Department of Pediatrics, Georgetown University School of Medicine, Washington, DC, USA.
Department of Pediatrics, Division of Pediatric Hospitalist Medicine, Mattel Children's Hospital UCLA, Los Angeles, CA, USA.
J Adolesc. 2018 Dec;69:203-211. doi: 10.1016/j.adolescence.2018.10.006. Epub 2018 Nov 2.
HIV is a leading cause of morbidity and mortality among youth in sub Saharan Africa. This study explores the adaptation of an adult social network intervention for adolescents, entitled Kanyakla.
The study was conducted in Kisumu, Kenya from July to November 2016. Data was collected from: (1) semi-structured interviews (n = 32) with adolescents living with HIV aged 15-19; and (2) two focus group discussions (n = 21). Transcripts were coded using thematic analysis through the lens of an Adolescent Development Model.
Participants were interested in joining a Kanyakla to build social support, learn new skills, and partake in recreational activities. Many participants feared inadvertent disclosure related to stigma. Certain dichotomous themes emerged including the need for privacy versus the need for social support; and the desire for inclusion of elders versus preference for same-aged peers in the Kanyaklas.
With this study, we have key information that can be applied to developing the Kanyakla intervention for adolescents. Further study is needed to reconcile the dichotomies that emerged.
在撒哈拉以南非洲，艾滋病毒是导致年轻人发病和死亡的主要原因。本研究探讨了一项针对青少年的成人社交网络干预措施（称为 Kanyakla）的适应性。
本研究于 2016 年 7 月至 11 月在肯尼亚基苏木进行。数据收集自：（1）与年龄在 15-19 岁之间的艾滋病毒感染者青少年进行的半结构化访谈（n=32）；和（2）两个焦点小组讨论（n=21）。通过青少年发展模型的视角对转录本进行主题分析编码。
参与者有兴趣加入 Kanyakla，以建立社会支持、学习新技能和参加娱乐活动。许多参与者担心与污名相关的意外披露。出现了某些二分法主题，包括对隐私的需求与对社会支持的需求之间的平衡；以及希望包括长者和偏好同龄人加入 Kanyakla。
通过这项研究，我们获得了可用于为青少年开发 Kanyakla 干预措施的关键信息。需要进一步研究来调和出现的二分法。
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