"My mother told me that I should not": a qualitative study exploring the restrictions placed on adolescent girls living with HIV in Zambia.

摘要: Introduction Adolescent girls in sub-Saharan Africa are disproportionately affected by HIV due to a range of social and structural factors. As they transition adulthood, recipients increasing blame for infection 'improper' sex, as well scrutiny, restrictions surveillance. This study used qualitative participatory approach explore the messaging imposed on adolescent living with Zambia. Methods Thirty-four in-depth interviews four workshops were carried out 24 aged 15 19 years old Lusaka, Key themes explored included experiences HIV, finding about status, disclosure, antiretroviral treatment, support needs. Data organized, coded analysed using grounded theory thematic analysis. analysis uses data participants' their interactions parents, guardians healthcare providers. Results Family providers, partly quest protect both health also them from blaming discourse, behaviour around three main topics: don't disclose your have miss medicines. These often delivered tactics fear, usually disconnected other options. Participants responded these messages several ways, including internalizing messages, changing either comply or resist restrictions, remaining silent anxious when broken, developing concerns own sexual reproductive aspirations. sometimes experiencing stigma could not be maintained. Conclusions Restrictive through broader discourses stigma, religion, global local narratives HIV. Programmes aiming need work together parents providers reflect impact sanctioning encourage more enabling empowering