{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:08:25Z","timestamp":1777853305847,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100025469","name":"Research Institute for Health Sciences, Chiang Mai University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100025469","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Young people with perinatally acquired HIV (YPHIV) in Thailand face psychosocial, developmental, and structural challenges. Intrinsic motivation strongly shapes health behaviors, including treatment adherence and Human immunodeficiency virus (HIV) self-care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study was conducted in March 2025 at the Chiang Mai University in Thailand enrolling 32 YPHIV aged 16-30 years (median age 22.9). Using photovoice and focus group discussions, participants shared their experiences and motivations for self-care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thematic analysis revealed key sources of motivation: supportive family ties, self-value, ambitious life goals, and inspiration from nature. While medication adherence and HIV self-care were seen as manageable, disclosure of HIV status remained highly stressful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings suggest YPHIV demonstrates resilience and intrinsic motivation despite ongoing challenges. Strengthening intrinsic motivation may enhance adherence, self-care, and long-term health outcomes through timely interventions and social support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582251400817","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T07:49:42Z","timestamp":1765439382000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Identification of Intrinsic Motivation for HIV Self-Care: Photovoice of Young People Living with Perinatal HIV in Northern Thailand"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0246-8187","authenticated-orcid":false,"given":"Linda","family":"Aurpibul","sequence":"first","affiliation":[{"name":"Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2910-970X","authenticated-orcid":false,"given":"Chintana","family":"Khamrong","sequence":"additional","affiliation":[{"name":"School for Health Sciences Research, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2043-7326","authenticated-orcid":false,"given":"Kalunyu","family":"Kotchawat","sequence":"additional","affiliation":[{"name":"Embrace Counseling Service &amp; Psychological, Chiang Mai, Thailand"},{"name":"Counseling Psychology, Department of Psychology, Faculty of Humanities, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rattika","family":"Thammalangka","sequence":"additional","affiliation":[{"name":"Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wanvisa","family":"Taweehorm","sequence":"additional","affiliation":[{"name":"Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Supunnee","family":"Masurin","sequence":"additional","affiliation":[{"name":"Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuttawadee","family":"Maneerat","sequence":"additional","affiliation":[{"name":"Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2024.2325100"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2022.10.021"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2019.1679707"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002008"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2055-6640(20)30692-0"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1150419"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2015.1096888"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordhb\/9780190666453.013.6"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022-3514.70.1.115"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1023\/B:COTR.0000045568.95219.e2"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1359105316672922"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10826-012-9620-2"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.94.6.911"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1524839903258015"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2854-y"},{"key":"e_1_3_3_19_2","unstructured":"The Importance of Family for the Asian Middle-Class. 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