AGE CONFIGURATION OF HIV

(FOREIGN) Based on Ssebutinde et al. (2018), Over the 7-year period, the proportion of young
adults and WHO stage 1 patients undertaking ART grew gradually. A higher risk of death with modified
relative risk (RR) was associated with older age at initiation of ART (>= 50 years) at 1.63 (95% CL 1.26-
2.11) compared to younger age. Older adults also had a worse RR= 1.79 (95% CL 0.89-3.58)
immunological reaction, although it was not statistically significant.

(FOREIGN) The review made by Reisner et al. (2009), It shows that there is a need for more
studies on adherence among HIV-infected young people, as well as more rigorously tested approaches.
More culturally tailored, HIV-infected youth prevention development study is warranted.

SOCIAL ACCEPTANCE / DISCRIMINATION ON HIV PATIENTS

(FOREIGN) Hornschuh et al. (2017) Adolescents and young adults in Soweto (AYAs) may
encounter situations that can hinder optimum adherence, despite having strong knowledge of ART. AYAs
which raise unique issues of adherence, such as rejection of HIV persistence following childhood therapy
and the difficulties that HIV/AIDS presents to them during a growth period in which social assimilation
assumes importance in their lives.
In a society where HIV prejudice remains a reality, though, secretiveness can be a realistic and
palatable tactic that can be recommended to AYAs by a health care provider to help sustain adherence
when public exposure is unthinkable for the individual. Motivational messaging based on known long
term wellness, sustainability and prevention can be parallel approaches.
ADHERANCE ON HIV
(FOREIGN) Maximizing adherence as Reisner et al. (2017) stated that not only can it be important for
the well-being of young people infected with HIV, but it can also have a far-reaching and wider effect on
public health. There is no adherence that can contribute to drug resistance and cross-resistance which can
make treatments for HIV ineffective as well may be involved in the production of drug-resistant HIV
strains.
(LOCAL) Restar et al. (2019). In this sample of trans women, mixed regimens and attitudes about taking
FHT and ART remain. While the primary source of health knowledge for trans participants is their HIV
provider, clinicians are likely to express non affirmative language that adversely affects the choice of
trans women to take FHT and ART. Research is required to explain co-prescriptions among this
community in the Philippines of gender-affirmative services with HIV treatment. Exploring programs
focused on HIV services to strengthen awareness, behaviors and encouragement to engage with and meet
the health needs of trans people living with HIV.
HIV TREATMENT
(FOREIGN) Almeida, R.F. & Vieira, A.P. (2009), It was assessed that antiretroviral therapy is
theoretically successful in minimizing viral load and postponing the onset of opportunistic diseases,
despite significant evidence. The review of responses from antiretroviral opioid patients interviewed for
this research indicates that they lack more information about other facets of drug treatment, despite being
aware of the amount of pills and the duration at which they have to take them.
About 28 (14.4%) of the 195 people interviewed demonstrated more information regarding the
proper protocol after skipping a dose, stating that if you forgot to take a dose, you could only take the
missed dose if it was not prior to the time of the next dose.
(LOCAL) Phenomenology of Patients living with HIV
C. Chavez, V. Maloles, P. L. Manzano (2016). Participants in the Focus Group Debate (FGD) recognize
HIV as a disease that can kill them, but they also agree that the secret to prolonging their lives and dealing
with their infection is understanding of the virus. They presume they should be managed by HIV, but they
are the ones that can know how to deal with the illness. The effects of HIV have changed not only the
lives of PLHIVs, but also the people around them, especially their families. HIV also altered their view of
life and made them realize what they have. HIV has made them learn more about themselves and enjoy a
stable life.