{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T07:09:49Z","timestamp":1778310589233,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NIH","award":["FIC\/NIH D43TW010946"],"award-info":[{"award-number":["FIC\/NIH D43TW010946"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Limited research evidence exists on the experiences of adolescents living with HIV about their access to antiretroviral therapy during the COVID-19 pandemic in Tanzania.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the lived experiences of adolescents living with HIV during the COVID-19 pandemic, including COVID-19-related anxiety, facilitators and barriers to accessing HIV care and treatment, and the coping strategies employed to remain healthy and resilient and if differences existed based on levels of anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We adopted a case study design to understand both normative and individual lived experiences of purposefully sampled adolescents receiving HIV care during the COVID-19 pandemic with higher and lower anxiety levels. A total of 32 participants took part in the study, including 24 in focus group discussions and 8 in in-depth interviews. Data were analyzed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Adolescents living with HIV faced heightened anxiety and notable barriers to accessing HIV services during the COVID-19 pandemic. Their anxiety was driven by fear of infection, uncertainty about prevention measures, concerns about receiving care outside HIV clinics, and a perceived increased vulnerability. Many reported difficulty attending clinic appointments, largely due to government- and parent-imposed restrictions such as stay-at-home directives, mandatory mask use, and limited public transport capacity, but no difference based on anxiety level.<\/jats:p>\n                    <jats:p>To cope, adolescents relied on treatment adherence knowledge, self-efficacy, and family support. Both low- and high-anxiety groups encountered similar barriers to care and treatment adherence; however, those with higher anxiety reported greater fear of infection, less confidence in coping, and less helpful coping skills. No differences were observed by sex or age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings highlight that self-efficacy, risk-reduction knowledge, problem-solving skills, and family support helped reduce anxiety and support treatment adherence among adolescents living with HIV, underscoring the need for targeted support programs during public health crises.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582261446450","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T03:24:46Z","timestamp":1778037886000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences of Adolescents Living With HIV During the COVID-19 Pandemic in Dar es Salaam, Tanzania: A Qualitative Study"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9336-5583","authenticated-orcid":false,"given":"Tumaini","family":"Nyamhanga","sequence":"first","affiliation":[{"name":"Muhimbili University of Health and Allied Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1047-6197","authenticated-orcid":false,"given":"David","family":"Gitagno","sequence":"additional","affiliation":[{"name":"Muhimbili University of Health and Allied Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2839-5536","authenticated-orcid":false,"given":"Rachel","family":"Mtei","sequence":"additional","affiliation":[{"name":"Muhimbili University of Health and Allied Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7408-6084","authenticated-orcid":false,"given":"Matthew","family":"Caputo","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvia","family":"Kaaya","sequence":"additional","affiliation":[{"name":"Muhimbili University of Health and Allied Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine"},{"name":"Northwestern University Feinberg School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4355-7437","authenticated-orcid":false,"given":"Lisa R","family":"Hirschhorn","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine"},{"name":"Northwestern University Feinberg School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/su13116314"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2006.12.011"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/epi.16524"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11069-023-05959-2"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.17533\/udea.iee.v40n1e10"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_337_19"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_325_20"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-025-04689-9"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-14493-y"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2022.41.174.31481"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.36282\/IJASRM\/5.11.2020.1770"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.24248\/eahrj.v9i1.822"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annale.2022.100042"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/24557471221115258"},{"key":"e_1_3_4_16_2","unstructured":"Maskaeva A Chitiga M Henseler M Mabugo R Maisonnave H. 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