Contexts of vulnerability of adolescents living with HIV: an integrative review
DOI:
https://doi.org/10.15649/cuidarte.2803Keywords:
HIV, Adolescent, Adolescent Health, Health Vulnerability, ReviewAbstract
Introduction: In adolescents, the vulnerabilities resulting from HIV infection are linked to the biopsychosocial singularities of the phase, making them a priority group for health strategies. Objective: To analyze the state of the art regarding situations of vulnerability of adolescents who (co)live with HIV. Method: Integrative literature review conducted in eight libraries/databases to answer the guiding question. The standardized recommendations for review were followed, the findings were categorized and discussed according to the vulnerability framework. Result: 7,517 publications were identified, of which 11 were included. Different situations of individual, social and programmatic vulnerability experienced by young people with HIV were evidenced, namely: omission of diagnosis, stigma, discrimination, low adherence to antiretroviral therapy, emotional distress, among others. Discussion: Adolescents living with HIV are susceptible to situations that expose them to real and/or potential risks. In this sense, it is imperative to qualify health services and actions, in a logic of universal and integral offer, free of judgments based on personal beliefs. Conclusion: Adolescents who (co)live with HIV are inserted in dynamic, subjective, and complex contexts of vulnerability, constrained by individual, social and programmatic aspects that negatively influence their adolescence, their health, and their relationships.
How to cite this article: Pavinati, Gabriel; Lima, Lucas Vinícius de; Paiano, Marcelle; Jaques, André Estevam; Magnabosco, Gabriela Tavares. Contextos de vulnerabilidade de adolescentes que (con)vivem com HIV: uma revisão integrativa. Revista Cuidarte. 2023;14(2):e2803. http://dx.doi.org/10.15649/cuidarte.2803
References
Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018;2(3):223-28. https://doi.org/10.1016/s2352-4642(18)30022-1
Oliveira PS, Abud ACF, Inagaki ADM, Alves JAB, Matos KF. Vulnerability of adolescents to sexually transmissible diseases in primary care. Rev enferm UFPE on line. 2018;12(3):753-62. http://dx.doi.org/10.5205/1981-8963-v12i3a25063p753-762-2018
Gasparetto AS, Bonfim TA, Teston EF, Marcheti PM, Galera SAF, Giacon-Arruda BCC. Contexts of vulnerabilities experienced by adolescents: challenges to public policies. Rev. Bras. Enferm. 2020;73(suppl 4):e20190224. https://doi.org/10.1590/0034-7167-2019-0224
Ayres JRCM, França Jr I, Calazans GJ, Saletti Filho HC. O conceito de vulnerabilidade e as práticas de saúde: novas perspectivas e desafios. In: Czeresnia D, Freitas CM. (Orgs.) Promoção da saúde: conceitos, reflexões, tendências. Rio de Janeiro: Fiocruz; 2003. p. 117-39.
Moreira PA, Reis TS, Menezes AF, Mendes RB. HIV vulnerability among adolescents attending to public schools. Rev Fun Care Online. 2019;11(4):868-72. http://dx.doi.org/10.9789/2175-5361.2019.v11i4.868-872
Dourado JVL, Ponte HMS, Aguiar FAR, Aragão AEA, Ferreira Junior AR. Sexual education with school adolescents: an experience report. Cienc Cuid Saude. 2018;17(1). https://doi.org/10.4025/cienccuidsaude.v17i1.35211
Mabaso M, Maseko G, Sewpaul R, Naidoo I, Jooste S, Takatshana S, et al. Trends and correlates of HIV prevalence among adolescents in South Africa: evidence from the 2008, 2012 and 2017 South African National HIV Prevalence, Incidence and Behaviour surveys. AIDS Res Ther. 18:79. https://doi.org/10.1186%2Fs12981-021-00422-3
Ramos YTM, Cabral JR, Bushatsky M, Silva RA, Silva Filho JC, Oliveira RE. Self-evaluating the quality of life of people living with HIV. Cienc Cuid Saude. 2019;18(2):e47022. https://doi.org/10.4025/ciencuidsaude.v18i2.47022
Ayres JR, Castellanos MEP, Baptista TWF. Entrevista com José Ricardo Ayres. Saude soc. 2018;27(1). https://doi.org/10.1590/S0104-12902018000002
Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64. https://doi.org/10.1590/S0104-07072008000400018
The Joanna Briggs Institute. Joanna Briggs Institute Reviewers' Manual: 2015 Edition. The Joanna Briggs Institute; 2015. https://reben.com.br/revista/wp-content/uploads/2020/10/Scoping.pdf
Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar Revisões sistemáticas e meta-análises: a recomendação PRISMA. Epidemiol. Serv. Saude. 2015;24(2). https://www.scielo.br/j/ress/a/TL99XM6YPx3Z4rxn5WmCNCF/?lang=pt
Valencia-Contreta M, Yáñez AEO. Fenómeno techo de cristal en enfermería: revisión integrativa. Rev Cuid. 2022;13(1). https://doi.org/10.15649/cuidarte.2261
Pavinati G, Lima LV, Paiano M, Jaques AE, Magnabosco GT. Contextos de vulnerabilidade de adolescentes que (con)vivem com HIV: uma revisão integrativa. Mendeley Data. 2023. https://doi.org/10.17632/3vjf7zvbvc.1
Kauanda-Khangamwa B, Kapwata P, Malisita K, Munthali A, Chipeta E, Phiri S. Adolescents living with HIV, complex needs and resilience in Blantyre, Malawi. AIDS Res. 2020;17(35). https://doi.org/10.1186/s12981-020-00292-1
Paula CC, Padoin SMM, Brum CN, Silva CBA, Paula VC, Babadué RM. Cotidiano medicamentoso de adolescentes com HIV/aids. Rev. eletrônica enferm. 2013;15(4):1016-25. http://dx.doi.org/10.5216/ree.v15i4.19127
Doat AR, Navab E, Hoseini ASS. Paradoxical experiences of Ghanaian adolescents with HIV: physiological challenges. HIV AIDS Rev. 2021;20(1):59-64. https://doi.org/10.5114/hivar.2021.105087
Silva RG, Abreu PD, Araújo EC, Santana ADS, Sousa JC, Lyra J, Santos CB. Vulnerability in the health of young transgender women living with HIV/AIDS. Rev Bras Enferm. 2020;73(5). https://doi.org/10.1590/0034-7167-2019-0046
Enimil A, Nugent N, Amoah C, Norman B, Antwi S, Ocran J, Kwara A, Barker DH. Quality of life among Ghanaian adolescents living with perinatally acquired HIV: a mixed methods study. AIDS Care. 2016;28(4):460-4. https://doi.org/10.1080/09540121.2015.1114997
Kim MH, Mazenga AC, Yu X, Ahmed S, Paul ME, Kazembe PN, Abrams EJ. High self-reported non-adherence to antiretroviral therapy amongst adolescents living with HIV in Malawi: barriers and associated factors. Journal of the International. J Int. AIDS Soc. 2017; 20(1):21437. https://doi.org/10.7448/IAS.20.1.21437
Mwalabu G, Evans C, Redsell S. Factors influencing the experience of sexual and reproductive healthcare for female adolescents with perinatally-acquired HIV: a qualitative case study. BMC Womens Health. 2017;17(1):125. https://doi.org/10.1186/s12905-017-0485-9
Ashaba S, Cooper-Vince CE, Vořechovská D, Rukundo GZ, Maling S, Akena D, Tsai AC. Community beliefs, HIV stigma, and depression among adolescents living with HIV in rural Uganda. Afr J AIDS Res. 2019;(3):169-80. https://doi.org/10.2989/16085906.2019.1637912
Kourrouski MFC, Lima RAG. Adesão ao tratamento: vivências de adolescentes com HIV/aids. Rev. Lat. Am. Enfermagem. 2009; 17(6):947-52. https://doi.org/10.1590/S0104-11692009000600004
Rodrigues AS, Jesus MC, Silva LS, Oliveira JF, Paiva MS. Representações sociais de adolescentes e jovens vivendo com HIV acerca da adolescência, sexualidade e aids. Rev. eletrônica enferm. 2011;13(4). https://doi.org/10.5216/ree.v13i4.12815
Paula CC, Cabral IE, Souza IEO. O (não)dito da aids no cotidiano de transição da infância para a adolescência. Rev. Bras. Enferm. 2011;64(4). https://doi.org/10.1590/S0034-71672011000400005
Oliveira MLF. A concepção explicativa do conceito de vulnerabilidade e a enfermagem. Cienc Cuid Saude. 2013;12(4):623. https://periodicos.uem.br/ojs/index.php/CiencCuidSaude/article/view/23877
Slogrove AL, Sohn AH. The global epidemiology of adolescents living with HIV: Time for more granular data to improve adolescent health outcomes. Curr Opin HIV AIDS. 2018;13(3):170-78. https://doi.org/10.1097%2FCOH.0000000000000449
Damião JJ, Agostini R, Maksud I, Filgueiras S, Rocha F, Maia AC, Melo EA. Cuidando de pessoas vivendo com HIV/aids na Atenção Primária à Saúde: nova agenda de enfrentamento de vulnerabilidades? Saúde debate. 2022;46(132):163-74. https://doi.org/10.1590/0103-1104202213211
Lopes LM, Andrade RLP, Arakawa T, Magnabosco GT, Nemes MIB, Ruffino Neto A, et al. Vulnerability factors associated with HIV/AIDS hospitalizations: a case-control study. Rev. Bras. Enferm. 2020;73(3). https://doi.org/10.1590/0034-7167-2018-0979
Magno L, Silva LAV, Veras MA, Pereira-Santos M, Dourado I. Stigma and discrimination related to gender identity and vulnerability to HIV/AIDS among transgender women: a systematic review. Cad. Saúde Pública. 2019;35(4). https://doi.org/10.1590/0102-311X00112718
Cruz MLS, Darmont MQR, Monteiro SS. HIV-related stigma among young people living with HIV transitioning to an adult clinic in a public hospital in Rio de Janeiro, Brazil. Cad. Saúde Pública. 2021;26(07). https://doi.org/10.1590/1413-81232021267.07422021
Tavares TRP, Melo LP. “A gente vive em cima da corda bamba”: experiência de profissionais da saúde que trabalham com o HIV/aids em uma área remota do Nordeste brasileiro. Cad. Saúde Pública. 2018;34(11). https://doi.org/10.1590/0102-311X00063618
Downloads
Published
How to Cite
Downloads
Issue
Section
Categories
License
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.
