Vranda Mysore Narasimha, Subbakrishna Doddaballapura K, Ramakrishna Jayashreee, Veena Hukunda Gundaiah
Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences (Institute of National Importance), Bengaluru, Karnataka, India.
Department of Biostatistics, National Institute of Mental Health and Neuro Sciences (Institute of National Importance), Bengaluru, Karnataka, India.
Indian J Community Med. 2018 Jul-Sep;43(3):239-242. doi: 10.4103/ijcm.IJCM_5_18.
With improved access to highly active antiretrieval treatment, many children with perintally acquired HIV are now able live longer. These children are now reaching into adolescence and sexually active. This qualitative, explorative study examines the sexual and reproductive health (SRH) needs and concerns of adolescents living with HIV (ALHIV) in India.
We used qualitative research design to collect the data. Twenty participants were recruited from two nongovernmental organizations which provide shelter care, education, and emotional and social support to HIV/AIDS orphan children located in Bengaluru District of Karnataka State using purposive sampling. In-depth interview guide was prepared and used to elicit the adolescents' concerns, knowledge, and perspective related to sexuality, marriage, child bearing, and barriers in availing SRH services in the context of HIV.
Totally, four themes were emerged from that qualitative data based on thematic analysis, which are as follows: "Perceived challenges in relation to romantic relationship;" "Confusion regarding whether to marry person with HIV positive or HIV negative;" "Aspiration to have children," and "Perspective of ALHIV in relation to SRH needs and concerns."
The findings of the research brought out the need for policies and guidelines specifically targeting the SRH needs and concerns of ALHIV.
随着获得高效抗逆转录病毒治疗的机会增加，许多围产期感染艾滋病毒的儿童现在能够活得更长。这些儿童现已步入青春期并开始有性行为。这项定性探索性研究调查了印度感染艾滋病毒青少年（ALHIV）的性与生殖健康（SRH）需求及关切。
我们采用定性研究设计来收集数据。通过立意抽样，从两个为卡纳塔克邦班加罗尔地区的艾滋病毒/艾滋病孤儿提供庇护所照料、教育以及情感和社会支持的非政府组织中招募了20名参与者。编写了深入访谈指南，并用于引出青少年在艾滋病毒背景下与性、婚姻、生育以及获得性与生殖健康服务的障碍相关的关切、知识和观点。
基于主题分析，从该定性数据中总共得出了四个主题，如下所示：“与恋爱关系相关的感知挑战”；“对于是否与艾滋病毒呈阳性或阴性的人结婚感到困惑”；“生育愿望”，以及“感染艾滋病毒青少年对性与生殖健康需求及关切的看法”。
该研究结果表明需要制定专门针对感染艾滋病毒青少年的性与生殖健康需求及关切的政策和指南。
