Wayne State University School of Medicine, Family Medicine and Public Health Sciences, IBio 6135 Woodward Avenue, Behavioral Health, H206, Detroit, MI 48202, USA.
Florida State University, Center for Translational Behavioral Science, 2010 Levy Avenue Building B, Suite B0266, Tallahassee, FL 32310, USA.
Pediatr Clin North Am. 2022 Aug;69(4):759-777. doi: 10.1016/j.pcl.2022.04.007.
HIV is now a chronic condition that can be managed. Adolescents and emerging adults represent a large proportion of new diagnoses, but struggle with many aspects of HIV-related self-management. Self-management of HIV is critical to maintaining health and involves retention in HIV care, medication adherence to achieve viral suppression, managing substance use, and sexual and general health-related behaviors. This article describes theoretic frameworks for HIV self-management as adapted for youth and reviews self-management interventions developed to improve health outcomes in youth living with HIV identified from a recent systematic review.
HIV 现在是一种可以控制的慢性病。青少年和刚成年的人占新诊断病例的很大一部分，但在许多与 HIV 相关的自我管理方面都存在困难。HIV 的自我管理对保持健康至关重要，包括保持 HIV 护理的连续性、药物治疗以实现病毒抑制、管理物质使用以及性行为和一般健康相关行为。本文描述了针对青年人群体的 HIV 自我管理理论框架，并回顾了最近的系统评价中确定的旨在改善 HIV 青年感染者健康结果的自我管理干预措施。
