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Providing comprehensive health services for young key populations: needs, barriers and gaps

INTRODUCTION: Adolescence is a time of physical, emotional and social transitions that have implications for health. In addition to being at high risk for HIV, young key populations (YKP) may experience other health problems attributable to high-risk behaviour or their developmental stage, or a comb...

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Autores principales: Delany-Moretlwe, Sinead, Cowan, Frances M, Busza, Joanna, Bolton-Moore, Carolyn, Kelley, Karen, Fairlie, Lee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International AIDS Society 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4344539/
https://www.ncbi.nlm.nih.gov/pubmed/25724511
http://dx.doi.org/10.7448/IAS.18.2.19833
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author Delany-Moretlwe, Sinead
Cowan, Frances M
Busza, Joanna
Bolton-Moore, Carolyn
Kelley, Karen
Fairlie, Lee
author_facet Delany-Moretlwe, Sinead
Cowan, Frances M
Busza, Joanna
Bolton-Moore, Carolyn
Kelley, Karen
Fairlie, Lee
author_sort Delany-Moretlwe, Sinead
collection PubMed
description INTRODUCTION: Adolescence is a time of physical, emotional and social transitions that have implications for health. In addition to being at high risk for HIV, young key populations (YKP) may experience other health problems attributable to high-risk behaviour or their developmental stage, or a combination of both. DISCUSSION: We reviewed the needs, barriers and gaps for other non-HIV health services for YKP. We searched PubMed and Google Scholar for articles that provided specific age-related data on sexual and reproductive health; mental health; violence; and substance use problems for adolescent, youth or young sex workers, men who have sex with men, transgender people, and people who inject drugs. RESULTS: YKP experience more unprotected sex, sexually transmitted infections including HIV, unintended pregnancy, violence, mental health disorders and substance use compared to older members of key populations and youth among the general population. YKP experience significant barriers to accessing care; coverage of services is low, largely because of stigma and discrimination experienced at both the health system and policy levels. DISCUSSION: YKP require comprehensive, integrated services that respond to their specific developmental needs, including health, educational and social services within the context of a human rights-based approach. The recent WHO Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations are an important first step for a more comprehensive approach to HIV programming for YKP, but there are limited data on the effective delivery of combined interventions for YKP. Significant investments in research and implementation will be required to ensure adequate provision and coverage of services for YKP. In addition, greater commitments to harm reduction and rights-based approaches are needed to address structural barriers to access to care.
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spelling pubmed-43445392015-03-10 Providing comprehensive health services for young key populations: needs, barriers and gaps Delany-Moretlwe, Sinead Cowan, Frances M Busza, Joanna Bolton-Moore, Carolyn Kelley, Karen Fairlie, Lee J Int AIDS Soc HIV and adolescents: focus on young key populations INTRODUCTION: Adolescence is a time of physical, emotional and social transitions that have implications for health. In addition to being at high risk for HIV, young key populations (YKP) may experience other health problems attributable to high-risk behaviour or their developmental stage, or a combination of both. DISCUSSION: We reviewed the needs, barriers and gaps for other non-HIV health services for YKP. We searched PubMed and Google Scholar for articles that provided specific age-related data on sexual and reproductive health; mental health; violence; and substance use problems for adolescent, youth or young sex workers, men who have sex with men, transgender people, and people who inject drugs. RESULTS: YKP experience more unprotected sex, sexually transmitted infections including HIV, unintended pregnancy, violence, mental health disorders and substance use compared to older members of key populations and youth among the general population. YKP experience significant barriers to accessing care; coverage of services is low, largely because of stigma and discrimination experienced at both the health system and policy levels. DISCUSSION: YKP require comprehensive, integrated services that respond to their specific developmental needs, including health, educational and social services within the context of a human rights-based approach. The recent WHO Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations are an important first step for a more comprehensive approach to HIV programming for YKP, but there are limited data on the effective delivery of combined interventions for YKP. Significant investments in research and implementation will be required to ensure adequate provision and coverage of services for YKP. In addition, greater commitments to harm reduction and rights-based approaches are needed to address structural barriers to access to care. International AIDS Society 2015-02-26 /pmc/articles/PMC4344539/ /pubmed/25724511 http://dx.doi.org/10.7448/IAS.18.2.19833 Text en © 2015 Delany-Moretlwe S et al; licensee International AIDS Society http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle HIV and adolescents: focus on young key populations
Delany-Moretlwe, Sinead
Cowan, Frances M
Busza, Joanna
Bolton-Moore, Carolyn
Kelley, Karen
Fairlie, Lee
Providing comprehensive health services for young key populations: needs, barriers and gaps
title Providing comprehensive health services for young key populations: needs, barriers and gaps
title_full Providing comprehensive health services for young key populations: needs, barriers and gaps
title_fullStr Providing comprehensive health services for young key populations: needs, barriers and gaps
title_full_unstemmed Providing comprehensive health services for young key populations: needs, barriers and gaps
title_short Providing comprehensive health services for young key populations: needs, barriers and gaps
title_sort providing comprehensive health services for young key populations: needs, barriers and gaps
topic HIV and adolescents: focus on young key populations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4344539/
https://www.ncbi.nlm.nih.gov/pubmed/25724511
http://dx.doi.org/10.7448/IAS.18.2.19833
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