scholarly journals Frequency of osteopenia and osteoporosis in men and women living with HIV/Aids: an observational study

2021 ◽  
Vol 54 (1) ◽  
pp. e168968
Author(s):  
Bruno Augusto Aguilar ◽  
André Pereira dos Santos ◽  
Dalmo Roberto Lopes Machado ◽  
Euripedes Bardanulfo Gonçalves Gomide ◽  
Emerson Sebastião ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Observational Study ◽  
Bone Metabolism ◽  
University Hospital ◽  
People Living With Hiv ◽  
Mineral Density ◽  
Factors Associated ◽  
Average Value ◽  
Living With Hiv ◽  
Hiv Aids

Aims: To identify the frequency in changes of bone metabolism, including below the average value for age, osteopenia, and osteoporosis, in people living with HIV/AIDS (PLWHA) and to compare the frequency of factors associated with bone mineral density (BMD) and body composition between sex. Methods: This observational study assessed 106 PLWHA (65 male) recruited from the University Hospital of Ribeirão Preto Medical School from 2013 to 2014. BMD was measured using Dual Energy X-ray Absorptiometry (DXA). Standard deviation values for Z- and T-score proposed by the International Society for Clinical Densitometry were adopted to classify participants below the average value for age, osteopenia, and osteoporosis. Qui-square and Fischer’s exact tests were employed to compare males and females based on their factors associated with BMD reduction. Results: Fifty-two (49%) PLWHA presented at least one diagnosis for below the average value for age, osteopenia, and osteoporosis, being 37 (57%) and 15 (37%) male and female, respectively. Frequency of alcohol consumption was higher in males (n=20; 30.8%) than females (n=05; 12.2%) (p=0.028). Conclusions: A high rate of PLWHA showed changes in bone metabolism, with a higher frequency in males. The frequency of alcohol consumption was higher in males, and it may partially explain the possible causes of the increased rates of bone metabolism changes observed in this group. This information may help develop strategies for reducing the frequency of diagnosis for below the average value for age, osteopenia, osteoporosis improving quality of life in PLWHA.

scholarly journals Factors Associated With Domestic Violence among the 50 Years and above Living with Hiv/Aids - A Case Study of Mukono Hospital Patients

2017 ◽  
pp. 1-17
Author(s):  
Ndazima Donny Silus
Keyword(s):  
Domestic Violence ◽  
Alcohol Consumption ◽  
Secondary Data ◽  
Group Discussions ◽  
Factors Associated ◽  
Treatment Regimens ◽  
Hospital Patients ◽  
Living With Hiv ◽  
Hiv Aids

Domestic violence cuts cross all age groups and globally, between 10% and 69% of women report of having been physically assaulted by their sexual partner at least once in their life. Furthermore, between 6% and 47% of adult women report of having been sexually assaulted by their sexual partners while between 7% and 48% of girls and young women at least reported their first sexual episode to have been forced. Understanding of domestic violence issues and integrating them in the current treatment regimens is critical for success of treatment regimens of the above 50 years PLWH as domestic violence is blamed to hamper adherence to ARVS and ART, condom use among others. Hence the main objective of the study was to find out factors associated with domestic violence among the 50 years and above population living with HIV/AIDS, making a case study of Mukono hospital patients. Specifically the study intended to establish the individual/background factors associated with domestic violence among the above 50 years population living with HIV/AIDS, define the socio-economic factors associated with domestic violence and find the influence of substance abuse associated with domestic violence among the 50 years and above population living with HIV/AIDS. The study adopted a descriptive cross sectional survey that employed both qualitative and quantitative data collection techniques that was supported by both primary and secondary data. Primary data was collected from the 50 years and above PLWH attending CoU Mukono hospital and from CoU Mukono hospital selected key informants, while secondary data was captured from CoU Mukono hospital records. The study used focus group discussions to capture qualitative data were different focus group discussions for male and female respondents were organized. Quantitative data was captured through use of questionnaires which were interviewer administered. The study targeted a sample of 263 respondents which was calculated using a Kish and Leslie formula and generated by use of simple random numbers that were assigned to study units following the inclusion and exclusion criteria that held that study participants had to be above 50 years, on ART and able to speak Luganda or English fluently. Only 196 respondents were studied as 67 questionnaires had errors. Domestic violence was measured on a standard HITS scale and a score greater than 10 was positive and indicated domestic violence while a score less than 10 was negative and indicated that a participant had not suffered domestic violence hence domestic violence was measured as a binary outcome. The study held domestic violence as a dependent variable and predictors of domestic violence like individual/ background factors, social economic factors like occupation and alcohol abuse as independent factors. A binary logistic regression was fitted against variables to test for their associations with domestic violence at both bivariate and multivariate level that a backward elimination method was used to determine variables that were significantly associated with domestic violence at multivariate level using a 95% CI. The study found that alcohol consumption was a risk factor to domestic violence and findings are in line with Canadian Panel on violence against women, 1993. Study findings associate domestic violence with having arguments over sex which is in line with Rani et al., 2004; World’s women and Girl’s data sheet 2011. The study recommended that there is need to promote interventions that limit alcohol consumption among patients as heavy alcohol consumption is associated with domestic violence that affects the treatment regimens of the 50 years and above.

scholarly journals Prevalence and socioeconomic factors associated with smoking in people living with HIV by sex, in Recife, Brazil

2013 ◽  
Vol 16 (2) ◽  
pp. 432-443 ◽  
Author(s):  
Joanna d’Arc Lyra Batista ◽  
Maria de Fátima Pessoa Militão de Albuquerque ◽  
Ricardo Arraes de Alencar Ximenes ◽  
Demócrito de Barros Miranda-Filho ◽  
Heloisa Ramos Lacerda de Melo ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Socioeconomic Factors ◽  
Low Income ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Heavy Alcohol ◽  
Factors Associated ◽  
Risk Of Death ◽  
Living With Hiv ◽  
Hiv Aids

Introduction: Smoking is the leading cause of preventable death in the world. The prevalence of smoking is higher in people infected with HIV than in the general population. Although it is biologically plausible that smoking increases the morbidity and mortality of people living with HIV/AIDS, few studies in developing countries have analyzed the determinants and consequences of smoking in HIV infected people. Objective: To estimate the prevalence of smoking and identify the socioeconomic factors associated with smoking and smoking cessation in patients with HIV by sex. Methods: A cross-sectional study was conducted with baseline data, obtained from an ongoing prospective cohort study of patients with HIV attending two referral centers in Recife, Northeast Region of Brazil, between July 2007 and October 2009. Results: The prevalence of current smoking was 28.9%. For both sexes, smoking was independently associated with heavy alcohol drinking and marijuana use. Among women, smoking was associated with living alone, not being married and illiteracy; and among men, being 40 years or older, low income and using crack. Compared with ex-smokers, current smokers were younger and more likely to be unmarried, heavy drinkers and marijuana users. Conclusions: It is important to incorporate smoking cessation interventions for the treatment of heavy alcohol drinkers and marijuana users with HIV/AIDS, which may increase life expectancy and quality of life, as smoking is related to risk of death, relapse of tuberculosis, and non communicable diseases.

scholarly journals Factors Associated with Anemia among People Living with HIV/AIDS Taking ART in Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Ketema Bizuwork Gebremedhin ◽  
Tadesse Bedada Haye
Keyword(s):  
Addis Ababa ◽  
Clinical Stage ◽  
Public Health Problem ◽  
People Living With Hiv ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Factors Associated ◽  
Living With Hiv ◽  
Hiv Aids

Background. Globally, anemia, among people living with HIV/AIDS, is a major public health problem. It has a significant effect on the progression of HIV/AIDS to advanced stages and there are a number of factors that often affect anemia. However, there is little insight regarding factors affecting anemia among HIV/AIDS patients in developing countries, including Ethiopia. Objective. This study aimed at investigating factors affecting anemia among people living with HIV/AIDS taking ART drug at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods. A hospital based cross-sectional study design was used to assess factors affecting anemia among people living with HIV/AIDS. Structured checklist was used to gather information from charts of patients selected by simple random sampling method. We analyzed the data to identify factors associated with anemia among people with HIV/AIDS using logistic regression models. Results. A total of 301 selected charts were reviewed. The median age was 38 ± 10.38. The majority (62.5%) of the patients were taking ZDV-containing ART drug (ZDV/3TC/NVP). The overall anemia prevalence was 34.6%, while about 5%, 15.6%, and 14% of the patients had severe, moderate, and mild prevalence of anemia, respectively. Factors that were found to affect anemia among these patients include gender (OR = 2.26 [95% CI: 1.22, 4.16]), occupation (OR: 0.57 [95%CI: 0.35, 0.92]), WBC count (OR = 2.30 [95% CI: 1.29, 4.09]), platelet count (OR = 2.89 [95% CI: 0.99, 8.41]), nutritional status (OR = 2.05 [95% CI: 0.69, 6.02]), and WHO clinical stage of HIV/AIDS (OR = 3.69 [95% CI: 1.86, 7.31]). Conclusions. About one in three patients was found to be anemic. Intervention aimed at diagnosing and treating anemia among people living with HIV/AIDS should be considered.

Psychosocial Factors Associated with Food Insufficiency Among People Living with HIV/AIDS (PLWH) Initiating ART in Ethiopia

2019 ◽  
Vol 23 (11) ◽  
pp. 3052-3057
Author(s):  
Madeline A. DiLorenzo ◽  
Angela Parcesepe ◽  
Olga Tymejczyk ◽  
Susie Hoffman ◽  
Batya Elul ◽  
...  
Keyword(s):  
Psychosocial Factors ◽  
People Living With Hiv ◽  
Food Insufficiency ◽  
Factors Associated ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Factors Associated With Perceived Stigma Among People Living With HIV/AIDS in Post-Conflict Northern Uganda

2011 ◽  
Vol 23 (3) ◽  
pp. 193-205 ◽  
Author(s):  
Barbara Nattabi ◽  
Jianghong Li ◽  
Sandra C. Thompson ◽  
Christopher G. Orach ◽  
Jaya Earnest
Keyword(s):  
Northern Uganda ◽  
People Living With Hiv ◽  
Perceived Stigma ◽  
Factors Associated ◽  
Post Conflict ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Religious and spiritual coping in people living with HIV/Aids

2017 ◽  
Vol 70 (2) ◽  
pp. 392-399 ◽  
Author(s):  
Clarissa Mourão Pinho ◽  
Bruno Felipe Remigio Dâmaso ◽  
Eduardo Tavares Gomes ◽  
Maria de Fátima Cordeiro Trajano ◽  
Maria Sandra Andrade ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
University Hospital ◽  
Spiritual Coping ◽  
People Living With Hiv ◽  
Intrinsic Religiosity ◽  
Cross Sectional ◽  
Duke University ◽  
Coping Scale ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRACT Objective: evaluate the religiosity and the religious/spiritual coping of people living with HIV/Aids. Method: descriptive, cross-sectional study with quantitative approach, conducted in a reference HIV/Aids outpatient clinic in a university hospital of Recife-PE, Brazil, from June to November 2015. At total of 52 people living with HIV/Aids (PLWHA) participated in the research, which employed own questionnaire, the Duke University Religion Index (DUREL), and the Religious/Spiritual Coping Scale (RCOPE). Results: the sample presented high indices of organizational religiosity (4.23±1.66), non-organizational religiosity (4.63±1.50), and intrinsic religiosity (13.13±2.84). Positive RCOPE was used in high mean scores (3.66±0.88), and negative RCOPE had low use (2.12 ± 0.74). In total, use of RCOPE was high (3.77±0.74), having predominated the positive RCOPE (NegRCOPE/PosRCOPE ratio=0.65±0.46). Conclusion: it is evident the importance of encouraging religious activity and RCOPE strategies, seen in the past as inappropriate interventions in clinical practice.

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