Health Economics and HIV and AIDS Research Division (HEARD), University of KwaZulu Natal, Durban, South Africa.
Discipline of Psychology, University of KwaZulu Natal, Durban, South Africa.
Front Public Health. 2021 Dec 15;9:628725. doi: 10.3389/fpubh.2021.628725. eCollection 2021.
There is limited research on adolescent boys and young men (ABYM)'s initial and onward HIV seropositive status disclosure, coping strategies and treatment adherence journeys especially in Zimbabwe. This qualitative exploratory study employed in-depth individual interviews at Chiredzi General Hospital in Zimbabwe to explore the dynamics of disclosure, coping and treatment adherence among ABYM. Twenty-one HIV positive ABYM with ages ranging from 14 to 21 were recruited from their scheduled visit to collect medication at the hospital. Findings indicate that ABYM disclosure journeys began with shock, confusion or misunderstanding and ended in a positive life outlook. Treatment adherence among ABYM was very poor due to poverty, erratic food supply, feeling sick after taking medication, forgetfulness and the public nature of medication collection centers. The study concluded that ABYM maintained secrecy in order to be accepted by their peers but also to protect themselves from stigma and isolation.
关于青少年男孩和年轻男性（ABYM）的初次和持续 HIV 阳性状态披露、应对策略以及治疗依从性的研究有限，尤其是在津巴布韦。这项定性探索性研究在津巴布韦奇雷济总医院采用深入的个人访谈，探讨了 ABYM 中的披露、应对和治疗依从的动态。从医院定期就诊取药的 21 名年龄在 14 至 21 岁的 HIV 阳性 ABYM 中招募了他们。研究结果表明，ABYM 的披露旅程始于震惊、困惑或误解，最终以积极的人生观结束。ABYM 的治疗依从性非常差，原因是贫困、食物供应不稳定、服药后感到不适、健忘以及药物收集中心的公共性质。该研究得出的结论是，ABYM 保持秘密是为了被同龄人接受，也是为了保护自己免受耻辱和孤立。
