Health outcomes and healthcare utilization of Native Hawaiians and other Pacific Islanders living with HIV in Hawai‘i: A mixed-methods study

2021 ◽  
pp. 1-18
Author(s):  
Misty Pacheco ◽  
Joy Lynn Agner ◽  
Tara K. Myers ◽  
Jeena Franco ◽  
John P. Barile ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health Outcomes ◽  
Healthcare Utilization ◽  
Pacific Islanders ◽  
Mixed Methods Study ◽  
Native Hawaiians ◽  
Living With Hiv

scholarly journals Uptake of routine viral load testing among people living with HIV and its implementation challenges in Yangon region of Myanmar: a mixed-methods study

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032678
Author(s):  
Khine Khine Thinn ◽  
Pruthu Thekkur ◽  
Nang Thu Thu Kyaw ◽  
Nyein Su Aye ◽  
Tin Maung Zaw ◽  
...  
Keyword(s):  
Viral Load ◽  
Mixed Methods ◽  
Clinical Stage ◽  
Virological Suppression ◽  
Mixed Methods Study ◽  
People Living With Hiv ◽  
Sample Collection ◽  
Implementation Challenges ◽  
Wage Loss ◽  
Living With Hiv

ObjectivesIn 2017, Myanmar implemented routine viral load (VL) monitoring for assessing the response to antiretroviral therapy (ART) among people living with HIV (PLHIV). The performance of routine VL testing and implementation challenges has not yet assessed. We aimed to determine the uptake of VL testing and factors associated with it among PLHIV initiated on ART during 2017 in ART clinics of Yangon region and to explore the implementation challenges as perceived by the healthcare providers.DesignAn explanatory mixed-methods study was conducted. The quantitative component was a cohort study, and the qualitative part was a descriptive study with in-depth interviews.SettingSix ART clinics operated by AIDS/sexually transmitted infection teams under the National AIDS Programme.Primary outcome measures(1) The proportion who underwent VL testing by 30 March 2019 and the proportion with virological suppression (plasma VL <1000 copies/mL); (2) association between patient characteristics and ‘not tested’ was assessed using log binomial regression and (3) qualitative codes on implementation challenges.ResultsOf the 567 PLHIV started on ART, 498 (87.8%) retained in care for more than 6 months and were eligible for VL testing. 288 (57.8%, 95% CI: 53.3% to 62.2%) PLHIV underwent VL testing, of which 263 (91.3%, 95% CI: 87.1% to 94.4%) had virological suppression. PLHIV with WHO clinical stage 4 had significantly higher rates of ‘not being tested’ for VL. Collection of sample for VL testing only twice a month, difficulties in sample collection and transportation, limited trained workforce, wage loss and out-of-pocket expenditure for patients due to added visits were major implementation challenges.ConclusionsThe VL test uptake was low, with only six out of ten PLHIV tested. The VL testing uptake needs to be improved by strengthening sample collection and transportation, adopting point-of-care VL tests, increasing trained workforce, providing compensation to patients for wage loss and travel costs for additional visits.

Engaging women at risk for poor perinatal mental health outcomes: A mixed-methods study

2014 ◽  
Vol 24 (3) ◽  
pp. 241-252 ◽  
Author(s):  
Karen A. Myors ◽  
Maree Johnson ◽  
Michelle Cleary ◽  
Virginia Schmied
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Mixed Methods ◽  
Health Outcomes ◽  
Mixed Methods Study ◽  
Mental Health Outcomes ◽  
Perinatal Mental Health

scholarly journals To start or to complete? – Challenges in implementing tuberculosis preventive therapy among people living with HIV: a mixed-methods study from Karnataka, India

2020 ◽  
Vol 13 (1) ◽  
pp. 1704540
Author(s):  
Mahendra M. Reddy ◽  
Pruthu Thekkur ◽  
Nagesh Ramya ◽  
Prasanna B. T. Kamath ◽  
Suresh G. Shastri ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Preventive Therapy ◽  
Mixed Methods Study ◽  
People Living With Hiv ◽  
Living With Hiv

scholarly journals Why Counseling Intervention Fails to Improve Compliance towards Antiretroviral Therapy: Findings from a Mixed-Methods Study among People Living with HIV in Bali Province, Indonesia

2021 ◽  
Vol 13 (1) ◽  
pp. 136-147
Author(s):  
Anak Agung Sagung Sawitri ◽  
I Nyoman Sutarsa ◽  
Ketut Tuti Parwati Merati ◽  
I Made Bakta ◽  
Dewa Nyoman Wirawan
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
People Living With Hiv ◽  
Hiv Counseling ◽  
Counseling Intervention ◽  
Art Initiation ◽  
Improve Compliance ◽  
Key Issues ◽  
Study Participants ◽  
Living With Hiv

This study explores the contribution of counseling to improving acceptance of and adherence to anti-retroviral therapy (ART) among people living with HIV (PLHIV) and identifies key issues associated with its implementation. We conducted a longitudinal mixed-methods study in Bali Province between 2015 and 2017. The study participants were 170 newly diagnosed PLHIV and 17 outreach-counselor workers (OWs). We interviewed PLHIV for their experiences in receiving counseling, and acceptance of and adherence to ART. We surveyed four counseling domains (privacy, contents, frequency, and duration) and explored the key findings through in-depth interviews. In addition, 24 exit interviews and record reviews were performed. Quantitative data were analyzed descriptively, and qualitative data were analyzed thematically. Out of 170 PLHIV who received the counseling program, 139 (81.76%) accepted ART, and 52 (37.4%) discontinued ART in six months of follow up. Although counselors covered most of the content (16/17 components), the median time and frequency of counseling were insufficient. Despite a high score of HIV counseling provided to PLHIV in our study location, the overall acceptance of and adherence to ART remains fair or moderate. Our study suggests that counseling before ART initiation is inadequate for improving acceptance and adherence to ART in Bali Province. This reduced effectiveness is influenced by internal issues (interpersonal skills, limited technical capacity) and external factors both from PLHIV and society (stigma, disclosure, discrimination).

scholarly journals Understanding Variations in the Framing of People Living With HIV: A Mixed-Methods Study of Photos in Chinese News

2021 ◽  
Vol 98 (1) ◽  
pp. 200-220
Author(s):  
Viorela Dan ◽  
Chunbo Ren
Keyword(s):  
Content Analysis ◽  
Community Structure ◽  
Mixed Methods ◽  
Qualitative Interviews ◽  
Mixed Methods Study ◽  
People Living With Hiv ◽  
Quantitative Content Analysis ◽  
Quantitative Content ◽  
Living With Hiv ◽  
Q Sort

We explore the framing of people living with HIV in news photos from China through two studies. Study 1 consists of a Q-sort exercise and post-sorting qualitative interviews with 10 Chinese individuals. Insights are used to develop operational definitions of visual frames for use in Study 2, a quantitative content analysis. News photos of 290 people living with HIV are analyzed in Study 2 (2000–2015). Results reveal unique features of Chinese news photos, such as blurring and pixelation despite positive framing. They also suggest variations in news framing by region (community structure).

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