Bifurcations biographiques : l’expérience du dévoilement du diagnostic du point de vue        d’adolescents infectés par le VIH en période périnatale

Proulx-Boucher, Karène; Fernet, Mylène; Blais, Martin; Lévy, Joseph Josy; Otis, Joanne; Thériault, Jocelyne; Samson, Johanne; Morin, G.; Lapointe, Normand; Trottier, Germain

doi:10.7202/1025966ar

Cited by 4 publications

(1 citation statement)

References 25 publications

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“…Adolescents often learn late about their HIV status because parents fear the disclosure of their own status. 12,13 Dealing with the onset of sexuality with a sexually transmitted, stigmatized disease adds an additional level of complexity to what is already a challenging stage for all adolescents. 14 In general, the fear of transmitting the virus to their partner along with their reluctance to disclose their HIV status not only for fear of rejection and stigmatization, but also because they do not know how to, are sources of anxiety.…”

Section: The Weight Of Hiv On Adolescent Sexualitymentioning

confidence: 99%

Sexuality of adolescent girls born with HIV in Senegal: an anthropological analysis

Laborde‐Balen

Diop²,

Sow³

et al. 2023

Therapeutic Advances in Infection

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Objectives: In Senegal, the dominant social norm upholds virginity before marriage and edifies abstinence for adolescents as a cardinal moral value. Currently, sex outside of marriage remains socially condemned. The onset of sex for adolescent girls born with HIV in Senegal brings up several challenges. In Dakar, initiatives, especially through digital applications, are being developed to support these young people. These programs are much rarer in rural settings. A study conducted in 2021 explored how adolescent girls born with HIV who live outside of Dakar experience sexuality, what socio-health constraints they face, and what support they receive from the healthcare system. Method: An anthropological study titled ‘Treatment Failure among Children and Adolescents Living with HIV in Senegal, Outside Dakar’ (ETEA-VIH, ANRS 12421) was conducted in 2021 in 14 regional hospitals and health centers. Semi-structured interviews were conducted with 87 HIV-positive children and adolescents, 95 parents/guardians, and 47 health care workers. Adolescent girls’ onset of sexuality was specifically analyzed for 40 adolescent girls age 12–19 years old. Results: Generally, parents feign oblivion about their children’s sexual lives. Mothers dread a pregnancy out of marriage because they are responsible for overseeing sex education and would be ‘blamed’ for the transgression. The occurrence of an unintended pregnancy can lead to exclusion from the family and a risk of transmitting HIV to the child due to the lack of medical and social support. HIV remains a stigmatizing disease that families keep secret. The risk of disclosure is a major concern. Despite sexual and reproductive health (SRH) programs, most healthcare workers are reluctant to discuss sexuality or to offer contraception to adolescent girls. Information spaces have been set up in some regional hospitals by associations trained in SRH. They are rarer in health centers. Accessibility to digital applications and discussion forums is limited due to the lack of smartphones and Internet access. Conclusion: In rural settings, HIV-positive adolescent girls are confronted with the silence that surrounds sexuality and HIV. An individualized approach and confidential access to contraception should be prioritized to support them with assistance from PLHIV associations.

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Section: The Weight Of Hiv On Adolescent Sexualitymentioning

confidence: 99%

Sexuality of adolescent girls born with HIV in Senegal: an anthropological analysis

Laborde‐Balen

Diop²,

Sow³

et al. 2023

Therapeutic Advances in Infection

View full text Add to dashboard Cite

show abstract

Stigma Management Trajectories in Youth with Perinatally Acquired HIV and Their Families: A Qualitative Perspective

et al. 2017

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This study explores how family, secrecy and silence contribute to the adoption of stigma management strategies among youth with perinatally acquired HIV (PAHIV). A qualitative method was used. Eighteen youths with PAHIV aged 13-22 years old took part in a semi-structured interview. An exploratory content analysis was performed. Analyses of interviews allowed identification of two HIV stigma management trajectories, both sensitive to the family context: [1] a consolidation of family ties, which contributes to solidarity in stigma management; and [2] a weakening or dissolution of family ties, which contributes to solitary stigma management strategy. Family conditions that support the children in their efforts to develop active stigma management strategies are described. Children likely to experience weakening or dissolution family ties must build strong bonds in the clinical environment and maintain these into adulthood so as to afford them the support they need.

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What Is Our Added Value? A Systematic Analysis of Epidemic Narratives in the Social Work Literature

Roy

2024

Social Work Research

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This article addresses social work’s singular conceptual and analytical contribution to the field of epidemics. A systematic literature review was conducted to analyze how social work studies overlap to construct epidemic narratives. The author collected 601 articles from the Social Services Abstracts database and carried out a targeted search within 20 social work journals. Five epidemic narratives were identified: (1) a psychosocial consequences narrative, (2) a social work competence narrative, (3) a social risk factors narrative, (4) a misinformation narrative, and (5) a power matrix narrative. Results highlighted the social success of psychosocial perspectives prevalent in classic public health narratives. This understanding relies on a “politics of access” perspective and advocates for the improvement of current social services. The findings revealed that social work does not have a conceptual specificity in the field of epidemics but, rather, its current distinctive contribution mostly lies in its use of social work–centric inquiries that analyze social work practices and describe the consequences experienced by social work actors during epidemics. The author argued that the social work literature could benefit from analyses informed by a “politic of emancipation” that are less prominent in the analyzed studies. Avenues for future research are considered.

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Bifurcations biographiques : l’expérience du dévoilement du diagnostic du point de vue d’adolescents infectés par le VIH en période périnatale

Cited by 4 publications

References 25 publications

Sexuality of adolescent girls born with HIV in Senegal: an anthropological analysis

Sexuality of adolescent girls born with HIV in Senegal: an anthropological analysis

Stigma Management Trajectories in Youth with Perinatally Acquired HIV and Their Families: A Qualitative Perspective

What Is Our Added Value? A Systematic Analysis of Epidemic Narratives in the Social Work Literature

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