Errea Renato A, Wong Milagros, Senador Liz, Ramos Alicia, Ramos Karen, Galea Jerome T, Lecca Leonid, Sánchez Hugo, Benites Carlos, Franke Molly F
Departamento de Salud Global y Medicina Social, Escuela de Medicina de Harvard, Boston, Estados Unidos de América.
Socios en Salud, Lima, Perú.
Rev Peru Med Exp Salud Publica. 2021 Jan-Mar;38(1):153-158. doi: 10.17843/rpmesp.2021.381.6296. Epub 2021 Jun 25.
Adolescents living with HIV (ALWH) have lower rates of virologic suppression and higher rates of immunologic decline compared to their older counterparts, potentially placing them at high-risk for developing severe SARS-CoV-2 disease. ALWH who are transitioning to adult care face additional challenges to remaining in care and adhering to treatment. In this special section we report the experiences of ALWH in the process of transitioning to adult HIV services during the COVID-19 pandemic. In first place, the government-mandated stay-at-home order has substantially limited access to full HIV care by restricting public transportation, HIV medication stock-outs, and the suspension of routine medical and laboratory appointments. In addition, financial hardship, uncertainty about their future plans, emotional stressors, lifestyle disruptions, and concerns of involuntary disclosure have further challenged continuity in care for this adolescent population.
与年龄较大的艾滋病毒感染者相比，青少年艾滋病毒感染者（ALWH）的病毒学抑制率较低，免疫功能下降率较高，这可能使他们面临感染严重新冠病毒疾病的高风险。正在向成人护理过渡的ALWH在持续接受护理和坚持治疗方面面临额外挑战。在本特刊中，我们报告了在新冠疫情期间向成人艾滋病毒服务过渡过程中ALWH的经历。首先，政府强制实施的居家令通过限制公共交通、艾滋病毒药物缺货以及暂停常规医疗和实验室检查预约，大幅限制了获得全面艾滋病毒护理的机会。此外，经济困难、对未来计划的不确定性、情绪压力源、生活方式的干扰以及对非自愿暴露的担忧，进一步挑战了这一青少年群体护理的连续性。
