{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:52:53Z","timestamp":1791298373471,"version":"4.1.0"},"reference-count":22,"publisher":"CAIRN.INFO","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,5]]},"abstract":"<jats:p>Introduction\u00a0: L\u2019infection par le VIH demeure une probl\u00e9matique majeure de sant\u00e9 publique en raison de sa transmissibilit\u00e9. Si la voie sexuelle non prot\u00e9g\u00e9e est la plus document\u00e9e, la transmission verticale m\u00e8re-enfant reste pr\u00e9occupante, avec environ 150\u00a0000 nouvelles infections p\u00e9diatriques chaque ann\u00e9e. Cette \u00e9tude analyse la perception et le v\u00e9cu des adolescents apr\u00e8s l\u2019annonce de leur statut s\u00e9ropositif. M\u00e9thode\u00a0: Une \u00e9tude qualitative descriptive transversale a \u00e9t\u00e9 r\u00e9alis\u00e9e aupr\u00e8s de 14 adolescents \u00e2g\u00e9s de 10 \u00e0 15\u00a0ans, r\u00e9sidant \u00e0 Kinshasa et vivant avec un VIH acquis en p\u00e9riode p\u00e9rinatale. Des entretiens semi-structur\u00e9s ont \u00e9t\u00e9 conduits, et les donn\u00e9es ont \u00e9t\u00e9 analys\u00e9es \u00e0 l\u2019aide du logiciel Atlas.ti 2023 afin d\u2019identifier les th\u00e8mes, sous-th\u00e8mes et unit\u00e9s de sens. R\u00e9sultats\u00a0: L\u2019analyse th\u00e9matique a montr\u00e9 que l\u2019annonce du statut s\u00e9rologique constitue une exp\u00e9rience marqu\u00e9e par la frustration, la d\u00e9ception envers les parents, la peur de la chronicit\u00e9 du VIH, mais aussi la confiance envers les professionnels de sant\u00e9. Ces ressentis ont conduit \u00e0 des attitudes diff\u00e9renci\u00e9es\u00a0: observance th\u00e9rapeutique, autogestion de la sant\u00e9 ou n\u00e9gligence des soins. Conclusion\u00a0: Cette \u00e9tude souligne la n\u00e9cessit\u00e9 de strat\u00e9gies adapt\u00e9es pour l\u2019annonce et la prise en charge post-annonce, tenant compte du v\u00e9cu des adolescents en R\u00e9publique d\u00e9mocratique du Congo, afin de renforcer l\u2019observance th\u00e9rapeutique et l\u2019accompagnement psychosocial.<\/jats:p>","DOI":"10.3917\/spub.263.0269","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:30:26Z","timestamp":1791297026000},"page":"269-278","source":"Crossref","is-referenced-by-count":0,"title":["V\u00e9cu perceptif de l\u2019annonce du statut VIH transmis verticalement aux adolescents de 10\u201315\u00a0ans"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Donatien","family":"Tshilombo Tshilombo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Rothan-Tondeur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Georges Nohra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent Vanmellet","family":"Tshibangu Tshibangu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Railka","family":"Oliveira Kumakura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/16.7.404"},{"key":"rb2","unstructured":"2. 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Sant\u00e9 Publique. 2021 ; 33(4) : 567-574.","DOI":"10.3917\/spub.215.0753"},{"key":"#cr-split#-rb8.1","unstructured":"8. Kitetele FN, Lelo GM, Akele CE, Aketi L, Mafuta EM, Kashala Abotnes E. Le\u00e7ons tir\u00e9es de l'impact de la divulgation du statut VIH aux enfants apr\u00e8s l'\u00e9chec du traitement antir\u00e9troviral de premi\u00e8re intention \u00e0 Kinshasa, RD Congo. Children [en ligne]. 2022 [visit\u00e9 le 15\/04\/2026]"},{"key":"#cr-split#-rb8.2","unstructured":"9(12) : 1955. Disponible sur : https:\/\/doi.org\/10.3390\/children912195."},{"key":"rb9","unstructured":"9. UNAIDS. Which community-based HIV initiatives are effective in achieving 95-95-95 targets? A systematic review and meta-analysis of evidence (2007-2018). Geneva: UNAIDS; 2019."},{"key":"rb10","unstructured":"10. Makwanzo L, Lubula L, Kabemba J, Magazani A. Pr\u00e9vention de l\u2019infection \u00e0 VIH chez les adolescents et jeunes de la zone de sant\u00e9 de N\u2019sele (Province de Kinshasa\/RDC). Rev Cong Sant\u00e9 Publique. 2016 ; 10(1) : 45-53."},{"key":"rb11","unstructured":"11. Coulon M. \u00c9tat des lieux de la prise en charge des femmes enceintes atteintes du VIH et de leurs nouveau-n\u00e9s au CHU de Rouen, de 2013 \u00e0 2020. M\u00e9decine Humaine Pathol [en ligne]. 2022 [visit\u00e9 le 15\/04\/2026]. Disponible sur : https:\/\/dumas.ccsd.cnrs.fr\/dumas-04113364 (dumas.ccsd.cnrs.fr in Bing)."},{"key":"rb12","doi-asserted-by":"crossref","unstructured":"12. Gumuchian H, Marois C. Les m\u00e9thodes d\u2019\u00e9chantillonnage et la d\u00e9termination de la taille de l\u2019\u00e9chantillon. In : Initiation \u00e0 la recherche en g\u00e9ographie [en ligne]. Montr\u00e9al : Presses de l\u2019Universit\u00e9 de Montr\u00e9al ; 2000 [visit\u00e9 le 15\/04\/2026]. Disponible sur : https:\/\/doi.org\/10.4000\/books.pum.1480.","DOI":"10.4000\/books.pum.14800"},{"key":"rb13","doi-asserted-by":"publisher","DOI":"10.4000\/sociologies.993"},{"key":"rb14","unstructured":"14. 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NNT : 2021TOU30178. Disponible sur : https:\/\/tel.archives-ouvertes.fr\/tel-03651432 (tel.archives-ouvertes.fr in Bing)."},{"key":"rb20","unstructured":"20. Dushimiyimana D. \u00c9tude sur la sexualit\u00e9 chez les adolescents vivant avec le VIH (13\u201319 ans). Cas de la clinique du TRAC Plus. M\u00e9moire de ma\u00eetrise. 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