scholarly journals Help-Seeking to Cope With Experiences of Violence Among Women Living With HIV in Canada

2021 ◽  
pp. 107780122110190
Author(s):  
Rebecca Gormley ◽  
Valerie Nicholson ◽  
Rebeccah Parry ◽  
Melanie Lee ◽  
Kath Webster ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Help Seeking ◽  
Community Organizations ◽  
Care Providers ◽  
Mental Health Diagnosis ◽  
Women Living With Hiv ◽  
History Of ◽  
Childhood Violence ◽  
Living With Hiv ◽  
Health Diagnosis

Using baseline data from a community-collaborative cohort of women living with HIV in Canada, we assessed the prevalence and correlates of help-seeking among 1,057 women who reported experiencing violence in adulthood (≥16 years). After violence, 447 (42%) sought help, while 610 (58%) did not. Frequently accessed supports included health care providers ( n = 313, 70%), family/friends ( n = 244, 55%), and non-HIV community organizations ( n = 235, 53%). All accessed supports were perceived as helpful. Independent correlates of help-seeking included reporting a previous mental health diagnosis, a history of injection drug use, experiencing childhood violence, and experiencing sexism. We discuss considerations for better supporting women who experience violence.

scholarly journals Barriers in Diagnosing and Treating Men With Depression: A Focus Group Report

2009 ◽  
Vol 4 (2) ◽  
pp. 167-175 ◽  
Author(s):  
Aaron B. Rochlen ◽  
Debora A. Paterniti ◽  
Ronald M. Epstein ◽  
Paul Duberstein ◽  
Lindsay Willeford ◽  
...  
Keyword(s):  
Focus Group ◽  
Health Care Providers ◽  
Help Seeking ◽  
Care Providers ◽  
Help Seeking Behaviors ◽  
Treatment Providers ◽  
Symptom Profiles ◽  
Willingness To Seek Help ◽  
History Of ◽  
History Of Depression

This study reports on the experiences of 45 male focus group participants with a history of depression. Men responded to questions addressing the interaction between the male role, masculinity, depression, and experiences with treatment for depression. Using a qualitative, thematic-based coding strategy, three primary themes emerged. First, participants described aspects of the male gender as being in conflict or incongruent with their experiences of depression and beliefs about appropriate help-seeking behaviors. Second, men outlined alternative symptom profiles that could interfere with the recognition of depression and willingness to seek help. Finally, men expressed a range of positive and negative reactions toward depression treatment and treatment providers. Implications for health care providers are provided.

scholarly journals Prevalence of and Barriers to Dual-Contraceptive Methods Use among Married Men and Women Living with HIV in India

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Venkatesan Chakrapani ◽  
Trace Kershaw ◽  
Murali Shunmugam ◽  
Peter A. Newman ◽  
Deborah H. Cornman ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Contraceptive Method ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Hiv Diagnosis ◽  
Women Living With Hiv ◽  
Persons Living With Hiv ◽  
Prevention Method ◽  
Living With Hiv

Objective. To describe the prevalence and correlates of dual-contraceptive methods use (condomsandaneffectivepregnancy prevention method) and barriers to their use among married persons living with HIV (PLHIV) in India.Methods. We conducted a quantitative survey (93 men, 97 women), 25 in-depth interviews, seven focus groups, and five key informant interviews.Results. Prevalence of dual- contraceptive method use increased from 5% before HIV diagnosis to 23% after diagnosis (P < 0.001). Condoms were the most common contraceptive method, with prevalence increasing from 13% before diagnosis to 92% after diagnosis (P < 0.001). Barriers to using noncondom contraceptives were lack of discussion about noncondom contraceptives by health care providers, lack of acceptability of noncondom contraceptives among PLHIV, and lack of involvement of husbands in family planning counseling.Conclusion. There is a need for interventions, including training of health care providers, to increase dual-contraceptive methods use among married PLHIV.

The Myth of the Perfect Pregnancy

2019 ◽  
Author(s):  
Lara Freidenfelds
Keyword(s):  
Twentieth Century ◽  
Health Care Providers ◽  
Maternal Education ◽  
Colonial America ◽  
Care Providers ◽  
Early Nineteenth Century ◽  
Unrealistic Expectation ◽  
History Of ◽  
Late Twentieth ◽  
Late Twentieth Century

The Myth of the Perfect Pregnancy is a history of why Americans came to have the unrealistic expectation of perfect pregnancies and to mourn even very early miscarriages. The introduction explains that miscarriage is a common phenomenon and a natural part of healthy women’s childbearing: approximately 20 percent of confirmed pregnancies spontaneously miscarry, mostly in the first months of gestation. Eight topical chapters describe childbearing and pregnancy loss in colonial America; the rise of birth control from the late eighteenth century to the present; changes in parenting from the early nineteenth century to the present that increasingly focused attention on the emotional relationship between parent and child; the twentieth-century rise of prenatal care and maternal education about embryonic growth; the twentieth-century blossoming of a consumer culture that marketed baby items to pregnant women; the abortion debates from the mid-twentieth century to the present; the late twentieth-century introduction of obstetric ultrasound and its evolution into a pregnancy ritual of “meeting the baby” as early as eight weeks’ gestation; and the late twentieth-century introduction of home pregnancy testing and the identification of pregnancy as early as several days before a missed period. The conclusion offers suggestions for how women and their families, health-care providers, and the maternity care industry can better handle pregnancy and address miscarriage.

scholarly journals Substance Use Among Older People Living With HIV: Challenges for Health Care Providers

2019 ◽  
Vol 7 ◽  
Author(s):  
Sherry Deren ◽  
Tara Cortes ◽  
Victoria Vaughan Dickson ◽  
Vincent Guilamo-Ramos ◽  
Benjamin H. Han ◽  
...  
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Older People ◽  
Health Care Providers ◽  
People Living With Hiv ◽  
Care Providers ◽  
Living With Hiv

scholarly journals Men’s perceptions of sexual and reproductive health education within the context of pregnancy and HIV in Zambia: a descriptive qualitative analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tulani Francis L. Matenga ◽  
Joseph Mumba Zulu ◽  
Sharon Nkwemu ◽  
Perfect Shankalala ◽  
Karen Hampanda
Keyword(s):  
Reproductive Health ◽  
Antenatal Care ◽  
Health Care Providers ◽  
Sexual And Reproductive Health ◽  
Decision Makers ◽  
Care Providers ◽  
Convenience Sample ◽  
Essential Information ◽  
Women Living With Hiv ◽  
The Family

Abstract Background Although health care providers are beginning to focus on men’s roles as fathers and husbands, there is limited understanding of how men view their ability to promote sexual and reproductive health in families affected by HIV and their experiences with receiving education through antenatal care. This paper aims to explore men’s perceptions of the education they need regarding sexual and reproductive health within the family in the context of HIV. Methods We interviewed a convenience sample of 18 male partners of pregnant women living with HIV in Lusaka, Zambia. Atlas.ti was used to facilitate data management and content analysis. Results Men reported being the primary decision-makers regarding sexual and reproductive issues in the family; however, they admitted far-reaching unmet needs in terms of information on sexual and reproductive health in the context of HIV. Most men felt that antenatal care was not a conducive setting to fully educate men on sexual and reproductive health because it is a woman’s space where their health concerns were generally neglected. There was a strong desire for more education that was specific to men’s sexual and reproductive health, especially because all the couples were affected by HIV. Men especially requested education on sexual preparedness, safe sex, the use of condoms in sero-concordant and sero-discordant relationships and general health information. Although men stated they were the main decision-makers regarding sexual and reproductive issues such as pregnancy, most men were not confident in their ability to promote sexual and reproductive health in the family because of limited knowledge in this area. Conclusion There is need to change the environment and messaging of antenatal care, as well as offer relevant education opportunities outside health facility settings to empower men with essential information for meaningful involvement in sexual and reproductive health in the context of HIV.

scholarly journals Depression and Suicidality in Gay Men: Implications for Health Care Providers

2017 ◽  
Vol 11 (4) ◽  
pp. 910-919 ◽  
Author(s):  
Carrie Lee ◽  
John L. Oliffe ◽  
Mary T. Kelly ◽  
Olivier Ferlatte
Keyword(s):  
Health Care ◽  
Gay Men ◽  
Health Care Providers ◽  
Help Seeking ◽  
Adult Population ◽  
Well Being ◽  
Sexual Practices ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Prevalence Of Depression

Gay men are a subgroup vulnerable to depression and suicidality. The prevalence of depression among gay men is three times higher than the general adult population. Because depression is a known risk factor for suicide, gay men are also at high risk for suicidality. Despite the high prevalence of depression and suicidality, health researchers and health care providers have tended to focus on sexual health issues, most often human immunodeficiency virus in gay men. Related to this, gay men’s health has often been defined by sexual practices, and poorly understood are the intersections of gay men’s physical and mental health with social determinants of health including ethnicity, locale, education level, and socioeconomic status. In the current article summated is literature addressing risk factors for depression and suicidality among gay men including family acceptance of their sexual identities, social cohesion and belonging, internalized stigma, and victimization. Barriers to gay men’s help seeking are also discussed in detailing how health care providers might advance the well-being of this underserved subgroup by effectively addressing depression and suicidality.

Asian Pacific Americans Living with HIV Who Were Smuggled Immigrants: A Qualitative Study

2021 ◽  
pp. 105477382110085
Author(s):  
Feifei Huang ◽  
Wei-Ti Chen ◽  
Cheng-Shi Shiu ◽  
Wenxiu Sun ◽  
Abigail Radaza ◽  
...  
Keyword(s):  
Los Angeles ◽  
Infectious Diseases ◽  
Health Care Providers ◽  
Legal Status ◽  
Qualitative Content Analysis ◽  
The United States ◽  
Care Providers ◽  
Migration Routes ◽  
Migrant Smuggling ◽  
Living With Hiv

Migrant smuggling is a humanitarian crisis that impacts public health. A limited number of studies have focused on the links between migrant smuggling and its impact on the risk of infectious diseases, including HIV, for those smuggled. To explore these links, we conducted in-depth interviews with 11 Asian and Pacific Americans (APA) living with HIV in New York and Los Angeles. Qualitative content analysis revealed that smuggled immigrants described their experience as one with opportunity and danger. Smuggled immigrants, who aimed to achieve their American dream, were influenced by hometown pioneers who successfully journeyed to the United States and by the prospect of gaining legal status through immigration policy similar to the 1986 amnesty. Unfortunately, the long and dangerous journey exposed the immigrants to health problems, including risk for HIV. Thus, health care providers for immigrants should assess their migration routes and screen for infectious diseases.

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