scholarly journals Differential relationships of stress and HIV disclosure by gender: a person centered longitudinal study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chengbo Zeng ◽  
Shan Qiao ◽  
Xiaoming Li ◽  
Xueying Yang ◽  
Zhiyong Shen ◽  
...  

Abstract Background Existing literature mostly consider HIV disclosure as a static event and investigate its relationship with stress using a cross-sectional design. It is unclear about the dynamic changes of HIV disclosure levels (defined as the number of disclosure targets) and how stress may influence these changes. This study explored different disclosure levels using a person-centered longitudinal approach, examined whether stress could predict these disclosure levels, and investigated if this relationship differed by gender among people living with HIV (PLWH). Methods Data were derived from a prospective cohort study conducted from November 2016 to January 2018 in Guangxi, China. Four hundred forty-four PLWH were included. Participants were assessed on perceived stress, sociodemographic characteristics, and number of HIV disclosure targets at baseline, 6-month, and 12-month follow-ups. Growth mixture modeling was used to characterize disclosure levels based on the changes of disclosure target number. Multinomial logistic regression was used to predict disclosure levels with baseline stress after adjusting for covariates. The interaction effect of stress by gender was examined. Adjusted odds ratio (AOR) with its 95% confidence interval were reported to show the strength of association.  Results Three levels of disclosure were characterized as “Low levels of disclosure” (Level One), “Increased levels of disclosure” (Level Two), and “High levels of disclosure” (Level Three). Accordingly, 355 (81.2%), 28 (6.4%), and 64 (12.4%) of PLWH were categorized respectively under low, increased, and high levels of disclosure. The interaction of baseline stress by gender was significant in differentiating Level One from Three (AOR = 0.85 [0.74 ~ 0.99]) while it was not significant between Level One and Two (AOR = 0.96 [0.81 ~ 1.15]). Compared to female, male PLWH with higher baseline stress had lower probability to have consistent high disclosure levels over time. PLWH who were married/cohabited had lower probability of being classified into consistent high levels of disclosure than low level (AOR = 0.43 [0.19 ~ 0.94]). Conclusions There was gender difference in the relationship between stress and levels of HIV disclosure. To promote HIV disclosure, gender tailored interventions should be employed to help PLWH cope with stress.

2020 ◽  
Vol 9 (2) ◽  
pp. 1128-1133
Author(s):  
Dian Permatasari ◽  
Eva Nurhidayati ◽  
Dian Ika Puspitasari

Human Immunodeficiency Virus and Acquired Immuno Deficiency Syndrome  have become epidemics that seriously  of the world community. East Java is one of the provinces with the highest number of HIV / AIDS sufferers in Indonesia. As of September 2018, the number of people living with HIV / AIDS was 47,396 people.  This research is a quantitative research design with explanatory research which aims at research conducted to explain the influence between independent and dependent variables through testing. Cross sectional design because the independent and dependent variables were measured at the same time. The sampling technique used total sampling. The instrument in this study was a questionnaire. Data were analyzed using regression test. One of the solutions to overcome this problem is the role of peer support groups in providing support and services to ODHA by providing access to information and referrals about treatment. 


2021 ◽  
Vol 15 (1) ◽  
pp. 1-9
Author(s):  
Nursalam Nursalam ◽  
Tintin Sukartini ◽  
Hidayat Arifin ◽  
Rifky Octavia Pradipta ◽  
Dluha Mafula ◽  
...  

Introduction: The discriminatory behavior experienced by People Living With HIV (PLWH) remains an unresolved problem in Indonesia. The aims of this research were to determine the factors associated with the discriminatory behavior experienced by PLWH in Indonesia. Methods: This study used cross-sectional design data by processing secondary data from the Indonesian Demographic Health Survey (IDHS) conducted in 2017. The total sample in this study was 15,413 records obtained via the two-stage stratified cluster sampling technique. The variables in this study were knowledge, information, socioeconomic and demographic details and the discriminatory behavior experienced by PLWH. The instrument refers to IDHS 2017. The data were analyzed using a chi-squared test and multinomial logistic regression. Results: The results obtained show that approximately 78.87% of respondents exhibited discriminatory behavior against PLWH in Indonesia. Respondents who had more knowledge about HIV [RRR: 25.35; CI: 2.85, 225.18] and who had earnings [RRR: 2.15; CI: 1.18, 3.92] were more at risk of discriminatory behavior than others. Respondents who lived in a rural area were less likely to engage in discriminatory behavior against PLWH than those who lived in urban areas [RRR: 0.51; CI: 0.29, 0.91]. Conclusion: An increased understanding of HIV-AIDS and Indonesian people's acceptance of PLWH can occur through the provision of accurate information that is designed to prevent discriminatory behavior against PLWH. The government can consider this problem and further related policies so that PLWH can coexist in society and enjoy the same rights as those living without discrimination.


Author(s):  
Srishti Dixit ◽  
Nirmal Verma ◽  
Neha Shrivastava ◽  
Mini Sharma ◽  
Somen Kumar Pradhan ◽  
...  

Background: ART centres provide the comprehensive care to the people living with HIV (PLHIV) in public sector. Patients’ satisfaction is one of the commonly used outcome measures of patient care. The objective was to assess the level of satisfaction of PLHIV and factors associated with PLHIV satisfaction with the services at ART centre.Methods: The study was a cross-sectional design carried out at a tertiary level health care centre, Raipur during March 2016 to May 2016. A total of 320 PLHIV were selected into the study using systematic sampling. A pre-designed, pre-tested questionnaire was used to obtain data from the participants.Results: The mean age of the PLHIV was 37.76 years±8.59. The highest score was in “satisfaction with interaction with the pharmacist” (15.38±2.786), and the lowest in “satisfaction with general services” (13.67±2.822). 61.3% of all 320 respondents were satisfied with the overall services provided at ART centre. Older, less educated, those who take lesser time to reach ART centre and adherent respondents were more likely to be satisfied with the services.Conclusions: The study shows generally high satisfaction with services but there is still need for improvement of services in some areas where the patients showed dissatisfaction.


2020 ◽  
Vol 4 (2) ◽  
pp. 50-58
Author(s):  
Tutur Irfantoro ◽  
Dwi Kartika Rukmi

Background: Victory Plus Foundation is a Non-Government Organization that helps the population directly affected by HIV/AIDS in Yogyakarta. Status disclosure’s research on People Living with HIV/AIDS (PLWHA) in Victory Plus Foundation is scarce. Even though the status disclosure is one of HIV spreading prevention, it has two-sided effects, both negative and positive, so its result can affect the quality of life despite PLWHA having tried to find a support system. Therefore, it is essential to know how the quality of life of PLWHA has opened up their status.Purpose: This study aimed to determine the relationship between HIV status disclosure and the quality of life of PLWHA in the Victory Plus Foundation, Yogyakarta.Method: This descriptive-analytic correlation study with a cross-sectional approach was conducted in June-July 2019 on 68 PLWHA at the Victory Plus Foundation. Purposively, samples were asked to fill out a disclosure questionnaire and WHOQOL-BREF. Univariate data presented in descriptions and Chi-Square tested bivariate data.Result: Most of the HIV status disclosure of PLWHA in the Victory Plus foundation was classified into a moderate category (77.9%) and low quality of life (64 %). The bivariate test result found a significant relationship between the HIV status disclosures with the quality of life in general (p = 0.001) with a moderate relationship closeness (r=0.403).Conclusion: Consequently, there is a relationship between the HIV status disclosures with the quality of life of PLWHA in the Victory Plus Foundation in Yogyakarta.


2021 ◽  
Vol 9 (1) ◽  
pp. 45-49
Author(s):  
Leni Rozani ◽  
Nurhayati Nurhayati

HIV/AIDS is still a major health problem in Indonesia and its incidence rate is the third highest in Asia. People living with HIV/AIDS (PLWHA) often get a negative stigma which has an impact on negative self-concept. This study aims to examine the self-concept of PLWHA. This research was a descriptive study with a cross-sectional design. 40 respondents enrolled in this study, especially PLWHA who underwent routine control in the PKT-VCT Room at the Dr. M. Yunus Hospital in Bengkulu. The self-concept questionnaire was used in this study. The results of this research showed that the majority of respondents experience poor or negative self-concept, especially for female respondents in the age range from 26 to 45 years. These results could be a special concern for health care workers and families to provide full support for PLWHA in improving positive self-concept.Keywords: self-concept, PLWHA, HIV/AIDS


2018 ◽  
Vol 3 (11) ◽  
pp. 34-48
Author(s):  
Norimah Said ◽  
Mohd Ramadan Ab Hamid

The number of young people aged between 13 to 29 infected with Human Immunodeficiency Virus (HIV) was rapidly increasing in Malaysia. The objective of this study is to determine the level of knowledge, attitude, and perception among students in the University. This study employed the cross-sectional design. The questionnaire was distributed to 372 respondents. Therefore, 52.4 percent of students had good knowledge.  There was a weak positive correlation between KA (r =0.23) and KP (r=0.19)  with significance (p<0.05). Conclusion, an increase in the level of knowledge contributed to the positive attitude and perception also reduce the stigma and discrimination toward people living with HIV/AIDS.  Keywords: Human Immunodeficiency Virus (HIV), Knowledge, Attitude, Perception eISSN 2514-7528 © 2018. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.


2020 ◽  
Vol 32 (1) ◽  
pp. 8-12
Author(s):  
Enock Chisati

IntroductionDespite increasing life expectancy among people living with HIV (PLWHIV), anti-retroviral therapy (ART) side effects, HIV chronic inflammation and co-morbidities may limit functional abilities and reduced participation in exercises and physical activity (PA). PA improves wellbeing and overall quality of life of PLWHIV. In Malawi, there is paucity of information regarding PA levels among Malawians living with HIV and receiving ART. Therefore, this study aimed at determining PA levels among PLWHIV and receiving ART in Malawi. MethodsA quantitative cross-sectional design was employed. Eligible participants were male and female adults aged 18–45 years living with HIV receiving ART for at least 1 year. The participants were recruited from Limbe Health Center, Gateway Health Center and Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi. The International Physical Activity Questionnaire (IPAQ) was used to assess the PA levels. A Stadiometer (HS-DBS00361, Model: 1127154) was used to measure weight (kg) and height (cm) of the participants. ResultsA total of 213 participants were recruited. There were more females than male participants (n=132 females). Overall, the mean age of all participants was 37±6.5 years and they were within normal body weight (BMI=23±4.0). Many participants (n=85, 40%) had low PA levels followed by those who were moderately physically active (n=75, 36%). A larger proportion of the female participants (51%) had low PA levels compared to males (22%). Forty-two percent of participants with 1–3 years of ART had low PA whereas 39% with >3 years ART had low PA. ConclusionMost PLWHIV and receiving ART in the sample have low PA levels. The study has also revealed that proportionally more females than males had low PA levels.


Author(s):  
Rosina Cianelli ◽  
Natalia Villegas ◽  
LaToya Lewis-Pierre ◽  
Beatriz Valdes ◽  
Evelyn Iriarte

Background: Among the 39,782 newly HIV diagnosed individuals in the U.S., 17% were aged 50+. Although premature aging, morbidity, and mortality are issues for older people living with HIV that threaten their quality of life, less attention has been focused on end of life (EOL) discussions. Objectives: To examine predictors of EOL discussions with significant others, family members, and friends. Methods: Cross-sectional design was used for this study guided by the The Socio Ecological Model (SEM). Sample: 119 Black and 19 Hispanic women aged 50+ living with HIV. Results: Predictors of EOL discussions were education, living with a partner, religiosity, and pain, which were at the individual-intrapersonal level of the SEM. Discussion: Findings from this study have important implications for health policy makers and clinicians because they cast a bright light on the substantial continued effort that is needed to improve EOL discussions. 


2020 ◽  
Vol 18 (5) ◽  
pp. 373-380 ◽  
Author(s):  
SeyedAhmad SeyedAlinaghi ◽  
Maryam Ghadimi ◽  
Mahboubeh Hajiabdolbaghi ◽  
Mehrnaz Rasoolinejad ◽  
Ladan Abbasian ◽  
...  

Background: COVID-19 has spread globally with remarkable speed, and currently, there is limited data available exploring any aspect of the intersection between HIV and SARSCoV- 2 co-infection. Objective: To estimate the prevalence of clinical symptoms associated with COVID-19 among people living with HIV (PLWH) in Tehran, Iran. Design: Cross-sectional study. Methods: A total of 200 PLWH were recruited through the positive club via sampling, and completed the symptom-based questionnaire for COVID-19, which was delivered by trained peers. Results: Of 200 participants, respiratory symptoms, including cough, sputum, and shortness of breath, were the most prevalent among participants, but only one person developed symptoms collectively suggested COVID-19 and sought treatments. Conclusions: It appears that existing infection with HIV or receiving antiretroviral treatment (ART) might reduce the susceptibility to the infection with SARS-CoV-2 or decrease the severity of the infection acquired. Further research is needed to understand causal mechanisms.


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