Pub Date : 2023-09-15DOI: 10.1080/15381501.2023.2258821
Robin Lennon-Dearing, Kendall Morris, Melissa Hirschi, Serena Rajabiun
AbstractThe COVID-19 pandemic brought a fundamental shift in the delivery of services by community health workers to people living with HIV. This qualitative study sought to understand how community health workers who work with people living with HIV in one Mid-South community were impacted by the COVID-19 pandemic and ways in which these changes affected them. Virtual qualitative interviews were conducted with 23 community health workers and supervisors across five organizations from April to July 2020. Thematic analysis was used to analyze the data. The five themes discovered were (a) virtual service delivery’s impact on the community health worker-client relationship, (b) the use of technology to communicate with clients, (c) increased work responsibilities, (d) the need for support and self-care; and (e) the extra layer of trauma that the murder of George Floyd added. Recommendations for supporting and strengthening the community health workforce are offered.Keywords: Community health workersCOVID-19service providersHIVburnoutadults < age AcknowledgmentsThe authors thank the Providence/Boston Center for AIDS Research (CFAR).Disclosure statementNo potential conflict of interest was reported by the author(s).Ethical statementThis study was approved by the University of Memphis Institutional Review Board, study # PRO-FY2020-83. I confirm that all participants in this study gave informed consent.Additional informationFundingThis work was supported by the National Institutes of Health under Grant 5P30AI042853-22.
{"title":"The impact of the COVID-19 pandemic on community health workers from HIV care organizations in the mid-south","authors":"Robin Lennon-Dearing, Kendall Morris, Melissa Hirschi, Serena Rajabiun","doi":"10.1080/15381501.2023.2258821","DOIUrl":"https://doi.org/10.1080/15381501.2023.2258821","url":null,"abstract":"AbstractThe COVID-19 pandemic brought a fundamental shift in the delivery of services by community health workers to people living with HIV. This qualitative study sought to understand how community health workers who work with people living with HIV in one Mid-South community were impacted by the COVID-19 pandemic and ways in which these changes affected them. Virtual qualitative interviews were conducted with 23 community health workers and supervisors across five organizations from April to July 2020. Thematic analysis was used to analyze the data. The five themes discovered were (a) virtual service delivery’s impact on the community health worker-client relationship, (b) the use of technology to communicate with clients, (c) increased work responsibilities, (d) the need for support and self-care; and (e) the extra layer of trauma that the murder of George Floyd added. Recommendations for supporting and strengthening the community health workforce are offered.Keywords: Community health workersCOVID-19service providersHIVburnoutadults < age AcknowledgmentsThe authors thank the Providence/Boston Center for AIDS Research (CFAR).Disclosure statementNo potential conflict of interest was reported by the author(s).Ethical statementThis study was approved by the University of Memphis Institutional Review Board, study # PRO-FY2020-83. I confirm that all participants in this study gave informed consent.Additional informationFundingThis work was supported by the National Institutes of Health under Grant 5P30AI042853-22.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135394516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-02DOI: 10.1080/15381501.2023.2168324
Cassandra D. Chaney, Kayla Allison, Crystal M. Tillis
Abstract HIV/AIDS has been a public health crisis since the 1980s yet people of African descent that live in the southern region of the United States are more likely to not receive treatment for this disease. This work has four goals. The first goal is to discuss the social determinants that contribute to the HIV/AIDS epidemic in the Deep South. The second goal is to discuss the Afrocentric paradigm that promotes cultural pride and Black empowerment. The third goal is to provide a paradigm that details how racial inequalities perpetuate. The final goal is to provide recommendations regarding how the Afrocentric paradigm can help eradicate health disparities for people of African ancestry that reside in the Southern region of the United States.
{"title":"Eradicating HIV/AIDS, racism and inequality in the Deep South: An Afrocentric conceptual framework of equality","authors":"Cassandra D. Chaney, Kayla Allison, Crystal M. Tillis","doi":"10.1080/15381501.2023.2168324","DOIUrl":"https://doi.org/10.1080/15381501.2023.2168324","url":null,"abstract":"Abstract HIV/AIDS has been a public health crisis since the 1980s yet people of African descent that live in the southern region of the United States are more likely to not receive treatment for this disease. This work has four goals. The first goal is to discuss the social determinants that contribute to the HIV/AIDS epidemic in the Deep South. The second goal is to discuss the Afrocentric paradigm that promotes cultural pride and Black empowerment. The third goal is to provide a paradigm that details how racial inequalities perpetuate. The final goal is to provide recommendations regarding how the Afrocentric paradigm can help eradicate health disparities for people of African ancestry that reside in the Southern region of the United States.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"194 - 215"},"PeriodicalIF":0.7,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49160423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-02DOI: 10.1080/15381501.2023.2189198
Katie A McCormick, M. Stanton, Samira Ali, S. Chávez
Abstract The U.S. South is disproportionately burdened by the HIV and opioid epidemics, hastening the need for effective multi-level, person-centered approaches, such as harm reduction. LEARN HR is a shared learning intervention that aims to build the harm reduction capacity of HIV service providers and their organizations. This study used a sequential explanatory mixed methods design to examine program evaluation data of two LEARN HR pilot cohorts to (1) assess the preliminary effectiveness of LEARN HR, (2) examine the impact on HIV service providers and their organizations, and (3) examine challenges to adopting harm reduction approaches. Quantitative findings revealed statistically significant increases in HR-related knowledge, attitudes, and skills. Qualitative findings revealed meaningful individual- and organizational-level changes. Findings indicate that LEARN HR was successful in facilitating provider-level changes in knowledge, attitudes, and skills which facilitated sustainable organizational changes.
{"title":"Outcomes of a harm reduction shared learning intervention Pilot in the U.S. South","authors":"Katie A McCormick, M. Stanton, Samira Ali, S. Chávez","doi":"10.1080/15381501.2023.2189198","DOIUrl":"https://doi.org/10.1080/15381501.2023.2189198","url":null,"abstract":"Abstract The U.S. South is disproportionately burdened by the HIV and opioid epidemics, hastening the need for effective multi-level, person-centered approaches, such as harm reduction. LEARN HR is a shared learning intervention that aims to build the harm reduction capacity of HIV service providers and their organizations. This study used a sequential explanatory mixed methods design to examine program evaluation data of two LEARN HR pilot cohorts to (1) assess the preliminary effectiveness of LEARN HR, (2) examine the impact on HIV service providers and their organizations, and (3) examine challenges to adopting harm reduction approaches. Quantitative findings revealed statistically significant increases in HR-related knowledge, attitudes, and skills. Qualitative findings revealed meaningful individual- and organizational-level changes. Findings indicate that LEARN HR was successful in facilitating provider-level changes in knowledge, attitudes, and skills which facilitated sustainable organizational changes.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"216 - 230"},"PeriodicalIF":0.7,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44017108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-18DOI: 10.1080/15381501.2022.2060399
Md. Ismail Hossain, I. Ahmad, N. Mehedi, Rumina Akter, T. Cane
Abstract Despite the low incidence of HIV in Bangladesh, an HIV diagnosis results in stigma and discrimination. Therefore, the study looked at the causes and patterns of social exclusion, as well as strategies for reducing the exclusion of HIV/AIDS positive people. It also emphasized the importance of reconsidering social work education and the role of non-governmental organizations in curbing the stigma that these people confront. In this qualitative study, a convenience sampling approach was utilized to select the participants from the NGO, Ashar Alo Society (AAS). The findings are grouped into four themes: social stigma towards HIV/AIDS positive people, social exclusion from family and community, healthcare, education, and employment, the role of the non-governmental organizations in reducing their exclusion and vulnerabilities and reconsideration of social work knowledge. Recommendations include the provision of remote healthcare and support services to combat stigma, as well as the adoption of social work knowledge in the new NGO efforts to assist PLWHIV in accessing care.
{"title":"Social stigma and vulnerabilities of HIV/AIDS-positive people: Reconsidering social work education and NGOs’ role in Bangladesh","authors":"Md. Ismail Hossain, I. Ahmad, N. Mehedi, Rumina Akter, T. Cane","doi":"10.1080/15381501.2022.2060399","DOIUrl":"https://doi.org/10.1080/15381501.2022.2060399","url":null,"abstract":"Abstract Despite the low incidence of HIV in Bangladesh, an HIV diagnosis results in stigma and discrimination. Therefore, the study looked at the causes and patterns of social exclusion, as well as strategies for reducing the exclusion of HIV/AIDS positive people. It also emphasized the importance of reconsidering social work education and the role of non-governmental organizations in curbing the stigma that these people confront. In this qualitative study, a convenience sampling approach was utilized to select the participants from the NGO, Ashar Alo Society (AAS). The findings are grouped into four themes: social stigma towards HIV/AIDS positive people, social exclusion from family and community, healthcare, education, and employment, the role of the non-governmental organizations in reducing their exclusion and vulnerabilities and reconsideration of social work knowledge. Recommendations include the provision of remote healthcare and support services to combat stigma, as well as the adoption of social work knowledge in the new NGO efforts to assist PLWHIV in accessing care.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"167 - 193"},"PeriodicalIF":0.7,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42348910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-03DOI: 10.1080/15381501.2022.2047865
Shorena Sadzaglishvili, T. Gotsiridze, K. Lekishvili, Anthony P. Verdino, Rey Flores, A. Bouris
Abstract Street-connected young people (SCYP) in the Republic of Georgia are vulnerable to HIV/AIDS. We conducted a mixed-methods study utilizing a triangulation design with N = 20 SCYP aged 11–18 (50% female; M = 13.95 years; SD = 2.11) recruited from two cities in Georgia. SCYP completed a close-ended survey and an in-depth interview on their perceptions of romantic and exchange sex relationships. Quantitative analyses examined gender differences in perceptions of romantic and exchange sex partners, and qualitative data was analyzed using a thematic analysis approach. Quantitative findings indicated that a higher proportion of female than male SCYP endorsed engaging in HIV-related transmission behaviors with exchange sex partners. Thematic analysis contextualized survey findings by elucidating the ways in which females negotiated a highly gendered risk environment that elevated their vulnerability to HIV. Study results highlight the need for gender-responsive programming to address the HIV prevention needs of both male and female SCYP in the Republic of Georgia.
{"title":"“Girls have commercial sex, boys don’t:” Mixed-methods evidence for a gendered risk environment for street-connected young people in the Republic of Georgia","authors":"Shorena Sadzaglishvili, T. Gotsiridze, K. Lekishvili, Anthony P. Verdino, Rey Flores, A. Bouris","doi":"10.1080/15381501.2022.2047865","DOIUrl":"https://doi.org/10.1080/15381501.2022.2047865","url":null,"abstract":"Abstract Street-connected young people (SCYP) in the Republic of Georgia are vulnerable to HIV/AIDS. We conducted a mixed-methods study utilizing a triangulation design with N = 20 SCYP aged 11–18 (50% female; M = 13.95 years; SD = 2.11) recruited from two cities in Georgia. SCYP completed a close-ended survey and an in-depth interview on their perceptions of romantic and exchange sex relationships. Quantitative analyses examined gender differences in perceptions of romantic and exchange sex partners, and qualitative data was analyzed using a thematic analysis approach. Quantitative findings indicated that a higher proportion of female than male SCYP endorsed engaging in HIV-related transmission behaviors with exchange sex partners. Thematic analysis contextualized survey findings by elucidating the ways in which females negotiated a highly gendered risk environment that elevated their vulnerability to HIV. Study results highlight the need for gender-responsive programming to address the HIV prevention needs of both male and female SCYP in the Republic of Georgia.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"106 - 127"},"PeriodicalIF":0.7,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45592073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-16DOI: 10.1080/15381501.2022.2038759
O. Awopeju, O. Oninla, S. olowookere, Morenikeji Ogunnaike-quaye, G. Erhabor
Abstract Background Sleep has been linked to multiple health outcomes. We aim to determine the relationship between sleep quality, purpose in life, and HRQoL among PLHIV. Methods We conducted a cross-sectional study among 401 PLHIV in the HIV clinic using a structured questionnaire that included their demographics, Pittsburgh Sleep Quality Index (PSQI), Ryff's Scales of Psychological Well-Being, and Veterans RAND 12-item Health Survey (VR-12). Results Ninety-two [22.9%] were classified as having poor sleep quality. Poor sleepers had significantly lower scores in the physical component [48.0 (9.5) vs. 51.2 (7.1), p = .014] and mental component 44.7 (10.5) vs. 52.1 (9.8), p < .001 in HRQoL as compared to good sleepers. Purpose in life moderates the effect of sleep quality on the physical component of HRQoL, p interaction = .003. Conclusion Assessing sleep quality and purpose in life routinely among HIV-infected patients may impact the overall wellbeing of PLHIV.
{"title":"Sleep quality, purpose in life, and health related quality of life among people living with HIV in Nigeria","authors":"O. Awopeju, O. Oninla, S. olowookere, Morenikeji Ogunnaike-quaye, G. Erhabor","doi":"10.1080/15381501.2022.2038759","DOIUrl":"https://doi.org/10.1080/15381501.2022.2038759","url":null,"abstract":"Abstract Background Sleep has been linked to multiple health outcomes. We aim to determine the relationship between sleep quality, purpose in life, and HRQoL among PLHIV. Methods We conducted a cross-sectional study among 401 PLHIV in the HIV clinic using a structured questionnaire that included their demographics, Pittsburgh Sleep Quality Index (PSQI), Ryff's Scales of Psychological Well-Being, and Veterans RAND 12-item Health Survey (VR-12). Results Ninety-two [22.9%] were classified as having poor sleep quality. Poor sleepers had significantly lower scores in the physical component [48.0 (9.5) vs. 51.2 (7.1), p = .014] and mental component 44.7 (10.5) vs. 52.1 (9.8), p < .001 in HRQoL as compared to good sleepers. Purpose in life moderates the effect of sleep quality on the physical component of HRQoL, p interaction = .003. Conclusion Assessing sleep quality and purpose in life routinely among HIV-infected patients may impact the overall wellbeing of PLHIV.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"128 - 144"},"PeriodicalIF":0.7,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42594046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-04DOI: 10.1080/15381501.2022.2029660
Gesiane Cavalcante Nascimento, Maria José Labis da Costa, Thannuse Silva Athie, Juliana de Sales Silva, E. Reis, C. Almeida-Brasil, B. Godman, I. Godói
Abstract The Human Immunodeficiency Virus (HIV) is considered one of the greatest public health challenges given its impact on morbidity and mortality, and there is currently no vaccine available. The costs for any vaccine have to be weighed against current preventative measures as well as its impact in reducing future infections. This was the rationale behind conducting a willingness to pay (WTP) study to guide future funding decisions. A cross-sectional study was conducted involving residents of Northern Brazil regarding their WTP for a hypothetical vaccine against HIV with 70% effectiveness. 634 individuals were interviewed and 94% accepted to use this hypothetical vaccine. The WTP was US$47.54 (200.00BRL). We believe these findings can contribute to decision-making about pricing once a HIV vaccine becomes available in Brazil and in discussions with its acceptability.
{"title":"Acceptability and Consumer Willingness to pay for a hypothetical HIV vaccine in Northern Brazil: A cross-sectional study and the implications","authors":"Gesiane Cavalcante Nascimento, Maria José Labis da Costa, Thannuse Silva Athie, Juliana de Sales Silva, E. Reis, C. Almeida-Brasil, B. Godman, I. Godói","doi":"10.1080/15381501.2022.2029660","DOIUrl":"https://doi.org/10.1080/15381501.2022.2029660","url":null,"abstract":"Abstract The Human Immunodeficiency Virus (HIV) is considered one of the greatest public health challenges given its impact on morbidity and mortality, and there is currently no vaccine available. The costs for any vaccine have to be weighed against current preventative measures as well as its impact in reducing future infections. This was the rationale behind conducting a willingness to pay (WTP) study to guide future funding decisions. A cross-sectional study was conducted involving residents of Northern Brazil regarding their WTP for a hypothetical vaccine against HIV with 70% effectiveness. 634 individuals were interviewed and 94% accepted to use this hypothetical vaccine. The WTP was US$47.54 (200.00BRL). We believe these findings can contribute to decision-making about pricing once a HIV vaccine becomes available in Brazil and in discussions with its acceptability.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"145 - 166"},"PeriodicalIF":0.7,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47905827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/15381501.2021.2002751
F. C. Malindi, M. Maputle, L. Nemathaga
Abstract Despite enormous interventions aimed at preventing mother-to-child transmission of HIV; traditional, cultural practices and mixed infant feeding remain prevalent. This study aimed to determine the influence of grandmothers when continuing with the prevention of mother-to-child transmission interventions within 6 weeks after delivery. Qualitative, explorative, descriptive, and contextual designs were used. The population comprised of fifteen grandmothers of HIV-exposed babies. Data were collected through unstructured face-to-face interviews and analyzed through the open coding method. Three themes emerged showing knowledge deficit related to MTCT risks when using traditional practices; cultural and religious practices influencers to traditional diagnoses and management and mixed feeding practices predispose babies. Total elimination of MTCT of HIV in rural context calls for targeted education for grandmothers. Knowledge of traditional and cultural practices that perpetuate MTCT could assist in developing the contextual health education content to change grandmothers’ beliefs on infant feeding, prevention, and management of childhood illnesses.
{"title":"Grandmothers’ influence on the implementation of PMTCT interventions within 6 weeks at rural areas in Limpopo province: A qualitative study","authors":"F. C. Malindi, M. Maputle, L. Nemathaga","doi":"10.1080/15381501.2021.2002751","DOIUrl":"https://doi.org/10.1080/15381501.2021.2002751","url":null,"abstract":"Abstract Despite enormous interventions aimed at preventing mother-to-child transmission of HIV; traditional, cultural practices and mixed infant feeding remain prevalent. This study aimed to determine the influence of grandmothers when continuing with the prevention of mother-to-child transmission interventions within 6 weeks after delivery. Qualitative, explorative, descriptive, and contextual designs were used. The population comprised of fifteen grandmothers of HIV-exposed babies. Data were collected through unstructured face-to-face interviews and analyzed through the open coding method. Three themes emerged showing knowledge deficit related to MTCT risks when using traditional practices; cultural and religious practices influencers to traditional diagnoses and management and mixed feeding practices predispose babies. Total elimination of MTCT of HIV in rural context calls for targeted education for grandmothers. Knowledge of traditional and cultural practices that perpetuate MTCT could assist in developing the contextual health education content to change grandmothers’ beliefs on infant feeding, prevention, and management of childhood illnesses.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"1 - 16"},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46430682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/15381501.2021.2006104
I. A. Ogueji, A. Adejumo
Abstract HIV-positive women are at risk of cervical cancer, but many barriers hinder them from adopting cervical screening. Therefore, focus group discussions and in-depth interviews were conducted to explore perceived HIV stigmatization and association with cervical screening adoption in a sample of HIV-positive women who never screened for cervical cancer. It was found that participants who had not disclosed their HIV status to others did not experience perceived HIV stigmatization. Further, perceived HIV stigmatization did not hinder cervical screening adoption due to assertiveness among participants. Those who had not experienced perceived HIV stigmatization due to non-status disclosure were unaware of their susceptibility to cervical cancer. Some participants who had not experienced perceived HIV stigmatization were aware of cervical cancer but were reluctant to screen due to religion-related denial. Some participants who experienced perceived HIV stigmatization perceived that the experience hindered cervical screening adoption. Our findings will inform psychological interventions that may strengthen cervical screening adoption in this patient group.
{"title":"Perceived HIV stigmatization and association with cervical screening adoption among HIV-positive women in a Nigerian Secondary Health Facility: Implications for psychological interventions","authors":"I. A. Ogueji, A. Adejumo","doi":"10.1080/15381501.2021.2006104","DOIUrl":"https://doi.org/10.1080/15381501.2021.2006104","url":null,"abstract":"Abstract HIV-positive women are at risk of cervical cancer, but many barriers hinder them from adopting cervical screening. Therefore, focus group discussions and in-depth interviews were conducted to explore perceived HIV stigmatization and association with cervical screening adoption in a sample of HIV-positive women who never screened for cervical cancer. It was found that participants who had not disclosed their HIV status to others did not experience perceived HIV stigmatization. Further, perceived HIV stigmatization did not hinder cervical screening adoption due to assertiveness among participants. Those who had not experienced perceived HIV stigmatization due to non-status disclosure were unaware of their susceptibility to cervical cancer. Some participants who had not experienced perceived HIV stigmatization were aware of cervical cancer but were reluctant to screen due to religion-related denial. Some participants who experienced perceived HIV stigmatization perceived that the experience hindered cervical screening adoption. Our findings will inform psychological interventions that may strengthen cervical screening adoption in this patient group.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"17 - 26"},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42363702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/15381501.2021.2016538
Jessica E. Mandell, Kathryn H. Howell, Lauren M. Schaefer, Robin N. Hardin, I. Thurston
Abstract Mothers Living with HIV (MLH) are vulnerable to stressors associated with motherhood and chronic illness. Strong familial support is related to decreased risk for developing mental and physical health problems. While support systems of MLH are disproportionately comprised of their children, research on social support of MLH has primarily focused on HIV status disclosure to supportive networks, with limited work exploring other aspects of family social support. The current pilot study explored associations between familial social support and personal (spirituality, depressive symptoms), relational (parenting practices), and environmental (friend support, community cohesion) factors among 55 MLH. A three-step hierarchical regression model was examined and showed that greater positive parenting, less negative parenting, and greater community cohesion were significantly associated with higher familial social support. Findings highlight the importance of relational and environmental determinants of social support and suggest potential avenues for prevention and intervention among MLH.
{"title":"Social support for mothers living with HIV: A pilot investigation of the beneficial roles of positive parenting and community cohesion","authors":"Jessica E. Mandell, Kathryn H. Howell, Lauren M. Schaefer, Robin N. Hardin, I. Thurston","doi":"10.1080/15381501.2021.2016538","DOIUrl":"https://doi.org/10.1080/15381501.2021.2016538","url":null,"abstract":"Abstract Mothers Living with HIV (MLH) are vulnerable to stressors associated with motherhood and chronic illness. Strong familial support is related to decreased risk for developing mental and physical health problems. While support systems of MLH are disproportionately comprised of their children, research on social support of MLH has primarily focused on HIV status disclosure to supportive networks, with limited work exploring other aspects of family social support. The current pilot study explored associations between familial social support and personal (spirituality, depressive symptoms), relational (parenting practices), and environmental (friend support, community cohesion) factors among 55 MLH. A three-step hierarchical regression model was examined and showed that greater positive parenting, less negative parenting, and greater community cohesion were significantly associated with higher familial social support. Findings highlight the importance of relational and environmental determinants of social support and suggest potential avenues for prevention and intervention among MLH.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":"21 1","pages":"90 - 105"},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42963595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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