scholarly journals "It Is Just That We Are Alive But We Are Suffering" Experience Of Food Insecurity Among Elderly In Morogoro-tanzania

2019 ◽  
Author(s):  
UPENDO KILUME ◽  
TUMAINI NYAMHANGA
Keyword(s):  
Food Insecurity ◽  
Group Discussion ◽  
The Elderly ◽  
People Living With Hiv ◽  
Research Information ◽  
Insufficient Amount ◽  
Depth Interview ◽  
Interview Guide ◽  
Access To Food ◽  
Living With Hiv

Abstract Background Studies on food insecurity in Tanzania have been quantitative in nature and have focused on specific population groups such as those of people living with HIV and women. However, there is very little, if any, qualitative research information in Tanzania on experiences of food insecurity among elderly with respect to its magnitude and associated circumstances.Methods Interview guide and focused group discussion guide were used to explore the magnitude of food insecurity among elderly and its associated circumstances. A total of 25 elderly and 3 district officials were involved in in-depth interview and another 25 elderly were involved in focused group discussion.Results The study found that elderly had limited access to food, eat less number of meals as well as insufficient amount. The circumstance associated with food insecurity were found to be limited strength to engage themselves in farm activities or working as casual laborers to earn some money to buy food, limited strength to prepare food, burden of taking care of grandchildren and inadequate food support from children.Conclusion In conclusion, this study has demonstrated that the elderly people experience food insecurity with respect to both quantity and quality. Therefore, it is high time that a strategy was developed to ensure that all elderly in Tanzania are food secure.

scholarly journals Vaccine responses in ageing and chronic viral infection

2021 ◽  
Author(s):  
Chloe Rees-Spear ◽  
Laura E McCoy
Keyword(s):  
Viral Infections ◽  
The Elderly ◽  
People Living With Hiv ◽  
Chronic Infections ◽  
Vaccine Responses ◽  
Inflammatory Conditions ◽  
Immunological Changes ◽  
Cellular Responsiveness ◽  
Living With Hiv ◽  
The Impact

Abstract Lay Summary Improved life expectancy in recent years has led to a growing population of adults over the age of 60. Age is commonly associated with increased inflammatory conditions and infections. Similar immunological changes have been observed during chronic infections, in particular HIV, where this is compounded by the success of antiretroviral therapy that has increased the number of people living with HIV into their sixties and beyond. The increased susceptibility of these groups to infection makes vaccination all the more important. However, the alterations to their immune systems call into question how effective those vaccinations may be. Here we discuss vaccine efficacy within elderly and chronically infected populations and investigate the immunological changes that may impact vaccine responsiveness. Over the last few decades, changing population demographics have shown that there is a growing number of individuals living past the age of 60. With this expanding older population comes an increase in individuals that are more susceptible to chronic illness and disease. An important part of maintaining health in this population is through prophylactic vaccination, however, there is growing evidence that vaccines may be less effective in the elderly. Furthermore, with the success of anti-viral therapies, chronic infections such as HIV are becoming increasingly prevalent in older populations and present a relatively unstudied population with respect to the efficacy of vaccination. Here we will examine the evidence for age-associated reduction in antibody and cellular responsiveness to a variety of common vaccines, and investigate the underlying causes attributed to this phenomenon, such as inflammation and senescence. We will also discuss the impact of chronic viral infections on immune responses in both young and elderly patients, particularly those living with HIV, and how this affects vaccinations in these populations.

scholarly journals Avaliação da funcionalidade familiar em pessoas idosas convivendo com HIV/AIDS

2021 ◽  
Vol 11 (33) ◽  
pp. 99-106
Author(s):  
Luciária Silva Souza ◽  
Naiane Pereira dos Santos ◽  
Pollyanna Viana Lima ◽  
Isnara Teixeira Brito Melo ◽  
Alessandra Souza de Oliveira ◽  
...  
Keyword(s):  
Elderly People ◽  
The Elderly ◽  
People Living With Hiv ◽  
Dysfunctional Family ◽  
Care And Support ◽  
Specialized Care ◽  
Stis And Hiv ◽  
Living With Hiv ◽  
Family Functionality ◽  
Hiv Aids

O presente artigo tem como objetivo identificar a funcionalidade familiar em pessoas idosas convivendo com HIV/AIDS. Trata-se de um estudo de caráter exploratório, descritivo com abordagem quanti-qualitativa, desenvolvida em um Centro de Atenção e Apoio especializado de referência em atendimento para pessoas convivendo com IST’s e HIV/AIDS em um município baiano com 26 pessoas idosos. Utilizou-se roteiro semi-estruturado para entrevista e questionário com dados sociodemográficos e de saúde e o Apgar da família, para avaliação da funcionalidade familiar. Verificou-se no estudo que a maior parte das pessoas idosas diagnosticadas com HIV/AIDS deste estudo convivem em uma família disfuncional grave (34,61%), o que corrobora para que a grande maioria dos idosos mantenham em sigilo o diagnóstico da doença para o seu núcleo familiar, outros convivem com a estigmatização o isolamento e o preconceito. Conclui-se que os idosos convivem em uma família disfuncional grave, com repercussões negativas para o enfretamento da doença.Descritores: Idoso, Funcionalidade Familiar, HIV, AIDS. Assessment of family functionality in elderly people living with HIV/AIDSAbstract: This article aims to identify family functionality in elderly people living with HIV/AIDS. This is an exploratory, descriptive study with a quantitative and qualitative approach, developed in a specialized Care and Support Center of reference in care for people living with STIs and HIV/AIDS in a municipality in Bahia with 26 elderly people. A semi-structured script was used for the interview and questionnaire with sociodemographic and health data and the family Apgar, to assess family functionality. It was found in the study that most elderly people diagnosed with HIV/AIDS in this study live in a severe dysfunctional family (34.61%), which corroborates that the vast majority of the elderly keep the diagnosis of the disease confidential. their family nucleus, others live with stigmatization, isolation and prejudice. It is concluded that the elderly live in a severe dysfunctional family, with negative repercussions for coping with the disease.Descriptors: Elderly, Family Functionality, HIV, AIDS. Evaluación de la funcionalidad familiar en personas mayores que viven con VIH/SIDAResumen: Este artículo tiene como objetivo identificar la funcionalidad familiar en personas mayores que viven con VIH / SIDA. Se trata de un estudio exploratorio, descriptivo con enfoque cuantitativo y cualitativo, desarrollado en un Centro de Atención y Apoyo especializado de referencia en la atención a personas viviendo con ITS y VIH / SIDA en un municipio de Bahía con 26 ancianos. Se utilizó un guión semiestructurado para la entrevista y cuestionario con datos sociodemográficos y de salud y el Apgar familiar, para evaluar la funcionalidad familiar. En el estudio se encontró que la mayoría de las personas mayores diagnosticadas con VIH / SIDA en este estudio viven en una familia disfuncional severa (34,61%), lo que corrobora que la gran mayoría de las personas mayores mantienen confidencial el diagnóstico de la enfermedad. su núcleo familiar, otros viven con estigmatización, aislamiento y prejuicio. Se concluye que los ancianos viven en una familia severamente disfuncional, con repercusiones negativas para el afrontamiento de la enfermedad.Descriptores: Anciano, Funcionalidad Familiar, VIH, SIDA.

Assessing the impact of food insecurity on HIV medication adherence in the context of an integrated care programme for people living with HIV in Vancouver, Canada

2019 ◽  
Vol 23 (4) ◽  
pp. 683-690 ◽  
Author(s):  
Katrina Koehn ◽  
Taylor McLinden ◽  
Alexandra B Collins ◽  
Patrick McDougall ◽  
Rosalind Baltzer-Turje ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Integrated Care ◽  
Household Food Security ◽  
People Living With Hiv ◽  
Care Programme ◽  
Health Related ◽  
Living With Hiv ◽  
The Impact ◽  
The Relationship

AbstractObjective:Food insecurity, or self-reports of inadequate food access due to limited financial resources, remains prevalent among people living with HIV (PLHIV). We examined the impact of food insecurity on combination antiretroviral therapy (cART) adherence within an integrated care programme that provides services to PLHIV, including two meals per day.Design:Adjusted OR (aOR) were estimated by generalized estimating equations, quantifying the relationship between food insecurity (exposure) and cART adherence (outcome) with multivariable logistic regression.Setting:We drew on survey data collected between February 2014 and March 2016 from the Dr. Peter Centre Study based in Vancouver, Canada.Participants:The study included 116 PLHIV at baseline, with ninety-nine participants completing a 12-month follow-up interview. The median (quartile 1–quartile 3) age was 46 (39–52) years at baseline and 87 % (n 101) were biologically male at birth.Results:At baseline, 74 % (n 86) of participants were food insecure (≥2 affirmative responses on Health Canada’s Household Food Security Survey Module) and 67 % (n 78) were adherent to cART ≥95 % of the time. In the adjusted regression analysis, food insecurity was associated with suboptimal cART adherence (aOR = 0·47, 95 % CI 0·24, 0·93).Conclusions:While food provision may reduce some health-related harms, there remains a relationship between this prevalent experience and suboptimal cART adherence in this integrated care programme. Future studies that elucidate strategies to mitigate food insecurity and its effects on cART adherence among PLHIV in this setting and in other similar environments are necessary.

scholarly journals Food Insecurity and Its Relation to Psychological Well-Being Among South Indian People Living with HIV

2014 ◽  
Vol 19 (8) ◽  
pp. 1548-1558 ◽  
Author(s):  
Elsa Heylen ◽  
Siju Thomas Panicker ◽  
Sara Chandy ◽  
Wayne T. Steward ◽  
Maria L. Ekstrand
Keyword(s):  
Food Insecurity ◽  
Well Being ◽  
People Living With Hiv ◽  
Psychological Well Being ◽  
Indian People ◽  
South Indian ◽  
Living With Hiv

Prevalence and predictors of food insecurity among people living with HIV affiliated with AIDS service organizations in Ontario, Canada

AIDS Care ◽  
2017 ◽  
Vol 30 (5) ◽  
pp. 663-671 ◽  
Author(s):  
Tsegaye Bekele ◽  
Jason Globerman ◽  
James Watson ◽  
Murray Jose-Boebridge ◽  
Richard Kennedy ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Service Organizations ◽  
People Living With Hiv ◽  
Living With Hiv

Household food insecurity among people living with HIV in Sagamu, Nigeria: A preliminary study

2017 ◽  
Vol 23 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Oluwafolahan O Sholeye ◽  
Victor J Animasahun ◽  
Albert A Salako ◽  
Bankole K Oyewole
Keyword(s):  
Food Insecurity ◽  
Vegetable Consumption ◽  
Systematic Sampling ◽  
Consumption Pattern ◽  
Household Food Insecurity ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Household Food ◽  
Increased Risk ◽  
Living With Hiv

Background: Household food insecurity has been associated with increased risk of transmission of HIV infection and poor treatment outcomes. This study therefore determined the prevalence of household food insecurity and its associated factors among people living with HIV in Sagamu, Ogun State, Nigeria. Methods: A cross-sectional descriptive study was carried out among 244 adult clients accessing care and support at the teaching hospital in Sagamu, Nigeria, selected via systematic sampling. Data was collected with the aid of a semi-structured, interviewer-administered questionnaire. Data was analysed using SPSS 21.0. Relevant descriptive and inferential statistics were calculated. Informed consent was obtained and strict confidentiality was ensured. Results: The mean age of respondents was 38.8 ± 9.2 years; 84% of respondents were female; 69.3% were married, 12.9% had lost their partners. About 12% spent more than three-quarters of the household income on food. The prevalence of household food insecurity was 71.7%. Food insecurity was associated ( p < 0.05) with educational status; occupation; type of housing; availability of toilet facilities; benefiting from food assistance; delaying drugs to prevent hunger; skipping drugs; vegetable consumption pattern; and exchanging sex for food. Conclusion: The prevalence of household food insecurity in this study was high. Living conditions were significantly associated with food insecurity. Socio-economic conditions need to be improved, to optimize the health and food security status of people living with HIV in Sagamu.

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