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Relationship between knowledge level of HIV/AIDS patient with antiretroviral adherence in primary healthcare service in Malang City 马朗市基层卫生服务中艾滋病患者知识水平与抗逆转录病毒依从性的关系
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-07-03 DOI: 10.1080/15381501.2021.1961651
Dimas Setyadi Putra, Rizka Novia Atmadani, Ika Ratna Hidayati
Abstract The prevalence of the Human Immunodeficiency Virus (HIV) continues to increase every year and become a serious global problem. Antiretroviral (ARV) is a therapy for People Living with HIV/AIDS (PLWHA) that must be consumed for life to inhibit the HIV/AIDS virus and improve the quality of life. Therefore, adherence is the main focus in ARV therapy. Knowledge is one of the factors that support the level of adherence in ARV therapy. This research was a cross-sectional descriptive study by providing a questionnaire consisting of 85 PLWHA on February-March 2021 at Public Health Center Dinoyo Malang City. The instrument HIV Knowledge Questionnaire (HIV-KQ-18) and Adherence to Refills and Medication Scale (ARMS). The research showed significant relationship between the level of knowledge of HIV/AIDS in PLWHA patients with level of adherence to the use of ARV drugs at Public Health Center Dinoyo Malang City used Chi Square analysis (p value = .019).
摘要人类免疫缺陷病毒(HIV)的流行率逐年上升,已成为一个严重的全球性问题。抗逆转录病毒(ARV)是一种针对艾滋病毒/艾滋病患者(PLWHA)的治疗方法,必须终生服用,以抑制艾滋病毒/艾滋病病毒并提高生活质量。因此,坚持治疗是抗逆转录病毒治疗的主要关注点。知识是支持抗逆转录病毒药物治疗依从性水平的因素之一。这项研究是一项横断面描述性研究,于2021年2月至3月在Dinoyo Malang市公共卫生中心提供了一份由85名PLWHA组成的问卷。HIV知识问卷(HIV-KQ-18)和再灌注依从性和药物使用量表(ARMS)。研究表明,在Dinoyo Malang市公共卫生中心,PLWHA患者的HIV/AIDS知识水平与抗逆转录病毒药物的依从性水平之间存在显著关系,采用卡方分析(p值=0.019)。
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引用次数: 11
People newly diagnosed with HIV during the COVID-19 pandemic: A focus group study on the associated early biopsychosocial reactions COVID-19大流行期间新诊断的艾滋病毒感染者:相关早期生物心理社会反应的焦点小组研究
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-07-03 DOI: 10.1080/15381501.2021.1955800
Ifeanyichukwu Anthony Ogueji
Abstract Aim Currently, HIV and COVID-19 are among the global health threats, and being newly diagnosed with HIV during the COVID-19 pandemic may be distressing. Therefore, this study explored the early biopsychosocial reactions to a new HIV-positive diagnosis among people newly diagnosed with HIV during the COVID-19 pandemic. Methods Twenty-five PLWH participated in focus group discussions (FGDs). The FGDs were conducted in the same modalities with three groups for an average of two hours until data saturation occurred. Data were thematically analyzed after which there were three rigorous phases of analysis validation. Results Five themes were created—“Concerns about HIV care being disrupted by the COVID-19 pandemic,” “HIV-positive status was blamed on the COVID-19 pandemic,” “Expecting an HIV-positive diagnosis reduced negative reactions (e.g., psychological distress),” “Fear of stigmatization,” and “Suicidal ideation and body ache.” Conclusion The implications of findings for theory and practice are discussed.
摘要目的当前,艾滋病毒和COVID-19是全球健康威胁之一,在COVID-19大流行期间新诊断出艾滋病毒可能令人痛苦。因此,本研究探讨了COVID-19大流行期间新诊断的艾滋病毒感染者对新的艾滋病毒阳性诊断的早期生物心理社会反应。方法25名PLWH参与焦点小组讨论(fgd)。三组以相同的方式进行fgd,平均时间为2小时,直到数据饱和。对数据进行主题分析,之后有三个严格的分析验证阶段。结果创建了5个主题,分别是“对COVID-19大流行扰乱艾滋病毒护理的担忧”、“艾滋病毒阳性状态归咎于COVID-19大流行”、“期待艾滋病毒阳性诊断减少负面反应(如心理困扰)”、“害怕污名化”和“自杀念头和身体疼痛”。结论讨论了研究结果对理论和实践的意义。
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引用次数: 4
“We all deserve justice”: Perspectives on being arrested for aggravated prostitution “我们都应该得到正义”:对因严重卖淫被捕的看法
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-07-03 DOI: 10.1080/15381501.2021.1963385
Robin Lennon-Dearing, Melissa Hirschi, Sarah-Eve Dill, Kayla Gore
Abstract Aggravated prostitution is the combination of one stigmatizing circumstance accompanying another: prostitution and living with HIV. This HIV criminal offense disproportionally impacts African Americans, women, transgender and gender non-conforming people, people experiencing homelessness, and people unable to meet their basic needs. Punishment for aggravated prostitution is unduly harsh and inconsistent with the harm caused. This article describes the findings from a qualitative descriptive study of fourteen individuals who share their experiences of what has happened as a result of being arrested for aggravated prostitution. Findings include (a) economic survival and discrimination are reasons given for sex work, (b) people with stigmatized intersectional social identities experience police profiling, discrimination, and harassment, (c) those arrested for aggravated prostitution are punished severely and permanently, and (d) these findings support policy action. Modernizing HIV criminal laws should be accompanied by the provision of community services and supports as an alternative to arresting people for aggravated prostitution.
加重性卖淫是一种污名化情况伴随另一种污名化情况的结合:卖淫与艾滋病毒携带者。非裔美国人、妇女、跨性别者和性别不符合者、无家可归者和无法满足基本需求的人受到艾滋病毒刑事犯罪的影响尤为严重。对加重性卖淫的处罚过于严厉,与造成的伤害不符。本文描述了一项定性描述性研究的结果,研究对象是14个人,他们分享了因严重卖淫而被捕的经历。调查结果包括:(a)经济生存和歧视是性工作的原因,(b)被污名化的跨社会身份的人经历了警察的定性、歧视和骚扰,(c)那些因严重卖淫而被捕的人受到了严厉和永久的惩罚,(d)这些调查结果支持政策行动。使艾滋病毒刑法现代化的同时,应提供社区服务和支助,作为逮捕严重卖淫者的替代办法。
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引用次数: 0
Barriers to HIV status disclosure among HIV-positive women: Findings from a qualitative study at a primary care clinic in a Nigerian rural setting 艾滋病毒阳性妇女披露艾滋病毒状况的障碍:来自尼日利亚农村地区初级保健诊所的定性研究结果
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-04-03 DOI: 10.1080/15381501.2021.1922115
Emmanuel Busayo Omotoso
Abstract Little is known about the barriers to HIV status disclosure among HIV-positive women residing in Nigerian rural settings. A qualitative interview study was carried out with 17 women with HIV at a primary care clinic in a Nigerian rural setting. Collected data were thematically analyzed. The results revealed barriers such as the fear of stigmatization which was associated with factors such as socio-cultural factors and residing in rural settings. Further, poor support from HIV-care providers and socioeconomic dynamics were identified as barriers. The implication of findings for theory and practice were discussed.
摘要对居住在尼日利亚农村环境中的艾滋病毒阳性妇女披露艾滋病毒状况的障碍知之甚少。在尼日利亚农村地区的一家初级保健诊所,对17名感染艾滋病毒的妇女进行了定性访谈研究。对收集的数据进行了专题分析。研究结果揭示了诸如对污名化的恐惧等障碍,这与社会文化因素和居住在农村环境等因素有关。此外,艾滋病毒护理提供者的支持不力和社会经济动态被确定为障碍。讨论了研究结果对理论和实践的启示。
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引用次数: 1
Barriers to PMTCT services uptake among pregnant women living with HIV: A qualitative study 感染艾滋病毒的孕妇接受预防母婴传播服务的障碍:一项定性研究
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-04-03 DOI: 10.1080/15381501.2021.1919276
Ifeanyichukwu Anthony Ogueji, Emmanuel Busayo Omotoso
Abstract Aim The uptake of the prevention of mother-to-child transmission of HIV (PMTCT) services is predictive of HIV transmission; however, many barriers limit pregnant women living with HIV from this uptake. This study, therefore, aimed to explore some barriers to PMTCT services uptake among pregnant women living with HIV. Methods A qualitative interview design was employed with pregnant women living with HIV, their husbands or relatives, and service providers in two Nigerian health facilities. Thirty-five participants were individually interviewed until data saturation occurred, and the data were thematically analyzed. Results Five barriers to PMTCT services uptake were found - “fear of stigmatization,” “poor support from family,” “conflict between attending to social role demands and PMTCT programs,” “financial and time cost to health facilities,” and “poor service provider-patient interaction.” Conclusion These data contribute to informing targeted interventions that strengthen the uptake of PMTCT services among HIV-positive pregnant women.
摘要目的预防母婴传播艾滋病毒(PMTCT)服务的采用可预测艾滋病毒传播;然而,许多障碍限制了感染艾滋病毒的孕妇服用这种药物。因此,本研究旨在探讨感染艾滋病毒的孕妇接受预防母婴传播服务的一些障碍。方法采用质性访谈设计,对尼日利亚两家卫生机构的艾滋病毒感染孕妇、其丈夫或亲属以及服务提供者进行调查。对35名参与者进行单独访谈,直到数据饱和,并对数据进行主题分析。结果发现了预防母婴传播服务接受的五大障碍:“害怕污名化”、“家庭支持不足”、“关注社会角色需求与预防母婴传播项目之间的冲突”、“卫生机构的财务和时间成本”以及“服务提供者与患者的互动不足”。结论这些数据有助于为有针对性的干预措施提供信息,加强艾滋病毒阳性孕妇对预防母婴传播服务的接受。
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引用次数: 5
A comparative study of pattern of HIV status disclosure among people living with HIV in peer support and non-support groups in Enugu, Nigeria 尼日利亚埃努古市HIV感染者在同伴支持和非支持群体中HIV状况披露模式的比较研究
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-04-03 DOI: 10.1080/15381501.2021.1930319
I. Obionu, Ikechukwu Eke-Okoro, C. Okeke, E. Aguwa, C. Onwasigwe
Abstract Introduction Disclosure of HIV status has been proven to be useful for prevention and care of PLWHIV. Methods A comparative cross sectional study among 300 PLWHIV who are peer support group users and non support group users. Results Voluntary disclosure rates to members of one’s social network in peer support and non-peer support group members was found to be 124 (82.7%) and 117 (78.0%) respectively. Voluntary disclosure to current sexual partners was higher in PLWHIV who were not members of peer support groups. For peer support group members, their main motivator for disclosure was to receive support while for those who were not members, it was to prevent spread of infection. The preferred method of disclosure to sexual partners in both groups was the passive notification method Conclusion The pattern of HIV status disclosure differed in participants in both groups. Therefore, when facilitating disclosure this should be taken into consideration.
艾滋病病毒感染状况的披露已被证明对艾滋病病毒的预防和护理是有用的。方法采用横断面对比研究方法,对300名使用同伴支持小组和不使用同伴支持小组的艾滋病患者进行调查。结果在同伴支持小组和非同伴支持小组中,对社交网络成员的自愿披露率分别为124(82.7%)和117(78.0%)。非同伴支持小组成员的艾滋病毒感染者对现有性伴侣的自愿披露率更高。对于同伴支持小组的成员来说,他们的主要动机是获得支持,而对于那些不是成员的人来说,他们的主要动机是防止感染的传播。两组被试对性伴侣的披露方式均以被动告知为主。结论两组被试的HIV状态披露方式存在差异。因此,在促进披露时应考虑到这一点。
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引用次数: 0
The quandary of adolescent HIV: Perspectives of key informants in Accra, Ghana 青少年艾滋病毒的困境:加纳阿克拉主要信息提供者的观点
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-04-03 DOI: 10.1080/15381501.2021.1928578
M. Dako‑Gyeke, A. Boateng
Abstract This study explored key informants’ perspectives about adolescents living with human immunodeficiency virus (HIV). Twenty-one participants were purposively selected and data were collected through face-to-face in-depth interviews using a semi-structured interview guide. The interviews were audio-recorded, transcribed, and analyzed to identify emerging themes. The findings indicated that adolescents living with HIV had concerns about disclosing their HIV status. Key informants reported that adolescents living with HIV’s responses to awareness about their status included anger, blame and social isolation. Also, it was found that the adolescents had challenges with adhering to scheduled medical appointments and the antiretroviral therapy. Evidence showed that financial constraints adversely affected adolescents’ clinic attendance and medication compliance. Several psychosocial support services (counseling, financial assistance, provision of basic needs, and cordial relationships) were identified by key informants as being available for adolescents living with HIV. Based on the findings of the study, conclusions were drawn and implications discussed.
摘要本研究探讨了主要信息提供者对感染人类免疫缺陷病毒(HIV)的青少年的看法。有目的地选择了21名参与者,并使用半结构化访谈指南通过面对面的深入访谈收集数据。访谈被录音、转录和分析,以确定新出现的主题。调查结果表明,感染艾滋病毒的青少年对披露自己的艾滋病毒状况表示担忧。主要线人报告说,感染艾滋病毒的青少年对自己状况的反应包括愤怒、指责和社会孤立。此外,研究发现,青少年在遵守预定的医疗预约和抗逆转录病毒疗法方面存在挑战。有证据表明,经济拮据对青少年的就诊和药物依从性产生了不利影响。关键信息提供者确定,艾滋病毒感染青少年可以获得一些心理社会支持服务(咨询、经济援助、提供基本需求和友好关系)。根据研究结果,得出了结论并讨论了其含义。
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引用次数: 0
Courtesy stigma and self-care practices among rural HIV/AIDS healthcare providers 农村艾滋病毒/艾滋病保健提供者的礼貌羞辱和自我保健做法
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-04-03 DOI: 10.1080/15381501.2021.1922116
F. Parks, S. Smallwood
Abstract Stigma by association, or “courtesy stigma,” is defined as public disapproval for associating with a perceived stigmatized group. Using an audience response system (ARS), rural HIV/AIDS healthcare providers (n = 69) were asked about experiences of courtesy stigma and self-care practices for safeguarding their well-being. Qualitative responses were coded and themes identified. Forty-nine percent of respondents reported experiencing courtesy stigma (for example, others assuming they were HIV-positive because of their work). While respondents rated their quality of self-care as either “good” (43.5%) or “excellent” (14.5%), opportunities to increase providers’ capacity to practice quality self-care is strongly encouraged.
关联污名,或“礼貌污名”,被定义为公众不赞成与一个被认为是污名的群体联系。使用受众响应系统(ARS),向农村艾滋病毒/艾滋病卫生保健提供者(n = 69)询问了礼貌耻辱的经历和维护其福祉的自我保健做法。对定性答复进行编码并确定主题。49%的答复者报告说,他们受到了礼貌性的羞辱(例如,其他人因为他们的工作而认为他们是艾滋病毒阳性)。虽然受访者将自我保健的质量评为“良好”(43.5%)或“优秀”(14.5%),但强烈鼓励有机会提高提供者实践高质量自我保健的能力。
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引用次数: 2
Access to healthcare services among heterosexual Black men in Ontario, Canada 加拿大安大略省异性恋黑人男性获得医疗服务的情况
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-01-02 DOI: 10.1080/15381501.2021.1908923
Irenius Konkor, P. Mkandawire, I. Luginaah, W. Husbands, F. Omorodion, J. Wong, J. Etowa
Abstract While there is a growing body of literature on Black people’s access to HIV services in Canada, the question of how this access varies across Canada’s urban jurisdictions has hitherto never arisen in research and policy. This paper assesses HIV healthcare needs among heterosexual Black men in four Ontario cities of Windsor, London, Toronto and Ottawa. Multivariate results show that heterosexual Black men in Windsor (OR = 3.2; p < .01), London (OR = 2.5; p < .05), and Toronto (OR = 2.2; p < .05) were significantly more likely to experience difficulties getting HIV healthcare compared with those living in the nation’s capital—Ottawa. Also, experiences of discrimination (OR = 1.08; p < .001), not having a family doctor (OR = 1.7; p < .01) and difficulty with the English language (OR = 2.4; p < .01) predicted higher odds of difficulty accessing HIV health needs. These findings suggest that contextually sensitive policies within Canadian cities are needed to help marginalized populations meet their healthcare needs.
虽然关于加拿大黑人获得艾滋病毒服务的文献越来越多,但迄今为止,在研究和政策中从未出现过关于加拿大城市司法管辖区黑人获得艾滋病毒服务的问题。本文对安大略省温莎、伦敦、多伦多和渥太华四个城市的异性恋黑人男性艾滋病保健需求进行了评估。多变量结果显示,温莎市黑人异性恋男性(OR = 3.2;p < 0.01),伦敦(OR = 2.5;p < 0.05),多伦多(OR = 2.2;p < 0.05)与居住在首都渥太华的人相比,他们更有可能在获得艾滋病毒医疗保健方面遇到困难。同样,受歧视的经历(OR = 1.08;p < .001),没有家庭医生(OR = 1.7;p < 0.01)和英语语言困难(OR = 2.4;p < 0.01)预测获得艾滋病毒健康需求的困难几率更高。这些研究结果表明,加拿大城市需要制定环境敏感的政策,以帮助边缘化人群满足他们的医疗保健需求。
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引用次数: 1
Health-related interventions for youth living with perinatally-acquired HIV in sub-Saharan Africa: A systematic review of the evidence 撒哈拉以南非洲地区感染围产期获得性艾滋病毒的青年健康干预措施:对证据的系统审查
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-01-02 DOI: 10.1080/15381501.2021.1900975
Sadandaula Rose Muheriwa Matemba, R. Cianelli, B. McCabe, E. Chilemba
Abstract In sub-Saharan Africa, nearly 90% of youth living with HIV acquired it from their mothers, but evidence lacks for health-related interventions for this population. We describe health-related interventions for youth living with perinatally acquired HIV in sub-Saharan Africa. A Preferred Reporting Items for Systematic Reviews (PRISMA) statement guided this review. We searched in PubMed, CINAHL, ProQuest, PsychINFO, Science Direct, Embase, and Scopus databases for peer-reviewed articles addressing health-related interventions for youth living with perinatally acquired HIV in sub-Saharan Africa. Of the 4,139 articles, 11 met the inclusion criteria. We identified eight interventions targeting HIV prevention and care, ART adherence, disclosure, behavioral health, cognitive and academic function, sexual, reproductive, psychosocial, and physical health. Most of the interventions targeted psychosocial health. No intervention was holistic. Findings were diverse regarding intervention effectiveness. Providers need to devise interventions that combine behavioral, biomedical, and structural services to meet this population's complex health care needs.
在撒哈拉以南非洲,近90%的青年艾滋病毒感染者是从母亲那里感染的,但缺乏针对这一人群的健康相关干预措施的证据。我们描述了在撒哈拉以南非洲与围产期获得性艾滋病毒的青年健康相关的干预措施。系统评价的首选报告项目(PRISMA)声明指导了本次评价。我们在PubMed、CINAHL、ProQuest、PsychINFO、Science Direct、Embase和Scopus数据库中检索了同行评议的文章,内容涉及撒哈拉以南非洲地区围产期感染艾滋病毒的青少年的健康相关干预措施。在4139篇文章中,有11篇符合纳入标准。我们确定了针对艾滋病毒预防和护理、抗逆转录病毒治疗依从性、信息披露、行为健康、认知和学术功能、性、生殖、社会心理和身体健康的八种干预措施。大多数干预措施的目标是社会心理健康。没有任何干预是全面的。有关干预效果的研究结果各不相同。提供者需要设计结合行为、生物医学和结构服务的干预措施,以满足这一人群复杂的卫生保健需求。
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引用次数: 0
期刊
Journal of HIV-AIDS & Social Services
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