use during adolescence and beyond
Mitigating Risk
2 studies Gray IIIb condoms, youth Ethiopia, Uganda
Empowerment training for adolescent girls can increase skills to confront sexual assaults. [See %{s:59}]
Mitigating Risk
Promoting gender equitable norms among adolescents can reduce HIV risk behavior.
Mitigating Risk
3 studies Gray I, IIIb Bolivia, adolescents, condoms, gender equality, gender norms, low- and middle-income countries, pregnancy, sex behavior, sex education, sexual partners Ecuador, South Africa, United States
Unconditional cash transfers to parents’ households or to adolescent girls may lead to increased age of sexual debut and/or reduce transactional sex
Mitigating Risk
4 studies Gray II, IIIa, IIIb, IV cash transfers, orphans, sex behavior, sexual debut Kenya, South Africa
Adolescents can achieve viral suppression and remain adherent, with low loss to follow up
Increasing Access to Services
3 studies Gray IIIb Jamaica, South America, adherence, treatment, young people Africa, Asia, Cambodia, India, Indonesia, Malaysia, North America, Thailand, Vietnam
Additional research is needed on disease progression among children and adolescents who acquired HIV as infants.
Increasing Access to Services
1 study
Targeted education efforts can increase adolescent uptake of HIV testing and counseling and related services
Increasing Access to Services
2 studies Gray IIIa, IIIb adolescents, health services, stigma, testing, treatment Ethiopia
Laws and practices that obstruct adolescents’ access to services, such as parental consent requirements, age, and marital status requirements, must be aligned with the actual behavior of adolescents. Studies found that legal requirements restricted adolescents from getting tested for HIV even if they were sexually active and at risk for HIV. "There is a strong evidence base that the stigma, discrimination and criminalization affecting adolescent key populations aged 10 to 17 is intensified due to domestic and international legal constructs that rely on law-enforcement based interventions dependent upon arrests, pre-trial detention, incarceration and compulsory ‘rehabilitation’ in institutional placements," particularly among adolescents who sell sex or inject drugs (Conner, 2015: para 1).
Increasing Access to Services
1 study
Concerted efforts are needed to enable adolescents at risk to test confidentially for HIV and be immediately linked to services, with information on where and how to access services. Access to and update of HIV testing and counseling (HTC) by adolescents is significantly lower than for adults. One study found that adolescents who were tested through provider-initiated testing (the WHO standard) had higher loss to follow up if they tested HIV-positive than adolescents who were tested through voluntary testing and counseling (Lamb et al., 2014). HTC must, according to WHO, include consent, confidentiality, counseling, correct test results and connections to treatment, care and prevention services. A recent report found that no data exists for HTC among ages 10 to 14 (All in to End Adolescent AIDS, 2015c). Access to HTC for adolescents who inject drugs is particularly challenging. HTC clients also need counseling on contraception and referral to services.
Increasing Access to Services
1 study
While mobile phones have been shown to be effective in increasing adherence for adults on antiretroviral therapy, more implementation science research is needed on how to effectively employ mobile phones and websites for adolescent HIV prevention, treatment and care and whether adolescents have adequate access via mobile phones.
Mitigating Risk
1 study
Increased efforts are needed to reduce stigma against adolescents living with HIV, particularly young key populations. A study found that adolescents living with HIV kept silent about their HIV status to schools, friends and family so as to not experience stigma and discrimination.
Increasing Access to Services
1 study
Adolescents living with HIV need information and services through adolescent-friendly HIV services on a number of topics, including disclosure, safer sex, contraception, safe motherhood and gender-based violence. Studies found that health providers were unprepared to discuss HIV and contraception with adolescents who acquired HIV through perinatal transmission, despite the fact that significant numbers of these adolescents were already sexually active. Another study found that these adolescents need skills to disclose their serostatus to sexual partner. WHO recommends that perinatally infected adolescents be advised of their positive serostatus by age 6 (WHO, 2013) but there is little guidance on disclosure for adolescents. Facilitated disclosure by parents and providers to adolescents living with HIV may lead to higher retention in HIV care (Arrive et al., 2012). Parents living with HIV whose adolescents may be living with HIV also need assistance to disclose to their adolescents, as parents fear rejection from their children. Positive health dignity and prevention interventions can help people living with HIV lead healthy lives and reduce HIV transmission, but tailored interventions for adolescents and their parents have not been evaluated for effectiveness, although a trial is currently ongoing (Cunningham, 2015; Mofeson and Cotton, 2013). One study found that 29% of young women aged 16 to 24 living with HIV reported being forced to have sex. No validated curriculum that was shown to be effective for reducing unsafe sex among adolescents living with HIV was found, although some manuals have been developed (Parker et al., 2013c; UNESCO and GNP+, 2012).
Increasing Access to Services
1 study
Successful strategies are needed to increase adherence to ART among adolescents and reduce loss to follow up. A study found that adolescents and young adults aged 15 to 24 living with HIV were more likely, following treatment initiation, to have higher viral loads, higher rates of virological failure and greater low to follow up from services. Another study found that adolescents (ages 9 to 19) had poorer virological outcomes compared to young adults (ages 20 to 28). A review found few estimates on viral suppression among ages 10 to 19 (All in End Adolescent AIDS, 2015c). A specialized HIV management program could not retain a substantial proportion of those who tested positive for HIV in care. A review of studies of adherence among adolescents and children in Lower and Middle Income countries found that most studies were cross-sectional with age data ranging from six months to 21, limiting the ability to define which strategies are key to increasing adherence among ages 10 to 19. Cognitive behavioral therapy can be further explored as a strategy to increase adherence in adolescent populations.
Increasing Access to Services
1 study
Interventions that reduce commute times and/or ensure easy and safe access to safe public transportation may lessen the risk of sexual violence among adolescent girls. A study found that long commutes for girls increased the risk of sexual violence.
Addressing Violence Against Women
1 study
Adolescent girls who use drugs need risk reduction programs to meet their needs. A study found high rates of HIV risk behaviors among adolescent girls who use drugs, especially those who lived on the streets, as well as high rates of forced sex. Risk behaviors start at early ages (up to 30% reported being under age 15 when they first injected) (UNICEF, 2013; UNESCO, 2012c), yet younger girls who inject drugs are not being reached by existing harm reduction and HIV prevention services. Current guidelines also do not consider how best to reach adolescents (Krug et al., 2015). Age restrictions hinder adolescent access to services (Krug et al., 2015).
Women Who Use Drugs and Female Partners of Men Who Use Drugs
1 study