scholarly journals 726Examining mediation effect of comprehensive knowledge on people’s attitudes towards HIV-infected people in India

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Arvind Pandey ◽  
Robin Khatri ◽  
Dhananjay Sharma ◽  
Anshum Kansal ◽  
Niraj Kumar Singh ◽  
...  

Abstract Background Improvement in people’s knowledge of HIV/AIDS and reduction in stigma and discrimination have been key factors in the fight against HIV/AIDS. The objective of the present paper is to examine the mediation effect of comprehensive knowledge on people’s attitudes towards HIV positives in India. Methods Data for the study have been drawn from nationally representative India’s National Family Health Survey, 2015-16. Statistical methods of data analysis included odds ratio and logistic regression models. Results Two in every five men and of women with comprehensive knowledge held a positive attitude towards PLHIVs. The people in rural areas and females against their counterparts are less likely (OR: 0.85, p < 0.05) to have positive attitude. The mediation by comprehensive knowledge, contributed to 46% of direct effect from gender perspective on comprehensive positive attitude. Among males, aged group 25-44 and among females age <25 had most positive attitude towards people living with HIV (PLHIV) as compared to their counterparts. Conclusions There existed a difference between males and females in attaining comprehensive knowledge and having comprehensive positive attitude. The mediation by comprehensive knowledge contributed, though partially, direct effects from gender perspective on comprehensive positive attitude. The findings are programmatically relevant to device content analysis of the material in the information, education and communication strategies. Key messages The mediation effect of comprehensive knowledge on people’s attitudes towards HIV positives has been substantial in India.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tesfaldet Mekonnen Estifanos ◽  
Chen Hui ◽  
Afewerki Weldezgi Tesfai ◽  
Mekonnen Estifanos Teklu ◽  
Matiwos Araya Ghebrehiwet ◽  
...  

Abstract Background Youth in general and young females, in particular, remain at the center of HIV/AIDS epidemic. To avoid and prevent HIV infection, comprehensive knowledge as well as correct understanding of transmission and prevention strategies are crucial. Thus, the aim of this study is to explore the predictors of comprehensive knowledge on HIV/AIDS and accepting attitude towards PLWHIV. Methods A cross-sectional study was conducted using data from the 2016 Uganda Demographic Health Survey. A two-stage probability sampling method was applied and data were collected using a standard questionnaire. Of the total 8674 women aged 15–49 years, 1971 eligible women aged 15–24 years were included in this analysis. Data analysis was done using SPSS version 23. A Chi-square test followed by logistic regression analysis was used to explore the relationship between specific explanatory variables and outcome variables. The results were reported using odds ratios with 95% confidence interval. P value less than 0.05 was considered as statistically significant. Results Overall, 99.3% of the unmarried women aged 15–24 years were aware of HIV/AIDS, but only 51.9% had comprehensive knowledge on HIV/AIDS. Around 70% of the respondents were aware that "using condoms every time when having sex" and "having only one faithful uninfected partner" can prevent HIV transmission. About 68% of the unmarried women rejected at least two common local misconceptions about HIV/AIDS. An alarmingly small (20.6%) proportion of the respondents had a positive acceptance attitude towards PLWHIV. All variables were significantly associated with having comprehensive knowledge on HIV/AIDS in the unadjusted logistic regression analysis. After adjustment, older age (20–24 years), being educated, wealthier, and ever been tested for HIV/AIDS became predictors of adequate comprehensive HIV/AIDS knowledge. Moreover, respondents with adequate comprehensive knowledge of HIV/AIDS were more likely (OR 1.64, 95% CI 1.30–2.08) to have a positive acceptance attitude towards PLWHIV than their counterparts. Conclusion Our study demonstrated a remarkably high level of awareness about HIV/AIDS among study participants, but the knowledge and positive acceptance attitude towards PLWHIV were not encouraging. Thus, endeavors to expand and strengthen educational campaigns on HIV/AIDS in communities, health facilities, and schools are highly recommended. Attention should particularly focus on young-aged and disadvantaged women with low educational level, poor socioeconomic status and those who have never been tested for HIV/AIDS.


2019 ◽  
Vol 7 (20) ◽  
pp. 3459-3463
Author(s):  
Elmeida Effendy ◽  
Mustafa M. Amin ◽  
Lidya De Vega ◽  
Nurul Utami

BACKGROUND: The lives of individuals diagnosed with HIV and the subsequent illness, AIDS, were often chaotic because these individuals deal with the physical, emotional, and interpersonal sequelae of this illness. Depressive symptoms and stress were common and impact on functioning, quality of life, and health status, highlighting the importance of diagnosis and treatment of patients with HIV infection. Psychiatric clinical practice and rating scales have come to play an ever-increasing role both in determining specific symptoms and diagnosing an individual condition. Descriptive reports of psychiatric morbidity among those with HIV infection, that relied primarily on self-report rating scales, described high rates of symptomatic depression and stress. AIM: This study aimed to determine the proportion of depression among people living with HIV/AIDS using the BDI-II and PSS to determine a relationship between symptoms of depression and stress with CD4 counts. METHODS: This study was a numerical correlative analytic study with a cross-sectional study approach that assessed the correlation between stress, depression and CD4 level in people with HIV/AIDS that were receiving ARV therapy in the Voluntary Counselling Test (VCT) Polyclinic of General Hospital Haji Medan by recruiting 46 subjects. CD4 level was examined in the Pramita Medan laboratory. RESULTS: When analysis of BDI-II level and CD4 scores were done, a significant correlation was found (P < 0.05). The strength of the relationship between the BDI score and the CD4 score was 0.548 revealing a positive correlation with moderate correlation strength CONCLUSION: We have shown a significant relationship between depression, stress and CD4 level among people with HIV/AIDS in Medan, Indonesia. Psychological distress may affect the immunity in infected people, leading to the disease progressivity.


2014 ◽  
pp. 185-191
Author(s):  
Xuan Huy Le ◽  
Phuoc Thuoc Doan ◽  
Dinh Son Nguyen

Introduction: The objectives of the study are to describe the status and influence, and the harms of stigma and discrimination against people living with HIV/AIDS in Khanh Hoa. Methodology: Cross-sectional study using the combination of quantitative and qualitative methods, with 200 people living with HIV/AIDS, aged 16 and older. Results: 4.5% of people living with HIV/AIDS reported their rights have been violated, 3% of people living with HIV/AIDS outcasts, shunned and 8% were refused to participate in community activities. The harmful effect of stigma and discrimination are both of physical and spiritual: the HIV-infected people intend to suicidal accounted for 10% and 72.5% of people did not accessing Voluntary Counselling and Testing room (VCT) for fear of being stigmatized; 16.7% people did not access Anti Retroviral Therapy (ART) due to fear of stigma. Conclusion: Status of stigma and discrimination against people living with HIV/AIDS in Khanh Hoa has declined through effective intervention strategies in the long term, however, this situation still exists. Keywords: Stigma and Discrimination, HIV/AIDS, Khanh Hoa.


2004 ◽  
Vol 37 (5) ◽  
pp. 641-655 ◽  
Author(s):  
saseendran pallikadavath ◽  
laila garda ◽  
hemant apte ◽  
jane freedman ◽  
r. william stones

primary research on hiv/aids in india has predominantly focused on known risk groups such as sex workers, sti clinic attendees and long-distance truck drivers, and has largely been undertaken in urban areas. there is evidence of hiv spreading to rural areas but very little is known about the context of the infection or about issues relating to health and social impact on people living with hiv/aids. in-depth interviews with nineteen men and women infected with hiv who live in rural areas were used to collect experiences of testing and treatment, the social impacts of living with hiv and differential impacts on women and men. eight focus group discussions with groups drawn from the general population in the four villages were used to provide an analysis of community level views about hiv/aids. while men reported contracting hiv from sex workers in the cities, women considered their husbands to be the source of their infection. correct knowledge about hiv transmission co-existed with misconceptions. men and women tested for hiv reported inadequate counselling and sought treatment from traditional healers as well as professionals. owing to the general pattern of husbands being the first to contract hiv women faced a substantial burden, with few resources remaining for their own or their children’s care after meeting the needs of sick husbands. stigma and social isolation following widowhood were common, with an enforced return to the natal home. implications for potential educational and service interventions are discussed within the context of gender and social relations.


2009 ◽  
Vol 65 (2) ◽  
Author(s):  
M. Kambole ◽  
P. Struthers

Physiotherapists are increasingly treating people living with HIV /AIDS.However, there is little information reported on either their attitudes when providingtreatment to people with HIV /AIDS, or what facilitates positive attitudes. This studyaimed to determine the attitudes of physiotherapists in Botswana towards treating people living with HIV /AIDS. A  qualitative approach was used with a purposive sample of 10 physiotherapists working in hospitals and private clinics in Gaborone and Ramotswa. In-depth interviews were conducted with individual physiotherapists, utilising an interview guide in. The results indicated that most physiotherapists had a positive attitude towards treating people living with HIV /AIDS. The positive attitude was associated with interrelated factors including their experiencewith people living with HIV /A IDS (PLW HA ); knowledge of HIV /AIDS; job satisfaction; and a belief in a duty to treatall. A  few physiotherapists had a negative attitude which was related to being judgmental and to a fear of acquiring HIVthrough occupational infection.


2015 ◽  
Vol 11 (2) ◽  
pp. 7-14 ◽  
Author(s):  
S Timilsina ◽  
K Regmi

Introduction: Assessing the health related quality of life (HQoL) and depression in human immunodeficiency virus (HIV) positive people and TB-HIV co infected people is of extreme importance in designing strategies and implementing interventional programs on treatment care and support to People living with HIV and AIDS. Methodology: A cross-sectional study was conducted among People living with HIV/AIDS and TB-HIV Co infection from July to December 2011 at care and support canters in Kathmandu, Nepal. The list HIV care and Support centre registered at Kathmandu were selected using the lottery proportionately to meet the sample size of 154. The method of data collection was summarized in the World Health Organization’s questionnaire for Health related Quality of life and Beck Depression Inventory Scale II for depression. Data was collected using verbal information of respondents, entered on Epi Data version3.4.1 and analyzed using SPSS version 16.0. Results: TB-HIV co infected people had lower quality of life in all domains compared to HIV/AIDS infected people. The prevalence of depression was found higher in TB-HIV co infected people than HIV/AIDS group. CD4 count, educational status, occupation, ethnicity, family size and depression were statistically significant with the QoL domains. Among co infected patients, depression was 3.86 times more likely to influence QoL while adjusted odds ratio was 4.21 times higher. Conclusion: The TB control program should design strategies to improve the quality of life of TB-HIV co infected people and depression should be targeted as an intervention to improve the quality of life of people living with HIV with or without TB.DOI: http://dx.doi.org/10.3126/saarctb.v11i2.12428SAARC J TUBER LUNG DIS HIV/AIDS, 2014;XI(2) Page: 7-14   


Religions ◽  
2019 ◽  
Vol 10 (7) ◽  
pp. 409 ◽  
Author(s):  
Song ◽  
Qin

Faith-based programs have been long regarded as influential social approaches to form positive attitudes to human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) within the last few decades. However, recent scholars argue that religions serve a double role in supporting HIV-infected people. Moreover, relevant evidence is mainly collected from studies among participants of the Western religious traditions, such as Christianity. This study applies the theory of the attitude formation model to examine Buddhist factors impacting discriminatory attitudes towards HIV/AIDS and the causal path to positive behavior intention. To investigate its underlying mechanism, Buddhist elements, as an important antecedent, were introduced in the advertisement against HIV/AIDS-related discrimination to influence people’s attitudinal reaction. Results show that Buddhist advertising could significantly increase perceived religiosity and compassion. Then, both perceived religiosity and compassion jointly increase anti-prejudical attitudes towards HIV-infected people and have a positive impact on interaction intention at the end.


2016 ◽  
Vol 28 (9) ◽  
pp. 910-919 ◽  
Author(s):  
Caroline Kingori ◽  
Zelalem T Haile ◽  
Peter Ngatia ◽  
Ruth Nderitu

Background In Kenya, HIV incidence and prevalence have declined. HIV rates are lower in rural areas than in urban areas. However, HIV infection is reported higher in men in rural areas (4.5%) compared to those in urban areas (3.7%). Objectives This study examined HIV knowledge, feelings, and interactions towards HIV-infected from 302 participants in rural Central Kenya. Methods Chi square tests and multivariable logistic regression analyzed variables of interest. Results Most participants exhibited positive feelings in their interaction with people living with HIV and AIDS (PLWHA). Association between HIV knowledge and socio-demographic characteristics revealed that the proportion of participants with a correct response differed by gender, age, level of education, and marital status ( p < 0.05). Compared to those with inadequate knowledge of HIV/AIDS, participants with adequate HIV/AIDS knowledge were nearly three times as likely to disagree that PLWHA should be legally separated from others to protect public health (adjusted odds ratio: aOR (95% CI) (2.76 (1.12, 6.80). Conclusions HIV stigma continues to impact HIV prevention strategies particularly in rural Central Kenya. Culturally, appropriate interventions addressing HIV knowledge among those with lower levels of education, single, older, and male are warranted. Review of HIV policies separating high-risk populations from the general population is needed to reduce stigma.


Sign in / Sign up

Export Citation Format

Share Document