Peer Support for Adolescents and Young People Living with HIV in sub-Saharan Africa: Emerging Insights and a Methodological Agenda

Objective: The number of people living with HIV (PLWH) over 50 years old in sub-Saharan Africa is predicted to triple in the coming decades, to 6-10 million. Yet, there is a paucity of data on the determinants of health and quality of life for older PLWH in the region. Methods: A review was undertaken to describe the impact of HIV infection on aging for PLWH in sub-Saharan Africa. Results: We (a) summarize the pathophysiology and epidemiology of aging with HIV in resource-rich settings, and (b) describe how these relationships might differ in sub-Saharan Africa, (c) propose a conceptual framework to describe determinants of quality of life for older PLWH, and (d) suggest priority research areas needed to ensure long-term gains in quality of life for PLWH in the region. Conclusions: Differences in traditional, lifestyle, and envirnomental risk factors, as well as unique features of HIV epidemiology and care delivery appear to substantially alter the contribution of HIV to aging in sub-Saharan Africa. Meanwhile, unique preferences and conceptualizations of quality of life will require novel measurement and intervention tools. An expanded research and public health infrastructure is needed to ensure that gains made in HIV prevention and treamtent are translated into long-term benefits in this region.

Download Full-text

The health related quality of life of people living with HIV/AIDS in sub-Saharan Africa - a literature review and focus group study

Cost Effectiveness and Resource Allocation ◽

10.1186/1478-7547-8-5 ◽

2010 ◽

Vol 8 (1) ◽

pp. 5 ◽

Cited By ~ 22

Author(s):

Bjarne Robberstad ◽

Jan Olsen

Keyword(s):

Quality Of Life ◽

Sub Saharan Africa ◽

People Living With Hiv ◽

Health Related Quality ◽

Focus Group Study ◽

Related Quality ◽

Health Related ◽

Sub Saharan ◽

Living With Hiv

Download Full-text

Stigmatising Attitudes Towards Co-workers with HIV in the Workplace of a Metropolitan State, Southwestern Nigeria

The Open AIDS Journal ◽

10.2174/1874613601711010067 ◽

2017 ◽

Vol 11 (1) ◽

pp. 67-75 ◽

Cited By ~ 1

Author(s):

Idongesit Godwin Utuk ◽

Kayode Omoniyi Osungbade ◽

Taiwo Akinyode Obembe ◽

David Ayobami Adewole ◽

Victoria Oluwabunmi Oladoyin

Keyword(s):

Sampling Technique ◽

Sub Saharan Africa ◽

Good Knowledge ◽

People Living With Hiv ◽

Cross Sectional Survey ◽

Southwestern Nigeria ◽

Cross Sectional ◽

Sub Saharan ◽

Living With Hiv ◽

Hiv Aids

Background:Despite demonstrating global concerns about infection in the workplace, very little research has explored how co-workers react to those living with HIV in the workplace in sub-Saharan Africa. This study aimed to assess the level of stigmatising attitude towards co-workers living with HIV in the workplace.Methods:The study was a descriptive cross-sectional survey involving 403 respondents. They were recruited from selected companies through a multistage sampling technique. Survey was carried out using pre-tested semi-structured questionnaires. Data were analyzed using the Statistical Package for the Social Sciences to generate frequencies, cross tabulations of variables at 5% level of significance. Logistic regression model was used to determine the predictors at 95% confidence intervals.Results:Mean age of respondents was 32.9 ± 9.4 years with 86.1% being females. Overall, slightly below two-third (63.0%) had good knowledge on transmission of HIV/AIDS while 218 (54.1%) respondents had a high stigmatising attitude towards co-workers with HIV in the workplace. More female respondents (69.6%) demonstrated high stigmatising attitudes towards co-workers with HIV in the workplace (p = 0.012). Female workers were twice more likely to have high stigmatising attitudes towards co-worker with HIV [OR 2.1 (95% CI: 1.13 – 3.83)].Conclusion:Stigma towards people living with HIV/AIDs is still very persistent in different settings. Good knowledge amongst our participants about HIV/AIDs did not translate to low stigmatising attitudes among workers. Concerted efforts and trainings on the transmission of HIV/AIDs are essential to reduce stigma that is still very prevalent in workplace settings.

Download Full-text

Synthesizing evidence on nutrition challenges among people living with HIV/AIDS in sub- Saharan Africa: a protocol for a scoping review

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20192871 ◽

2019 ◽

Vol 6 (7) ◽

pp. 3173 ◽

Cited By ~ 1

Author(s):

Tafadzwa Dzinamarira ◽

Moreblessing Chipo Mashora

Keyword(s):

Health Outcomes ◽

Scoping Review ◽

Sub Saharan Africa ◽

Future Research ◽

People Living With Hiv ◽

Nutritional Management ◽

Sub Saharan ◽

Living With Hiv ◽

Improve Health ◽

Hiv Aids

Background: Good nutritional status is highly significant for individuals who are infected with HIV. However, they still face a number of nutritional challenges. The proposed scoping review will map literature on the nutritional challenges facing people living with HIV/AIDS (PLWH) and guide future research in nutritional management to improve health outcomes for PLWH. Here we outline a scoping review protocol designed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P 2015 Guidelines).Methods: The Arksey and O’Malley’s 2005 scoping methodological framework further improved by Levac et al. 2010 will guide the search and reporting. Searches will be conducted for eligible articles from MEDLINE (PubMed), MEDLINE, CINAHL, Academic Search Complete and ISI Web of Science (Science Citation Index) electronic databases. Two independent reviewers will conduct the search guided by an inclusion and exclusion criteria. Quality appraisal of the included articles will be conducted guided by the mixed methods appraisal tool 2018 version. We will employ NVivo version 12 for thematic content analysis.Conclusions: The findings of this review will guide future research in nutritional management to improve health outcomes for PLWH in sub-Saharan African. This review will be disseminated electronically in a published peer reviewed article and in print.

Download Full-text

HIV/AIDS

Oxford Textbook of Medicine ◽

10.1093/med/9780198746690.003.0098 ◽

2020 ◽

pp. 901-933

Author(s):

Sarah Fidler ◽

Timothy E.A. Peto ◽

Philip Goulder ◽

Christopher P. Conlon

Keyword(s):

Large Scale ◽

Sub Saharan Africa ◽

People Living With Hiv ◽

African Countries ◽

Global Pandemic ◽

The People ◽

Reduce Life Expectancy ◽

Sub Saharan ◽

Living With Hiv ◽

The Impact

Since its discovery in 1983, the human immunodeficiency virus (HIV) has been associated with a global pandemic that has affected more than 78 million people and caused more than 39 million deaths. Globally, 36.9 million (34.3–41.4 million) people were living with HIV at the end of 2013. An estimated 0.8% of adults aged 15–49 years worldwide are living with HIV, although the burden of the epidemic continues to vary considerably between countries and regions. Sub-Saharan Africa remains most severely affected, with nearly 1 in every 20 adults living with HIV and accounting for nearly 71% of the people living with HIV worldwide. The impact of HIV in some African countries has been sufficient to reverse population growth and reduce life expectancy into the mid-30s, although HIV incidence has declined in some of these high-prevalence countries. However, there are large-scale HIV epidemics elsewhere (e.g. India, the Russian Federation, and Eastern Europe).

Download Full-text