Experiences of young adults growing up with innate or early acquired HIV infection--a qualitative study.
OBJECTIVE
To explore the experience of young adults growing up and living with HIV in urban Sweden.


BACKGROUND
HIV has become a widespread pandemic. Effective antiretroviral treatment has dramatically increased the survival rate of infected individuals, such that HIV infection is currently considered a chronic disease where treatment is available. Data concerning the experience of living with HIV since early childhood is scarce and more empirical knowledge is needed to direct the development of adequate care and interventions for this growing demographic.


METHODS
Exploratory qualitative study.


METHODS
Semi-structured interviews were conducted with ten HIV-infected young adults over the period from January-August 2008. Transcripts of the interviews were analysed using qualitative content analysis.


RESULTS
The analysis revealed five categories illustrating the experiences of growing up and living with HIV in Sweden: (1) to protect oneself from the risk of being stigmatized; (2) to be in control; (3) losses in life, but HIV is not a big deal; (4) health care/healthcare providers; and (5) belief in the future.


CONCLUSIONS
It is essential to offer a safe, trustworthy, and professional healthcare environment during the upbringing of HIV-infected children. Evidence-based interventions are needed to improve care and support, particularly about the handling of stigma and discrimination.
Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden. lise-lott.rydstrom@ki.se
Lise-Lott
LL
Rydström
Britt-Marie
BM
Ygge
Björn
B
Tingberg
Lars
L
Navèr
Lars E
LE
Eriksson
D000293:Adolescent; D000328:Adult; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D036301:Qualitative Research; D012650:Self Disclosure; D057545:Social Stigma; D013240:Stereotyping; D013548:Sweden; D014504:Urban Health; D055815:Young Adult