scholarly journals Chronic Disease Self-Management Challenges among Rural Women Living with HIV/AIDS in Prakasam, Andhra Pradesh, India: A Qualitative Study

2018 ◽  
Vol 17 ◽  
pp. 232595821877376
Author(s):  
Benissa E. Salem ◽  
Yvita Bustos ◽  
Chidyaonga Shalita ◽  
Jordan Kwon ◽  
Padma Ramakrishnan ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Qualitative Study ◽  
Health Care Access ◽  
Rural Women ◽  
Andhra Pradesh ◽  
Self Management ◽  
Structural Level ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

Rural women living with HIV/AIDS (WLHA) in India experience challenges self-managing HIV/AIDS in their rural communities. The purpose of this qualitative study was to explore factors influencing their care and antiretroviral treatment (ART) adherence. Themes that emerged from the qualitative focus groups among WLHA (N = 24) in rural Prakasam, Andhra Pradesh, India, included: (1) coming to know about HIV and other health conditions, (2) experiences being on ART, (3) challenges maintaining a nutritious diet, (4) factors affecting health care access and quality, and (5) seeking support for a better future. Chronic disease self-management in rural locales is challenging, given the number of barriers which rural women experience on a daily basis. These findings suggest a need for individual- and structural-level supports that will aid in assisting rural WLHA to self-manage HIV/AIDS as a chronic illness.

scholarly journals Lean Mass Improvement from Nutrition Education and Protein Supplementation among Rural Indian Women Living with HIV/AIDS: Results from Cluster Randomized Factorial Trial at 18-Month Follow-Up

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 179
Author(s):  
Catherine L. Carpenter ◽  
Kavita Kapur ◽  
Padma Ramakrishna ◽  
Suresh Pamujula ◽  
Kartik Yadav ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Lean Mass ◽  
Andhra Pradesh ◽  
Protein Supplementation ◽  
Women Living With Hiv ◽  
Factorial Trial ◽  
Cluster Randomized ◽  
Living With Hiv ◽  
Hiv Aids

Loss of lean muscle mass impairs immunity and increases mortality risk among individuals with HIV/AIDS. We evaluated the relative contributions of protein supplementation and nutrition education on body composition among 600 women living with HIV/AIDS in rural Andhra Pradesh, India. We conducted a cluster randomized controlled 2 × 2 factorial trial lasting six months with follow up at twelve and eighteen months. Interventions occurred in the Nellore and Prakasam regions of Andhra Pradesh by trained village women, ASHA (Accredited Social Health Activists), and included: (1) the usual supportive care from ASHA (UC); (2) UC plus nutrition education (NE); (3) UC plus nutritional protein supplementation (NS); (4) combined UC plus NE plus NS. A Bioimpedance Analyzer Model 310e measured body composition. SAS 9.4 analyzed all data. Mixed models using repeated measures evaluated lean mass change from baseline as primary and fat weight and total weight as secondary outcomes. Lean mass change was significantly associated with NS (p = 0.0001), NE (p = 0.0001), and combined NS plus NE (p = 0.0001), with similar associations for secondary outcomes. Stronger associations for total weight were observed with greater ART adherence. Nutritional interventions may improve physiologic response to HIV. Significant increases in lean mass resulted from independent and combined protein supplementation and nutrition education.

I have no peace of mind—psychosocial distress expressed by rural women living with HIV in India as part of a mobile health intervention—a qualitative study

2018 ◽  
Vol 21 (5) ◽  
pp. 525-531 ◽  
Author(s):  
Prabha S. Chandra ◽  
Soumya Parameshwaran ◽  
Veena A. Satyanarayana ◽  
Meiya Varghese ◽  
Lauren Liberti ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Mobile Health ◽  
Rural Women ◽  
Psychosocial Distress ◽  
Health Intervention ◽  
Peace Of Mind ◽  
Women Living With Hiv ◽  
Living With Hiv

scholarly journals Identifying Strategies to Cope with HIV-Related Stigma in a Group of Women Living with HIV/AIDS in the Dominican Republic: A Qualitative Study

2016 ◽  
Vol 21 (9) ◽  
pp. 2589-2599 ◽  
Author(s):  
Christine Tagliaferri Rael ◽  
Alex Carballo-Diéguez ◽  
Rachel Norton ◽  
Eryka Thorley ◽  
Rebecca Giguere ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Dominican Republic ◽  
Women Living With Hiv ◽  
Related Stigma ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Cervical cancer awareness and presence of abnormal cytology among HIV-infected women on antiretroviral therapy in rural Andhra Pradesh, India

2019 ◽  
Vol 30 (6) ◽  
pp. 586-595
Author(s):  
Sanghyuk S Shin ◽  
Catherine L Carpenter ◽  
Maria L Ekstrand ◽  
Qiao Wang ◽  
Surbhi Grover ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Antiretroviral Therapy ◽  
Rural Women ◽  
Andhra Pradesh ◽  
Low Grade ◽  
Cancer Knowledge ◽  
Squamous Intraepithelial Lesion ◽  
Women Living With Hiv ◽  
Intraepithelial Lesion ◽  
Living With Hiv

Cervical cancer is a leading cause of death among women in low- and middle-income countries, and women living with HIV are at high risk for cervical cancer. The objective of this study was to estimate the prevalence and correlates of cervical cancer and pre-cancer lesions and to examine cervical cancer knowledge among women living with HIV receiving antiretroviral therapy in rural Andhra Pradesh, India. We conducted cytology-based screening and administered a standardized questionnaire among 598 HIV-infected women. We found 5 (0.8%), 39 (6.5%), 29 (4.9%), and 4 (0.7%) had atypical squamous cells of undetermined significance (ASCUS), low-grade squamous intraepithelial lesion (LSIL), high-grade squamous intraepithelial lesion (HSIL), and squamous cervical carcinoma (SCC), respectively. In multivariable logistic regression analysis, ASCUS/LSIL was independently associated with age >16 years old at first sexual encounter and smokeless tobacco use. We found no factors associated with HSIL/SCC. In total, 101 women (16.9%) had heard of cervical cancer and 28 (27.7%) of them correctly identified HIV infection as a risk factor. In light of the high prevalence of pre-cancer lesions and low level of cervical cancer knowledge in our study population, focused interventions are needed to improve cervical cancer literacy and prevention among rural women living with HIV.

scholarly journals Measuring HIV Self-Management in Women Living With HIV/AIDS

2012 ◽  
Vol 60 (3) ◽  
pp. e72-e81 ◽  
Author(s):  
Allison R. Webel ◽  
Alice Asher ◽  
Yvette Cuca ◽  
Jennifer G. Okonsky ◽  
Alphoncina Kaihura ◽  
...  
Keyword(s):  
Self Management ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Study of Depression and Its Associated Factors among Women Living with HIV/AIDS in Coastal South India

ISRN AIDS ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
B. Unnikrishnan ◽  
Vinita Jagannath ◽  
John T. Ramapuram ◽  
B. Achappa ◽  
D. Madi
Keyword(s):  
Rural Women ◽  
South India ◽  
Hiv Care ◽  
Hiv Positive ◽  
Chi Square ◽  
Cross Sectional ◽  
Women Living With Hiv ◽  
Hiv Positive Women ◽  
Living With Hiv ◽  
Hiv Aids

Background. Depression is one of the most prevalent psychiatric diagnoses seen in HIV-positive individuals. Women with HIV are about four times more likely to be depressed than those who are not infected. Aims. To assess the sociodemographic and clinical correlates of depression among women living with HIV/AIDS. Setting and Design. One public and one private hospital in Mangalore, Coastal South India, and cross-sectional design. Methods and Materials. Study constituted of 137 HIV-positive women, depression was assessed using BDI (Beck Depression Inventory), and social support was assessed using Lubben Social Network Scale. Statistical Analysis. All analysis was conducted using SPSS version 11.5. Chi-square test with value less than 0.05 was taken as statistically significant. Results. Among 137 HIV-positive women, 51.1% were depressed. Around 16% were having moderate to high risk for isolation. Depression was statistically significant in rural women, widowed women, and lower socioeconomic class women. Conclusion. Depression is highly prevalent among women living with HIV which is still underdiagnosed and undertreated, and there is a need to incorporate mental health services as an integral component of HIV care.

scholarly journals Childbearing Decision Making: A Qualitative Study of Women Living with HIV/AIDS in Southwest Nigeria

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Y. A. Sofolahan ◽  
C. O. Airhihenbuwa
Keyword(s):  
Decision Making ◽  
Antiretroviral Therapy ◽  
Qualitative Study ◽  
Partner Support ◽  
Women Living With Hiv ◽  
Sexual Reproductive Health ◽  
Southwest Nigeria ◽  
Living With Hiv ◽  
Depth Interviews ◽  
Hiv Aids

Using the PEN-3 model, the purpose of this qualitative study was to understand the factors responsible for the childbearing decisions of women living with HIV/AIDS (WLHA) in Lagos, Nigeria. Sixty WLHA who sought care at a teaching hospital in Lagos were recruited to participate in in-depth interviews. The average age of the participants was 30 years, and 48 participants were receiving antiretroviral therapy. Healthcare and spiritual practices, healthcare provider-patient communication about childbearing, and husband/partner support emerged as factors that contribute to the childbearing decisions of WLHA. The findings reveal the importance of discussing sexual reproductive health and childbearing issues with WLHA in the healthcare context prior to pregnancy.

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