Self-Management Frameworks for Youth Living with Human Immunodeficiency Virus

Pediatr Clin North Am. 2022 Aug;69(4):759-777. doi: 10.1016/j.pcl.2022.04.007.

Abstract

HIV is now a chronic condition that can be managed. Adolescents and emerging adults represent a large proportion of new diagnoses, but struggle with many aspects of HIV-related self-management. Self-management of HIV is critical to maintaining health and involves retention in HIV care, medication adherence to achieve viral suppression, managing substance use, and sexual and general health-related behaviors. This article describes theoretic frameworks for HIV self-management as adapted for youth and reviews self-management interventions developed to improve health outcomes in youth living with HIV identified from a recent systematic review.

Keywords: Adolescents and emerging adults; Behavioral interventions; Chronic disease management; HIV treatment cascade; Self-management.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • HIV
  • HIV Infections* / drug therapy
  • Humans
  • Medication Adherence
  • Self-Management*
  • Sexual Behavior