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将青少年心理健康纳入艾滋病预防和治疗计划：实施科学能否铺平前进道路？

Integrating Adolescent Mental Health into HIV Prevention and Treatment Programs: Can Implementation Science Pave the Path Forward?

机构信息

Department of Mental Health, Kilimanjaro Christian Medical Centre, KCMC Box 3010, Moshi, Tanzania.

Kilimanjaro Christian Medical College University, Moshi, Tanzania.

出版信息

AIDS Behav. 2023 May;27(Suppl 1):145-161. doi: 10.1007/s10461-022-03876-2. Epub 2022 Nov 2.

DOI:10.1007/s10461-022-03876-2
PMID:36322219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9629193/
Abstract

Adolescent mental health (AMH) is a critical driver of HIV outcomes, but is often overlooked in HIV research and programming. The implementation science Exploration, Preparation, Implementation, Sustainment (EPIS) framework informed development of a questionnaire that was sent to a global alliance of adolescent HIV researchers, providers, and implementors working in sub-Saharan Africa with the aim to (1) describe current AMH outcomes incorporated into HIV research within the alliance; (2) identify determinants (barriers/gaps) of integrating AMH into HIV research and care; and (3) describe current AMH screening and referral systems in adolescent HIV programs in sub-Saharan Africa. Respondents reported on fourteen named studies that included AMH outcomes in HIV research. Barriers to AMH integration in HIV research and care programs were explored with suggested implementation science strategies to achieve the goal of integrated and sustained mental health services within adolescent HIV programs.

摘要

青少年心理健康（AMH）是影响 HIV 结局的关键因素，但在 HIV 研究和规划中往往被忽视。本研究采用实施科学探索、准备、实施、维持（EPIS）框架制定了一份调查问卷，分发给在撒哈拉以南非洲地区从事青少年 HIV 工作的全球青少年 HIV 研究人员、提供者和实施者联盟，旨在：（1）描述联盟内 HIV 研究中纳入的当前 AMH 结局；（2）确定将 AMH 纳入 HIV 研究和护理的决定因素（障碍/差距）；（3）描述撒哈拉以南非洲青少年 HIV 规划中当前的 AMH 筛查和转介系统。受访者报告了十四项纳入 HIV 研究中 AMH 结局的命名研究。探讨了在 HIV 研究和护理项目中纳入 AMH 的障碍，并提出了实施科学策略，以实现青少年 HIV 规划中整合和持续的心理健康服务目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfb0/10191912/19cbfc86cfad/10461_2022_3876_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfb0/10191912/5a024f129a6d/10461_2022_3876_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfb0/10191912/19cbfc86cfad/10461_2022_3876_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfb0/10191912/5a024f129a6d/10461_2022_3876_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfb0/10191912/19cbfc86cfad/10461_2022_3876_Fig2_HTML.jpg

相似文献

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Integrating Adolescent Mental Health into HIV Prevention and Treatment Programs: Can Implementation Science Pave the Path Forward?

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[3]
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引用本文的文献

[1]
Study protocol for Sauti ya Vijana (The Voice of Youth): A hybrid-type 1 randomized trial to evaluate effectiveness and implementation of a mental health and life skills intervention to improve health outcomes for Tanzanian youth living with HIV.

PLoS One. 2024

[2]
Assessing the impact of a community-based psychodrama intervention on mental health promotion of adolescents and young adults in Mozambique: A mixed-methods study.

J Glob Health. 2024-7-26

[3]
Integrating a mental health intervention into PrEP services for South African young women: a human-centred implementation research approach to intervention development.

J Int AIDS Soc. 2024-7

本文引用的文献

[1]
From surviving to thriving: integrating mental health care into HIV, community, and family services for adolescents living with HIV.

Lancet Child Adolesc Health. 2022-8

[2]
Intersections between COVID-19 and socio-economic mental health stressors in the lives of South African adolescent girls and young women.

Child Adolesc Psychiatry Ment Health. 2022-3-26

[3]
Sauti ya Vijana (SYV; The Voice of Youth): Longitudinal Outcomes of an Individually Randomized Group Treatment Pilot Trial for Young People Living with HIV in Tanzania.

AIDS Behav. 2022-6

[4]
Results of the Kigali Imbereheza Project: A 2-Arm Individually Randomized Trial of TI-CBT Enhanced to Address ART Adherence and Mental Health for Rwandan Youth Living With HIV.

J Acquir Immune Defic Syndr. 2022-5-1

[5]
The CombinADO study to assess the impact of a combination intervention strategy on viral suppression, antiretroviral therapy adherence, and retention in HIV care among adolescents and young people living with HIV: protocol for a cluster-randomized controlled trial.

Trials. 2021-12-27

[6]
Mental health outcomes of a pilot 2-arm randomized controlled trial of a HIV-prevention program for South African adolescent girls and young women and their female caregivers.

BMC Public Health. 2021-11-30

[7]
Interventions to address the mental health of adolescents and young adults living with or affected by HIV: state of the evidence.

J Int AIDS Soc. 2021-6

[8]
Mental health interventions for persons living with HIV in low- and middle-income countries: a systematic review.

J Int AIDS Soc. 2021-6

[9]
"Adolescents do not only require ARVs and adherence counseling": A qualitative investigation of health care provider experiences with an HIV youth peer mentoring program in Ndola, Zambia.

PLoS One. 2021

[10]
The prevalence of depression among adolescent with HIV/AIDS: a systematic review and meta-analysis.

AIDS Res Ther. 2021-4-27

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