scholarly journals Willingness to Receive COVID-19 Vaccination Among People Living With HIV and AIDS in China: Nationwide Cross-sectional Online Survey (Preprint)

2021 ◽  
Author(s):  
Xiaojie Huang ◽  
Maohe Yu ◽  
Gengfeng Fu ◽  
Guanghua Lan ◽  
Linghua Li ◽  
...  
Keyword(s):  
Social Media ◽  
Path Analysis ◽  
Online Survey ◽  
Hiv And Aids ◽  
The Internet ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Living With Hiv ◽  
To Receive ◽  
Interpersonal Level

BACKGROUND HIV infection is a significant independent risk factor for both severe COVID-19 presentation at hospital admission and in-hospital mortality. Available information has suggested that people living with HIV and AIDS (PLWHA) could benefit from COVID-19 vaccination. However, there is a dearth of evidence on willingness to receive COVID-19 vaccination among PLWHA. OBJECTIVE The aim of this study was to investigate willingness to receive COVID-19 vaccination among a national sample of PLWHA in China. METHODS This cross-sectional online survey investigated factors associated with willingness to receive COVID-19 vaccination among PLWHA aged 18 to 65 years living in eight conveniently selected Chinese metropolitan cities between January and February 2021. Eight community-based organizations (CBOs) providing services to PLWHA facilitated the recruitment. Eligible PLWHA completed an online survey developed using a widely used encrypted web-based survey platform in China. We fitted a single logistic regression model to obtain adjusted odds ratios (aORs), which involved one of the independent variables of interest and all significant background variables. Path analysis was also used in the data analysis. RESULTS Out of 10,845 PLWHA approached by the CBOs, 2740 completed the survey, and 170 had received at least one dose of the COVID-19 vaccine. This analysis was performed among 2570 participants who had never received COVID-19 vaccination. Over half of the participants reported willingness to receive COVID-19 vaccination (1470/2570, 57.2%). Perceptions related to COVID-19 vaccination were significantly associated with willingness to receive COVID-19 vaccination, including positive attitudes (aOR 1.11, 95% CI 1.09-1.12; <i>P</i>&lt;.001), negative attitudes (aOR 0.96, 95% CI 0.94-0.97; <i>P</i>&lt;.001), perceived support from significant others (perceived subjective norm; aOR 1.53, 95% CI 1.46-1.61; <i>P</i>&lt;.001), and perceived behavioral control (aOR 1.13, 95% CI 1.11-1.14; <i>P</i>&lt;.001). At the interpersonal level, receiving advice supportive of COVID-19 vaccination from doctors (aOR 1.99, 95% CI 1.65-2.40; <i>P</i>&lt;.001), CBO staff (aOR 1.89, 95% CI 1.51-2.36; <i>P</i>&lt;.001), friends and/or family members (aOR 3.22, 95% CI 1.93-5.35; <i>P</i>&lt;.001), and PLWHA peers (aOR 2.38, 95% CI 1.85-3.08; <i>P</i>&lt;.001) was associated with higher willingness to receive COVID-19 vaccination. The overall opinion supporting COVID-19 vaccination for PLWHA on the internet or social media was also positively associated with willingness to receive COVID-19 vaccination (aOR 1.59, 95% CI 1.31-1.94; <i>P</i>&lt;.001). Path analysis indicated that interpersonal-level variables were indirectly associated with willingness to receive COVID-19 vaccination through perceptions (β=.43, 95% CI .37-.51; <i>P</i>&lt;.001). CONCLUSIONS As compared to PLWHA in other countries and the general population in most parts of the world, PLWHA in China reported a relatively low willingness to receive COVID-19 vaccination. The internet and social media as well as interpersonal communications may be major sources of influence on PLWHA’s perceptions and willingness to receive COVID-19 vaccination.

scholarly journals An Investigation on People Living with HIV and AIDS Rejected by Medical Staff in China

2020 ◽  
Author(s):  
Yong Yu ◽  
Zijue Chang ◽  
Xiuya Liu ◽  
Yu Lu
Keyword(s):  
Medical Staff ◽  
Online Survey ◽  
General Information ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Cross Sectional Survey ◽  
Aids Patients ◽  
Cross Sectional ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background: A cross-sectional survey was conducted from the two perspectives of the incidence, type, help-seeking situation of PLWHA（People living with HIV and AIDS）rejected by medical staff and the willingness of medical staff to diagnose and treat PLWHA to analyze the realistic problem of PLWHA and AIDS rejected by medical staff under the current Chinese cultural background.Methods: 1500 people were selected from PLWHA users in the WeChat work account of a Center for Disease Control and Prevention(CDC), and 1000 medical staff were selected from a third-class hospital in Guangxi, China. The self-compiled general information questionnaire and PLWHA medical rejection questionnaire were used to conduct a one-to-one WeChat online survey on PLWHA. A questionnaire on HIV/AIDS clinical knowledge, a questionnaire on HIV/AIDS attitude, and a questionnaire on the willingness to diagnose and treat PLWHA with clinical surgery were used to conduct a face-to-face survey on the selected medical staff.Results: 1146 valid PLWHA samples and 890 medical staff samples were obtained. 30.2% (346/1146) of HIV-infected/AIDS patients had experienced refusal from medical staff when visiting a hospital for non-HIV/AIDS-related diseases since the diagnosis of HIV+; 17.1% (196/1146) of HIV-infected/AIDS patients had been rejected by medical staff in the hospital due to other diseases in the past 12 months and 10.8% (124/1146) had been rejected in clinical surgeries; after receiving a refusal, 58.2% (114/196) of the HIV-infected/AIDS patients never asked for help, while only 37.8% (74/196) of the refused patients were resolved accordingly. Only 38.7% of medical staff clearly expressed their willingness to provide surgical treatment or post-operative nursing services for HIV-infected/AIDS patients. After controlling other factors, the answer accuracy of HIV/AIDS-related knowledge [odds ratio (OR)=2.41, 95% confidence interval (CI): 1.31, 4.43] and the attitudes towards HIV/AIDS (OR=6.74, 95%CI: 3.59, 12.66) were the influencing factors for medical staff's willingness to diagnosis and treat HIV-infected /AIDS patients with clinical surgery.Conclusions: Rejection by the medical staff is a common phenomenon during the treatment of HIV-infected/AIDS patients in China and the willingness of medical staff to diagnose and treat HIV-infected/AIDS patients is relatively weak.

Willingness to Receive COVID-19 Vaccination Among People Living With HIV and AIDS in China: A Nationwide Online Survey

2021 ◽  
Author(s):  
Xiaojie Huang ◽  
Maohe Yu ◽  
Gengfeng Fu ◽  
Guanghua Lan ◽  
Linghua Li ◽  
...  
Keyword(s):  
Online Survey ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Living With Hiv ◽  
To Receive

scholarly journals Respons Orang Hidup Dengan HIV AIDS (OHIDHA) Dalam Upaya Penanggulangan HIV AIDS di Kabupaten Sukoharjo dan Grobogan

2017 ◽  
Vol 12 (1) ◽  
pp. 92
Author(s):  
Arrum Firda Ayu Maqfiroch ◽  
Zahroh Shaluhiyah
Keyword(s):  
Univariate Analysis ◽  
Hiv And Aids ◽  
P Value ◽  
People Living With Hiv ◽  
Chi Square ◽  
Cross Sectional ◽  
The Status ◽  
Keywords Aids ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRAKPenanggulangan HIV AIDS membutuhkan keterlibatan dari berbagai pihak. Salah satu pihak yang terlibat adalah OHIDHA. OHIDHA merupakan anggota keluarga yang hidup bersama ODHA dan memberikan dukungan kepada ODHA. Stigma di Kabupaten Sukoharjo dan Grobogan masih tinggi. Penelitian ini bertujuan untuk mengetahui faktor-faktor apakah yang menentukan respons OHIDHA dalam upaya penanggulangan HIV AIDS di Kabupaten Sukoharjo dan Grobogan.Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Teknik pengambilan data kuantitatif melalui wawancara dengan kuesioner. Penelitian ini didukung dengan penelitian kualitatif dengan teknik pengambilan data FGD. Jumlah responden adalah 92 OHIDHA, proporsi 50% dan selang kepercayaan 95%. Analisis data menggunakan analisis univariat dengan distribusi frekuensi, bivariat menggunakan Chi-Square dan multivariat menggunakan regresi logistik.Hasil penelitian menunjukkan bahwa variabel yang berhubungan dengan respons OHIDHA adalah hubungan dengan ODHA (p-value=0,001), lama hidup dengan ODHA (p-value=0,030), lama mengetahui status ODHA (p-value=0,001) dan sikap (p-value=0,005). Hasil analisis multivariat menunjukkan bahwa sikap (p-value=0,006) merupakan variabel yang mempunyai pengaruh paling signifikan dibanding variabel lainnya.Kata Kunci : OHIDHA, respons, Grobogan, Sukoharjo Respons of People Living With HIV AIDS to Control HIV and AIDS in Sukoharjo and Grobogan District; Controlling HIV and AIDS requird the involvement of various sector. One of the sector involved is People Living With HIV AIDS (PLWHA).  PLWHA is a family member who lives with people living with HIV and provide support to people living with HIV. Stigma in Sukoharjo and Grobogan still high. This study aims to determine the factors that determine whether the PLWHA response in control to HIV and AIDS in Sukoharjo Grobogan. This research was a quantitative study with cross sectional approach. Quantitative data collection techniques through interviews with questionnaires . This research was supported by qualitative research with FGD. The number of respondents was 92 PLWHA, the proportion of 50% and 95% confidence interval . Analysis of the data using univariate analysis with frequency distribution, bivariate using Chi-Square and multivariate using logistic regression. The results showed that the variables related to the PLWHA response is a relationship with people living with HIV ( p = 0,001 ) , long life with people living with HIV ( p = 0.030 ) , longer know the status of PLWHA ( 0.001 ) and attitude ( p = 0.005 ). Multivariate analysis showed that the attitude (p value = 0,006) was a variable that has the most significant effect compared to other variables .Keywords : AIDS , response , Grobogan , Sukoharjo

scholarly journals Internet and hiv/aids: a virtual ethnography on Facebook

2019 ◽  
Vol 23 ◽  
Author(s):  
Alfredo de Oliveira Neto ◽  
Kenneth Rochel de Camargo Júnior
Keyword(s):  
Public Policy ◽  
Social Networks ◽  
Medical Education ◽  
Content Analysis ◽  
Hiv And Aids ◽  
The Internet ◽  
People Living With Hiv ◽  
Virtual Ethnography ◽  
Education Needs ◽  
Living With Hiv

This paper identified and analyzed some interactions on the internet in the daily of people living with HIV and AIDS (PLHA) in Brazil. As methods we made interviews with PLHA analyzed by content analysis and a virtual ethnography of a secret group of PLHA on Facebook. These are the following results: sociability produced in the internet helps to reduce suffering in relation to prejudice; there are not many welcoming zones for PLHA on the internet; PLHA linked to social networks have more encouragement to not give up the medication; negotiations about medication and symptoms take place in social networks. We conclude that there is a need to have welcoming zones to PLHA on the internet guaranteed by public policy; medical education needs to cover issues related to the internet and health.

scholarly journals Factors associated with HIV-related stigma toward people living with HIV among nurses in Liangshan Yi Autonomous Prefecture, China: a cross-sectional study

2019 ◽  
Author(s):  
Yao Yin ◽  
Angela Chia-Chen Chen ◽  
Shaoping Wan ◽  
Hong Chen
Keyword(s):  
Online Survey ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Hiv Knowledge ◽  
Cross Sectional ◽  
Factors Associated ◽  
Related Stigma ◽  
Tertiary Hospitals ◽  
Living With Hiv

Abstract Background The Liangshan Yi Autonomous Prefecture has one of the most serious human immunodeficiency virus (HIV) epidemics in China. Evidence shows HIV-related stigma toward people living with HIV (PLWH) among nurses impedes HIV prevention and treatment. However, only limited research about HIV-related stigma toward PLWH from the perspective of nurses in Liangshan has been conducted. This cross-sectional study aimed to assess HIV-related stigma toward PLWH among nurses and determine factors associated with it in Liangshan, China. Methods Using a stratified, random cluster sampling method, registered nurses (N=1,248; primary hospitals=102, secondary hospitals=592, tertiary hospitals=554) were recruited 10 hospitals in Liangshan. All participants completed an anonymous online survey measuring sociodemographic characteristics, HIV-related stigma and HIV knowledge. We used multiple stepwise regression analysis to examine factors associated with HIV-related stigma toward PLWH among these nurses. Results The mean score of HIV-related stigma among nurses was 50.7 (SD = 8.3; range 25-78). Nurses who were more experienced, had higher levels of education, and were working in tertiary hospitals reported higher level of HIV-related stigma. Those who had better HIV knowledge, reported a willingness to receive HIV-related training, were working in areas that had a high prevalence of HIV, had prior experience working in acquired immune deficiency syndrome (AIDS) specialized hospitals, and worked in hospitals that had policies to protect PLWH showed a lower level of HIV-related stigma toward PLWH. Conclusions Findings suggested that providing culturally congruent education and training about HIV and care, and having hospitals that promoted policies protecting PLWH, may reduce HIV-related stigma toward PLWH among nurses in China.

scholarly journals PREDIKTOR SIKAP STIGMA DAN DISKRIMINASI TERHADAP ORANG DENGAN HIV DAN AIDS (ODHA) DI KABUPATEN JEMBER

IKESMA ◽  
2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Ni�mal Baroya
Keyword(s):  
Sex Education ◽  
Structured Interview ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Research Subjects ◽  
Cross Sectional ◽  
Stigma And Discrimination ◽  
Stable Conditions ◽  
Living With Hiv

Globally, the HIV and AIDS epidemic shows stable conditions, but statistically there is still an increase in new infections in some areas including Jember District. The main barriers to HIV prevention are stigma and discrimination against people living with HIV. This study aims to analyze the predictors of stigma and discrimination attitude toward PLHIV in Jember District. This was an observational study used cross sectional design. Research subjects were people aged 15-24 years amounted to 247 respondents. Determination of the sample using a multistage sampling technique, ie the determination of simple random cluster of villages and then determine the respondents of each cluster randomly systematic. Data were collected using structured interview technique with questionnaire then analyzed using chi-square test and logistic regression with 5% significance level. The results showed the majority of respondents (81.4%) stated not willing to buy food if the seller knew HIV +. Fifty percent more they disagree if female teachers who are HIV + keep teaching. Similarly, children with HIV + cannot be admitted to school with HIV negative children. The distribution of stigma and discrimination attitudes toward people living with HIV significantly differed by age, sex, education level, marital status and occupational status. The level of knowledge and residence does not differ significantly. A significant factor to be a predictor of stigma and discrimination against people living with HIV is age and gender. Younger age (15-19 years) and women have a greater likelihood of being stigmatized and discriminating against people living with HIV. Dissemination of information about HIV and AIDS in adolescents aged 15-19 years is still needed to increase knowledge and accelerate the acceptance of PLHIV so that stigma and discrimination attitude toward PLWHA can be reduced. Keywords: attitude, stigma, discrimination people suffering with HIV and AIDS.

scholarly journals Prevalence of depression in people living with HIV and AIDS at the Kalafong Provincial Tertiary Hospital Antiretroviral Clinic

2019 ◽  
Vol 25 ◽  
Author(s):  
Brett Van Coppenhagen ◽  
Helene S. Duvenage
Keyword(s):  
Rating Scale ◽  
Depressive Symptomatology ◽  
Depression Scale ◽  
Hiv And Aids ◽  
Cd4 Count ◽  
Definitive Treatment ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Living With Hiv

Background: Compared to the general population, there is an increased prevalence of depression in people living with HIV and AIDS (PLWHA). The combination of these two common illnesses has profound consequences on the patient and on the healthcare system.Objective: This study determined the prevalence of depressive symptomatology in PLWHA attending the Kalafong Hospital ARV Clinic. The study also established if the patients received definitive treatment for unipolar depression.Methods: A cross-sectional, descriptive study was carried out on 622 adult patients, aged 18 years or older. A brief rating scale for depression, the Centre for Epidemiological Study Depression Scale (CES-D) was administered to participants. The CES-D is a 20-item self-rating scale that assesses current levels of depression as per DSM-IV criteria. The traditional score of 16 and above was used to define a case of depression.Results: The prevalence of depression according to CES-D scale was 53.8%. The study found that none of the 622 patients ever received definitive treatment for depression. A lower CD4 count is associated with more depressive symptomatology, most significantly in patients with a CD4 count of 50 or less.Conclusions: Depressive symptomatology was highly prevalent in the study patients. Despite the high prevalence, none of the study sample patients were treated for clinical depression. The findings reflect the importance of evaluating for depression in PLWHA, especially in high-risk groups such as patients presenting for their initiation visit or patients with a CD4 count of 50 or less. Depression remains under-recognised and under-treated in PLWHA.

scholarly journals Stigma, medication adherence and coping mechanism among people living with HIV attending General Hospital, Lagos Island, Nigeria

2012 ◽  
Vol 4 (1) ◽  
Author(s):  
Adekemi O. Sekoni ◽  
Obinna R. Obidike ◽  
Mobolanle R. Balogun
Keyword(s):  
Medication Adherence ◽  
General Hospital ◽  
Group Discussion ◽  
Cross Sectional Study ◽  
Public Attitude ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Coping Mechanism ◽  
Cross Sectional ◽  
Living With Hiv

Background: People living with HIV and AIDS (PLWHA) experience some form of stigma which could lead to poor medication adherence.Objectives: This study assessed the various domains of stigma experienced by PLWHAs attending an HIV clinic at General Hospital, Lagos Island, their medication adherence patterns and their coping mechanisms for ensuring adherence to antiretroviral therapy.Method: A cross-sectional study design with a sample size of 200 was used. Respondents were selected using systematic random sampling. Interviewers administered structured questionnaires were used to collect information on the domains of stigma. Data was analysed using EPI info©. This was followed by a focus group discussion (FGD) with seven participants at the clinic using an interview guide with open-ended questions.Results: Overall, stigma was experienced by 35% of the respondents. Within this group, 6.6%, 37.1%, 43.1% and 98.0% of the respondents reported experiencing negative self image stigma, personalised stigma, disclosure stigma and public attitude stigma respectively. Almost 90% of the respondents were adherent. The FGD revealed that disclosure was usually confined to family members and the coping mechanism for achieving adherence was to put antiretroviral (ARVs) in unlabelled pill boxes.Conclusion: This study found that stigma was low and that the most common domain of stigma experienced was public attitude stigma. Medication adherence of respondents was good as a result of the coping mechanism, which involves putting ARVs in unlabelled pill boxes.

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