Factors that Influence Sexual and Reproductive Health Information Offered to Adolescents with Perinatally Acquired HIV: An Ecological Analysis of Provider Perspectives

Factors that Influence Sexual and Reproductive Health Information Offered to Adolescents with Perinatally Acquired HIV: An Ecological Analysis of Provider Perspectives

The goal of our project was to examine health and social service provider views of factors that influence the nature and timing of sexual and reproductive health (SRH) information shared with adolescents with perinatally acquired HIV (PHIV). Health care (n = 6) and social service (n = 7) providers (...

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Bibliographic Details
Published in:The Journal of the Association of Nurses in AIDS Care Vol. 29; no. 6; pp. 822 - 834
Main Authors: Fair, Cynthia D., Albright, Jamie, Culy, Lauren
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01-11-2018
Subjects:
Adolescent
Adolescent Behavior - psychology
adolescents
Adult
Counseling
disclosure
ecological model
Female
Health Communication
Health Knowledge, Attitudes, Practice
Health Personnel
HIV Infections - congenital
HIV Infections - psychology
Humans
Interviews as Topic
Male
perinatally acquired HIV
providers
Qualitative Research
Reproductive Health
Sex Education - methods
sexual and reproductive health
Sexual Behavior - psychology
Sexual Health
Young Adult
disclosure
sexual and reproductive health
ecological model
adolescents
perinatally acquired HIV
providers
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Summary:The goal of our project was to examine health and social service provider views of factors that influence the nature and timing of sexual and reproductive health (SRH) information shared with adolescents with perinatally acquired HIV (PHIV). Health care (n = 6) and social service (n = 7) providers (11.6 mean years caring for adolescents with PHIV) completed audio-recorded interviews that were transcribed, and coded for emerging themes. Analyses revealed multiple levels of influence best understood in the context of the ecological model. Adolescent factors included cognitive development, comfort level with sexuality talk, and disclosure status. Guardian/parent hesitancy, values, and concerns regarding disclosure comprised the microsystem. Exosystem-level factors included disclosure as a prerequisite to SRH education, provider comfort, and relationship with the adolescent. Finally, broader structural aspects of the macrosystem included mandatory disclosure laws and quality of school-based SRH education. Across systems, findings underscored the central importance of disclosure in the provision of SRH information.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1055-3290
1552-6917
DOI:10.1016/j.jana.2018.06.002