Social Work. May89, Vol. 34 Issue 3, p215-221. 7p.
AIDS in adolescence, AIDS in children, INFECTIOUS disease transmission, AIDS education, SOCIAL workers, and CHILD care
The article focuses on the increase in the number of children and adolescents that have been diagnosed with AIDS. Like adults, these youngsters with AIDS not only must struggle for survival, but also must contend with social isolation, rejection, and ostracism. The psychosocial impact of AIDS on children and adolescents and their families often is devastating. Social workers must try several approaches to counseling and treating these children and adolescents and their families. Additionally, social workers often must consider the legal and ethical issues involved in placing youngsters with AIDS in foster care. Finally, social workers as part of their professional obligation must work actively to identify the concerns of specific cultural and minority groups, test methods of intervention, and determine service and practice requirements for staff and programs. For children, the signs and symptoms of AIDS include failure to thrive and recurrent bacterial infections, such as inner ear infections, chronic interstitial pneumonitis, thrush and lymphadenopathy.
AIDS in adolescence, FOLLOW-up studies (Medicine), HEALTH outcome assessment, LYMPHOCYTES, QUALITY of life, ANTIRETROVIRAL agents, CLINICAL trials, and QUANTITATIVE research
Perinatally human immunodeficiency virus (HIV)-infected children are fighting acquired immune deficiency syndrome (AIDS) and becoming adolescents. The objective of this study was to examine long-term outcomes among perinatally HIV-1-infected adolescents. Cross-sectional clinical and laboratory data were collected for 49 perinatally HIV-infected adolescents followed at the Instituto de Medicina Integral Prof. Fernando Figueira (IMIP's) Hospital from 1987 to 2007. The mean age of these adolescents was 12.5 years, the majority were female (73.5%) with a mean follow-up duration of 9.0 years, 71.4% of adolescents had no signs of HIV infection, 81.6% had normal CD4+ lymphocyte count, and 53.1% had undetectable HIV viral load. HIV disclosure to the adolescent was reported in 31 (63.3%) participants. The majority were in school (89.8%) but failure and drop-out were reported by 51% and 28.6% of the subjects, respectively. All five domains of quality of life (QOL) measured revealed high scores. The majority of long-term adolescent survivors showed HIV-infection control and high scores of QOL, but with problems in schooling functioning that need early detection and intervention. [ABSTRACT FROM AUTHOR]
AIDS in adolescence, HIV infections, AIDS in children, ANTIRETROVIRAL agents, PSYCHOSOCIAL development theory, and MENTAL health
As HIV-positive children continue to gain more access to antiretroviral therapy and survive into young adulthood, caregivers face the difficult process of disclosing a child’s HIV status to that child. Although disclosure has many proven benefits for mental health, psychosocial development, caregiver well-being, treatment adherence and future planning, such a process is still often met with resistance. This article discusses the main reasons given for delaying or avoiding disclosure of a child’s HIV status. Each barrier to disclosure is discussed and debunked as an insufficient reason to delay the positive benefits that the disclosure process has shown to produce. HIV disclosure is a critical and multifaceted issue in children. Such a process has been shown to best involve a multi-disciplinary support team that assists caregivers in continually adapting the disclosure discussion to meet the developmental needs and understanding of each individual child over time. [ABSTRACT FROM AUTHOR]