scholarly journals HIV Vulnerabilities and Risk Perception of Justice-Involved Women

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Lisa De Saxe Zerdena ◽  
Anna Scheyett ◽  
Catherine I. Fogelc

Women with histories of justice involvement are not only more likely to enter prison with a diagnosis of HIV infection, but also are up to 15 times more likely to be HIV positive than women in the general U.S. population. Given the growing prevalence of both women affected by HIV and women in the criminal justice system, an urgent need exists for prevention interventions tailored for justice-involved women. This formative qualitative study uses semi-structured interviews to examine formerly incarcerated women’s perspectives on their HIV risks and behaviors. Findings inform future HIV-risk reduction interventions for justice-involved women.

2008 ◽  
Vol 16 (2) ◽  
pp. 260-265 ◽  
Author(s):  
Richardson Augusto Rosendo da Silva ◽  
Vera Maria da Rocha ◽  
Rejane Marie Barbosa Davim ◽  
Gilson de Vasconcelos Torres

The research aims at identifying strategies of coping with AIDS used by mothers of HIV positive children to live better with their children's disease. The method used was a descriptive qualitative study. Thirty-three structured interviews were conducted with HIV positive women voluntaries and registered as users in the clinic of the public hospital of reference for the treatment of AIDS in Natal/RN. For data analysis, the method used was thematic content analysis. From the analysis, prevalent categories regarding forms of facing AIDS came up, they were: overprotection and fear; donation; hope; religious belief; underestimation of HIV; hiding the diagnosis; and resignation. This study shows that despite AIDS limitations and barriers, relatives develop strategies that make it possible to face every day problems and live better with it.


2018 ◽  
Vol 20 (7-8) ◽  
pp. 342-357 ◽  
Author(s):  
Sladjana Baros ◽  
Sandra Sipetic Grujicic ◽  
Bojan Zikic ◽  
Jelena Petrovic Atay

2009 ◽  
Vol 39 (3) ◽  
pp. 577-605 ◽  
Author(s):  
Patricia B. Wright ◽  
Jean C. McSweeney ◽  
Sarah E. Frith ◽  
Katharine E. Stewart ◽  
Brenda M. Booth

2011 ◽  
Vol 2011 ◽  
pp. 1-14 ◽  
Author(s):  
Michael M. Copenhaver ◽  
Noor Tunku ◽  
Ifeoma Ezeabogu ◽  
Jessica Potrepka ◽  
Muhammad Muhsin A. Zahari ◽  
...  

HIV-infected prisoners in Malaysia represent a critical target population for secondary HIV risk reduction interventions and care. We report on the process and outcome of our formative research aimed at systematically selecting and adapting an EBI designed to reduce secondary HIV risk and improve adherence to antiretroviral therapy among soon-to-be-released HIV-infected prisoners. Our formative work involved a critical examination of established EBIs and associated published reports complemented by data elicited through structured interviews and focus groups with key stakeholders, members of the target population, and their family members. Based on all information, we adapted the Holistic Health Recovery Program targeting people living with HIV (HHRP+), an EBI, to consist of eight 2-hour sessions that cover a range of specified topics so that participants may individually apply intervention content as needed to accommodate their particular substance abuse, HIV risk, and antiretroviral adherence issues. This study provides a complete example of the process of selecting and adapting an EBI—taking into account both empirical evidence and input from target organization stakeholders and target population members and their families—for use in real world prison settings where high-risk populations are concentrated.


2021 ◽  
Vol 3 ◽  
Author(s):  
Kenneth Ngure ◽  
Nicholas Thuo ◽  
Vallery Ogello ◽  
Catherine Kiptinness ◽  
Kevin Kamolloh ◽  
...  

Background: In Kenya and elsewhere in sub-Saharan Africa, young women are disproportionately affected by the HIV epidemic compared to young men. The extent to which young women's self-perceptions about risk of HIV acquisition influence their sexual behaviors and use of HIV prevention methods remains unclear. We therefore conducted a qualitative study to explore these issues among young women enrolled in a pre-exposure prophylaxis (PrEP) trial.Methods: From January 2017 to January 2020, we conducted serial semi-structured in-depth interviews 50 purposively selected young women (18–24 years old) who were participating in the MPYA (Monitoring PrEP for Young Adult women) study—a randomized controlled trial in Thika and Kisumu, Kenya, assessing the impact of SMS reminders on PrEP adherence. Interviews were conducted at three time points (~1 week, 3, and 12 months after initiating PrEP). We used an inductive, content analytic approach to identify key themes related to risk perceptions, sexual behavior, and use of HIV prevention tools.Results: Around the time of enrollment, most of the 50 women interviewed reported being at high risk of HIV because of their own sexual behaviors, such as inconsistent condom use, multiple sexual partners, and transactional sex. Additionally, high risk perception was based on the behavior of their partners, such as refusing to use condoms and being unsure of their partner's HIV status. Young women's perceived risk of HIV acquisition was a key motivator for PrEP initiation and continuation. During PrEP use, participants reported feeling protected and at less risk compared to peers who were not taking PrEP. Some reported no longer using condoms because they were confident that PrEP provided enough protection. Over time, many young women reported reducing risky sexual behaviors because of the regular counseling and HIV testing they received as part of their PrEP services. This lowered risk perception was in most cases accompanied by discontinuation of PrEP.Conclusions: HIV risk perception among young women in Kenya was dynamic and influenced their use of PrEP and condoms over time, suggesting an often-deliberate approach to HIV prevention and sexual health.


Youth Justice ◽  
2018 ◽  
Vol 18 (3) ◽  
pp. 230-247 ◽  
Author(s):  
Kathy Ellem ◽  
Kelly Richards

The interactions of police with young people with cognitive disabilities (YPWCD) have seldom been considered in research, even though this group is over-represented in the criminal justice system. This article presents the results of a qualitative study into YPWCD’s experiences with police in Queensland, Australia. Semi-structured interviews were undertaken with service providers who work with YPWCD and YPWCD themselves. The procedural justice perspective was used as an analytic framework to provide an insight into YPWCD’s relationships with the police. Findings point to ways in which police can better respond to YPWCD in procedurally just ways, as well as to the role that family and service providers might play in supporting this outcome.


2019 ◽  
Author(s):  
Robin Schaefer ◽  
Ranjeeta Thomas ◽  
Rufurwokuda Maswera ◽  
Noah Kadzura ◽  
Constance Nyamukapa ◽  
...  

Abstract Background: Perceiving a personal risk for HIV infection is considered important for engaging in HIV prevention behaviour and often targeted in HIV prevention interventions. However, there is limited evidence for assumed causal relationships between risk perception and prevention behaviour and the degree to which change in behaviour is attributable to change in risk perception is poorly understood. This study examines longitudinal relationships between changes in HIV risk perception and in condom use and the public health importance of changing risk perception. Methods: Data on sexually active, HIV-negative adults (15-54 years) were taken from four surveys of a general-population open-cohort study in Manicaland, Zimbabwe (2003-2013). Increasing condom use between surveys was modelled in generalised estimating equations dependent on change in risk perception between surveys. Accounting for changes in other socio-demographic and behavioural factors, regression models examined the bi-directional relationship between risk perception and condom use, testing whether increasing risk perception is associated with increasing condom use and whether increasing condom use is associated with decreasing risk perception. Population attributable fractions (PAFs) were estimated. Results: 1988 males and 3715 females participated in ≥2 surveys, contributing 8426 surveys pairs. Increasing risk perception between two surveys was associated with higher odds of increasing condom use (males: adjusted odds ratio [aOR]=1.39, 95% confidence interval [CI]=0.85-2.28, PAF=3.39%; females: aOR=1.41 [1.06-1.88], PAF=6.59%), adjusting for changes in other socio-demographic and behavioural factors. Those who decreased risk perception were also more likely to increase condom use (males: aOR=1.76 [1.12-2.78]; females: aOR=1.23 [0.93-1.62]). Conclusions: Results on associations between changing risk perception and increasing condom use support hypothesised effects of risk perception on condom use and effects of condom use on risk perception (down-adjusting risk perception after adopting condom use). However, low proportions of change in condom use were attributable to changing risk perception, underlining the range of factors influencing HIV prevention behaviour and the need for comprehensive approaches to HIV prevention.


Author(s):  
Fatemeh Oskouie ◽  
Farzaneh Kashefi ◽  
Forough Rafii ◽  
Mohammad Mehdi Gouya ◽  
Marzieh Vahid-Dastjerdi

AbstractBackgroundProviding care for chronic disease such as HIV is a growing challenge in the world. In order to address the challenges of linkage and care in chronic disease management, we need to identify factors that can influence people to get more involved in self-care. This study was part of an extensive qualitative study conducted in Tehran, Iran in 2016.MethodsThe data were collected through semi-structured interviews conducted on 25 women with HIV, and were analyzed using grounded theory. Four main themes were identified as facilitating self-care among participants: health system support, clinicians’ support, family support and improved life expectancy. Sub-themes that emerged were free HIV tests; free medication; free membership in positive clubs; free psychological consultation; positive attitudes and friendly behavior from clinic staff; telephone follow up; support from husbands, mothers and peers; hope for recovery; hope for the future; and love for own children.ResultsOur results showed that, providing appropriate support and services, as well as a positive attitude of society towards HIV positive women, can contribute to adherence to self-care in young women with HIV.ConclusionUnderstanding the facilitating factors based on the patients’ experiences can contribute to the development of new policies and procedures to improve the care of these patients.


2020 ◽  
Author(s):  
Robin Schaefer ◽  
Ranjeeta Thomas ◽  
Rufurwokuda Maswera ◽  
Noah Kadzura ◽  
Constance Nyamukapa ◽  
...  

Abstract Background: Perceiving a personal risk for HIV infection is considered important for engaging in HIV prevention behaviour and often targeted in HIV prevention interventions. However, there is limited evidence for assumed causal relationships between risk perception and prevention behaviour and the degree to which change in behaviour is attributable to change in risk perception is poorly understood. This study examines longitudinal relationships between changes in HIV risk perception and in condom use and the public health importance of changing risk perception. Methods: Data on sexually active, HIV-negative adults (15-54 years) were taken from four surveys of a general-population open-cohort study in Manicaland, Zimbabwe (2003-2013). Increasing condom use between surveys was modelled in generalised estimating equations dependent on change in risk perception between surveys. Accounting for changes in other socio-demographic and behavioural factors, regression models examined the bi-directional relationship between risk perception and condom use, testing whether increasing risk perception is associated with increasing condom use and whether increasing condom use is associated with decreasing risk perception. Population attributable fractions (PAFs) were estimated. Results: 1988 males and 3715 females participated in ≥2 surveys, contributing 8426 surveys pairs. Increasing risk perception between two surveys was associated with higher odds of increasing condom use (males: adjusted odds ratio [aOR]=1.39, 95% confidence interval [CI]=0.85-2.28, PAF=3.39%; females: aOR=1.41 [1.06-1.88], PAF=6.59%), adjusting for changes in other socio-demographic and behavioural factors. Those who decreased risk perception were also more likely to increase condom use (males: aOR=1.76 [1.12-2.78]; females: aOR=1.23 [0.93-1.62]) compared to those without change in risk perception. Conclusions: Results on associations between changing risk perception and increasing condom use support hypothesised effects of risk perception on condom use and effects of condom use on risk perception (down-adjusting risk perception after adopting condom use). However, low proportions of change in condom use were attributable to changing risk perception, underlining the range of factors influencing HIV prevention behaviour and the need for comprehensive approaches to HIV prevention.


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