Intersectional Stigma and Implementation of HIV Prevention and Treatment Services for Adolescents Living with and at Risk for HIV: Opportunities for Improvement in the HIV Continuum in Sub-Saharan Africa.

Adolescents in sub-Saharan Africa, specifically adolescent girls and young women, young men who have sex with men, transgender persons, persons who use substances, and adolescents experiencing homelessness experience intersectional stigma, have a high incidence of HIV and are less likely to be engag...

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Publicado en:AIDS & Behavior Vol. 27; pp. 162 - 185
Autores principales: Embleton, Lonnie, Logie, Carmen H., Ngure, Kenneth, Nelson, LaRon, Kimbo, Liza, Ayuku, David, Turan, Janet M., Braitstein, Paula
Formato: research tables/charts Journal Article
Publicado: Springer Nature May2023 Suppl 1
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Intersectional Stigma and Implementation of HIV Prevention and Treatment Services for Adolescents Living with and at Risk for HIV: Opportunities for Improvement in the HIV Continuum in Sub-Saharan Africa.
      aug:
        au:
          Embleton, Lonnie
          Logie, Carmen H.
          Ngure, Kenneth
          Nelson, LaRon
          Kimbo, Liza
          Ayuku, David
          Turan, Janet M.
          Braitstein, Paula
        affil: Dalla Lana School of Public Health, University of Toronto, 155 College Street, M5T 3M7, Toronto, ON, Canada
      sug:
        subj:
          Stigma
          Intersectionality Africa South of the Sahara
          HIV Infections Prevention and Control
          Program Implementation
          HIV-Positive Persons Psychosocial Factors
          Human
          Adolescence
          Africa South of the Sahara
          Male
          Female
          Men Who Have Sex With Men
          Transgender Persons
          Persons with Substance Use Disorders
          Incidence
          Thematic Analysis
          Adolescent: 13-18 years
          Male
          Female
      ab: Adolescents in sub-Saharan Africa, specifically adolescent girls and young women, young men who have sex with men, transgender persons, persons who use substances, and adolescents experiencing homelessness experience intersectional stigma, have a high incidence of HIV and are less likely to be engaged in HIV prevention and care. We conducted a thematic analysis informed by the Health and Discrimination Framework using a multiple case study design with five case studies in 3 sub-Saharan African countries. Our analysis found commonalities in adolescents' intersectional stigma experiences across cases, despite different contexts. We characterize how intersectional stigma impacts the uptake and implementation of HIV prevention and treatment services along the continuum for adolescents. Findings reveal how intersectional stigma operates across social-ecological levels and worsens HIV-related outcomes for adolescents. We identify opportunities for implementation science research to address stigma-related barriers to the uptake and delivery of HIV services for adolescents in sub-Saharan Africa.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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