Contextual factors influencing self-management of adolescents and youth living with HIV: A cross-sectional survey in Lesotho
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
MDPI
Abstract
HIV treatment outcomes of adolescents and youth living with HIV (AYLWH)
are lagging. One way to improve outcomes is through supporting AYLWH to acquire self-management
skills. Although self-management is associated with improved health outcomes, condition-specific,
individual/family, and social/environmental contextual factors influence self-management. We aimed
to describe factors influencing the self-management of AYLWH in Lesotho. Methods: A cross-sectional
survey design was used. AYLWH (n = 183) aged 15–24 were conveniently sampled from two HIV
treatment sites in Lesotho. Participants completed self-report questionnaires in English or Sesotho. Participants (89.1% female) had high HIV self-management scores (mean 92.7%, SD 5.3%) that
corresponded with treatment outcomes (98.9% adherent and 100% viral load < 1000 copies/mL). This
might be attributed to condition-specific factors, including once-daily doses (100%) and longer duration
of treatment (81.4% on ART for more than 10 years).
Description
Keywords
HIV, Nursing, Self-management, Youth, Public health, Lesotho
Citation
Nagenda, M. C., & Crowley, T. (2023). Contextual factors influencing self-management of adolescents and youth living with HIV: A cross-sectional survey in Lesotho. International Journal of Environmental Research and Public Health, 20(1), 238. https://doi.org/10.3390/ijerph20010238