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The influence of religious beliefs and practices on health care decision-making among HIV positive adolescents.
Lyon, Maureen E; D'Angelo, Lawrence J; Cheng, Yao I; Dallas, Ronald H; Garvie, Patricia A; Wang, Jichuan.
Afiliación
  • Lyon ME; Division of Adolescent and Young Adult Medicine, Children's National, Washington, DC, USA.
  • D'Angelo LJ; Center for Translational Science/Children's Research Institute, Washington, DC, USA.
  • Cheng YI; George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
  • Dallas RH; Division of Adolescent and Young Adult Medicine, Children's National, Washington, DC, USA.
  • Garvie PA; George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
  • Wang J; Division of Biostatistics and Study Methodology, Center for Translational Science/Children's Research Institute, Children's National, Washington, DC, USA.
AIDS Care ; 32(7): 896-900, 2020 07.
Article en En | MEDLINE | ID: mdl-31535560
It is unknown if religiousness/spirituality influences end-of-life treatment preferences among adolescents. Investigators assessed whether religiousness/spirituality moderates the relationship between an advance care planning intervention and end-of-life treatment preferences among 85 primarily African-American adolescents living with HIV/AIDS in outpatient-hospital-based HIV-specialty clinics in the United States. Adolescents aged 14-21 years living with HIV/AIDS and their families were randomized to three-weekly-60-minute sessions either: advance care planning (survey, goals of care conversation, advance directive); or control (developmental history, safety tips, nutrition/exercise). At 3-months post-intervention the intervention effect (decreasing the likelihood of choosing to continue treatments in all situations) was significantly moderated by religiousness/spirituality. Highly religious/spiritual adolescents were four times more likely to choose to continue treatments in all situations. Thus, intensive treatments at end-of-life may represent health equity, rather than health disparity. The belief believed that HIV is a punishment from God at baseline (15%, 14/94) was not associated with end-of-life treatment preferences. Twelve percent (11/94) reported they had stopped taking HIV medications for more than 3 days because of the belief in a miracle. Religiousness moderates adolescent's medical decision-making. Adolescents who believe in miracles should receive chaplaincy referrals to help maintain medication adherence.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies Aspecto: Ethics Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: AIDS Care Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies Aspecto: Ethics Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: America do norte Idioma: En Revista: AIDS Care Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido