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AJPH First Look, published online ahead of print Jan 31, 2006
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June 2006, Vol 96, No. 6 | American Journal of Public Health 1001-1006
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2004.060905


MULTISECTORIAL RESPONSES TO HIV/AIDS

Vulnerability, Human Rights, and Comprehensive Health Care Needs of Young People Living With HIV/AIDS

José Ricardo de Carvalho Mesquita Ayres, MD, PhD, Vera Paiva, PhD, Ivan França, Jr, MD, PhD, Neide Gravato, MS, Regina Lacerda, MS, Marinella Della Negra, MD, PhD, Heloisa Helena de Sousa Marques, MD, PhD, Eliana Galano, PhD, Pilar Lecussan, MD, Aluísio Cotrim Segurado, MD, PhD and Mariliza Henrique Silva, MD

José Ricardo de Carvalho Mesquita Ayres is with the Department of Preventive Medicine, School of Medicine, University of São Paulo, São Paulo, Brazil. Vera Paiva is with the Department of Social Psychology, School of Psychology, University of São Paulo. Ivan França Jr is with the Department of Maternal and Child Health, School of Public Health, University of São Paulo. Neide Gravato and Regina Lacerda are with the Santos STD/AIDS Program, Santos, Brazil. Marinella Della Negra is with the Emilio Ribas Institute of Infectious Diseases, São Paulo. Heloisa Helena de Sousa Marques and Pilar Lecussan are with the Child’s Institute, Clinics Hospital of the School of Medicine, University of São Paulo. Eliana Galano and Mariliza Henrique Silva are with the São Paulo State STD/AIDS Program, São Paulo. Aluísio Cotrim Segurado is with the Department of Infectious Diseases, School of Medicine, University of São Paulo.

Correspondence: Requests for reprints should be sent to José Ricardo de Carvalho Mesquita Ayres, Avenida Doutor Arnaldo 455, sala 2222, 01246-903, São Paulo/SP, Brazil (e-mail: jrcayres{at}usp.br).

We sought to identify and understand the health care needs of young people living with HIV/AIDS, particularly in terms of their psychosocial well-being. We conducted a qualitative analysis of HIV-positive young people and their caregivers, focusing on the implications of an HIV diagnosis for health care needs.

Stigma was a recurrent issue that arose in the interviews conducted with the respondents, and it was evident that youths had been denied many rights related to health. We concluded that young people living with HIV need comprehensive care based on a human rights approach. In this regard, we offer some practical recommendations for health programs.







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