The south american context of diagnostic disclosure of adolescents infected by HIV/AIDS: a systematic literature review

Abstract

SUMMARY OBJECTIVE To analyze the scientific evidence on the disclosure of the diagnostic of adolescents infected by HIV/AIDS in the South American context. DATABASE Systematic literature review using the PubMed, Cinahal, Embase, Cochrane, BVS, and Global Health databases and the descriptors: adolescent and HIV and family and Argentina or Bolivia or Brasil or Chile or Colombia or Ecuador or French Guiana or Paraguay or Peru or Uruguay or Venezuela. DATA SYNTHESIS Brasil was the country highlighted. It was verified that parents have a direct and indirect influence over the adolescents’ life, especially regarding behaviors and health care. Dialog among family members can reduce adolescents’ vulnerability to HIV and encourage diagnostic disclosure. CONCLUSION It is necessary to amplify research involving adolescents with HIV/AIDS and their parents/caregivers and family members to improve care and reduce the cases of the disease. It is suggested that policies of prevention and treatment should involve families, caregivers, partners, and the community.

Social and mental health characteristics of adolescents living with HIV in Mexico: Implications for adherence to antiretroviral treatment

“…In contrast, some factors that increase ART adherence and prevent HIV transmission are family characteristics, such as maintaining a close relationship with caregivers (Da Costa et al, 2020; Teasdale et al, 2021). Strategies like use of reminders, taking pills before leaving home, keeping medicine in the same place, and being informed of the importance of treatment (Abiodun et al, 2022; Ammon et al, 2018; Reif et al, 2020; Vreeman et al, 2013) can counter certain obstacles to ART adherence.…”

Padrões do conhecer de enfermeiras sobre revelação do HIV à criança

“…Já a revelação, como um conceito, vem sendo apropriado para compreender esse processo como um marco importante na vida de crianças, adolescentes e suas famílias. O estigma e o preconceito são complicadores nessa revelação, constituindo-se em uma demanda de cuidado cuja origem se estabelece e se mantém no interior da família, uma vez que cabe a ela a responsabilidade precípua pela revelação à criança (6)(7)(8) . Nesse sentido, a revelação é um fenômeno que envolve atores de diferentes lugares sociais (a criança, o familiar e o profissional), repensando a contribuição da ciência da enfermagem no campo de revelações diagnósticas à criança.…”

Nurses’ patterns of knowing about HIV disclosure to children

“…Disclosure, as a concept, has been appropriate to understand this process as an important milestone in children's, adolescents' and their families' lives. Stigma and prejudice complicate this disclosure, constituting a demand for care whose origin is established and maintained within the family, since it is the family's primary responsibility for disclosing it to children (6)(7)(8) . In this sense, disclosure is a phenomenon that involves actors from different social places (child, family and professional), rethinking the contribution of science of nursing in the field of diagnostic disclosure to children.…”