A Systematic Review Exploring the Psychosocial Factors Affecting Adolescent Access to HIV Treatment Services
<b>Context</b>: Despite the global realization that increasing access to antiretroviral treatment promotes significant bio-medical gains amongst adolescents living with HIV (ALHIV), the psychosocial impact of HIV on the health and well-being of ALHIV has been overlooked. <b>Objecti...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-12-01
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| Series: | Adolescents |
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| Online Access: | https://www.mdpi.com/2673-7051/3/1/2 |
| _version_ | 1797614172003893248 |
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| author | Tarique Variava Jennifer Watermeyer |
| author_facet | Tarique Variava Jennifer Watermeyer |
| author_sort | Tarique Variava |
| collection | DOAJ |
| description | <b>Context</b>: Despite the global realization that increasing access to antiretroviral treatment promotes significant bio-medical gains amongst adolescents living with HIV (ALHIV), the psychosocial impact of HIV on the health and well-being of ALHIV has been overlooked. <b>Objective</b>: To identify, synthesize, and discuss the psychosocial factors that affect ALHIV who are accessing HIV treatment services in South Africa. <b>Data sources</b>: Only empirical research published in English were searched for via four electronic research databases (i.e., ProQuest, Web of Science, EBSCO, and Sabinet Online) of the University of the Witwatersrand on 1 August 2020. <b>Eligibility criteria</b>: Full-text articles published in English were included in the sample on the following basis: (1) the identified studies included HIV-positive adolescents (<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mo>≥</mo></semantics></math></inline-formula>10 years old and <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mo>≤</mo></semantics></math></inline-formula>19 years old) residing in South Africa; (2) the phenomena under investigation within the identified studies related to psychosocial factors which affect ALHIV accessing HIV treatment services in South Africa; (3) measures exploring any form of psychosocial factors associated with ALHIV in South Africa that had to be utilized; (4) study research designs were either an observational or cohort study; (5) studies were of a quantitative or qualitative nature, and (6) studies ought to have been published between 1 January 2000 and 31 July 2020. <b>Data extraction</b>: Data from the articles included in this systematic review were extracted using predefined data fields, including study quality indicators. <b>Data synthesis</b>: A total of 18 empirical articles met the inclusion criteria informing this research report. From the articles included in this systematic review, it was evident that ALHIV accessing HIV treatment services in South Africa were impacted by seven major psychosocial factors. Specifically, this included their (1) psychosocial development, (2) quality of life, (3) experience of adversity, (4) availability of social support, (5) experience of HIV stigma, (6) HIV status disclosure, and (7) adherence to ART. <b>Conclusions</b>: The physiological, social, behavioural, and cognitive functioning of ALHIV accessing HIV treatment services predisposed them to psychosocial distress, which in turn had implications for their health and well-being. |
| first_indexed | 2024-03-11T07:06:02Z |
| format | Article |
| id | doaj.art-dcc739d5934c449e8a281525e7a6ac56 |
| institution | Directory Open Access Journal |
| issn | 2673-7051 |
| language | English |
| last_indexed | 2024-03-11T07:06:02Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Adolescents |
| spelling | doaj.art-dcc739d5934c449e8a281525e7a6ac562023-11-17T08:57:36ZengMDPI AGAdolescents2673-70512022-12-0131104010.3390/adolescents3010002A Systematic Review Exploring the Psychosocial Factors Affecting Adolescent Access to HIV Treatment ServicesTarique Variava0Jennifer Watermeyer1Gender and Health Research Unit at South African Medical Research Council, University of the Witwatersrand, Johannesburg 2000, South AfricaHealth Communication Research Unit, School of Human and Community Development, University of the Witwatersrand, Johannesburg 2000, South Africa<b>Context</b>: Despite the global realization that increasing access to antiretroviral treatment promotes significant bio-medical gains amongst adolescents living with HIV (ALHIV), the psychosocial impact of HIV on the health and well-being of ALHIV has been overlooked. <b>Objective</b>: To identify, synthesize, and discuss the psychosocial factors that affect ALHIV who are accessing HIV treatment services in South Africa. <b>Data sources</b>: Only empirical research published in English were searched for via four electronic research databases (i.e., ProQuest, Web of Science, EBSCO, and Sabinet Online) of the University of the Witwatersrand on 1 August 2020. <b>Eligibility criteria</b>: Full-text articles published in English were included in the sample on the following basis: (1) the identified studies included HIV-positive adolescents (<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mo>≥</mo></semantics></math></inline-formula>10 years old and <inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mo>≤</mo></semantics></math></inline-formula>19 years old) residing in South Africa; (2) the phenomena under investigation within the identified studies related to psychosocial factors which affect ALHIV accessing HIV treatment services in South Africa; (3) measures exploring any form of psychosocial factors associated with ALHIV in South Africa that had to be utilized; (4) study research designs were either an observational or cohort study; (5) studies were of a quantitative or qualitative nature, and (6) studies ought to have been published between 1 January 2000 and 31 July 2020. <b>Data extraction</b>: Data from the articles included in this systematic review were extracted using predefined data fields, including study quality indicators. <b>Data synthesis</b>: A total of 18 empirical articles met the inclusion criteria informing this research report. From the articles included in this systematic review, it was evident that ALHIV accessing HIV treatment services in South Africa were impacted by seven major psychosocial factors. Specifically, this included their (1) psychosocial development, (2) quality of life, (3) experience of adversity, (4) availability of social support, (5) experience of HIV stigma, (6) HIV status disclosure, and (7) adherence to ART. <b>Conclusions</b>: The physiological, social, behavioural, and cognitive functioning of ALHIV accessing HIV treatment services predisposed them to psychosocial distress, which in turn had implications for their health and well-being.https://www.mdpi.com/2673-7051/3/1/2adolescentsHIVpsychosocial healthSouth Africasystematic review |
| spellingShingle | Tarique Variava Jennifer Watermeyer A Systematic Review Exploring the Psychosocial Factors Affecting Adolescent Access to HIV Treatment Services Adolescents adolescents HIV psychosocial health South Africa systematic review |
| title | A Systematic Review Exploring the Psychosocial Factors Affecting Adolescent Access to HIV Treatment Services |
| title_full | A Systematic Review Exploring the Psychosocial Factors Affecting Adolescent Access to HIV Treatment Services |
| title_fullStr | A Systematic Review Exploring the Psychosocial Factors Affecting Adolescent Access to HIV Treatment Services |
| title_full_unstemmed | A Systematic Review Exploring the Psychosocial Factors Affecting Adolescent Access to HIV Treatment Services |
| title_short | A Systematic Review Exploring the Psychosocial Factors Affecting Adolescent Access to HIV Treatment Services |
| title_sort | systematic review exploring the psychosocial factors affecting adolescent access to hiv treatment services |
| topic | adolescents HIV psychosocial health South Africa systematic review |
| url | https://www.mdpi.com/2673-7051/3/1/2 |
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