scholarly journals Factors influencing HIV group counseling participation at a referral hospital in Jakarta, Indonesia

2018 ◽  
Vol 9 (1) ◽  
pp. 25-30
Author(s):  
Masdalina Pane ◽  
Siti Maemun ◽  
Philip Bautista

Abstrak Latar Belakang: Beberapa penelitian sebelumnya memperlihatkan bahwa dukungan sosial termasuk Konseling HIV dan dukungan kelompok memiliki efek langsung terhadap kepatuhan pada pengobatan HIV. Faktor yang berpengaruh terhadap partisipasi pada konseling kelompok pasien HIV di Indonesia belum diketahui. Penelitian ini dilakukan untuk mengetahui partisipasi pasien HIV pada konseling kelompok di Rumah Sakit Penyakit Infeksi-Sulianti Saroso, Jakarta Utara. Faktor demografi dan klinis pada pasien HIV diduga berhubungan dengan partisipasi dalam konseling kelompok. Metode: Penelitian ini dilakukan pada bulan Juli – Oktober 2013 menggunakan metode kuantitatif dengan desain studi potong lintang. Pasien HIV yang menggunakan anti retroviral sebanyak 1440 orang diminta kesediannya untuk berpartisipasi pada penelitian ini. Analisis dilakukan menggunakan analisis regresi logistik. Hasil: 709 dari 880 pasien yang mengikuti konseling kelompok telah melengkapi kuesioner dan bersedia menjadi sampel penelitian. Sebagian besar responden adalah laki-laki (71.1%), lulus SMP (84.3%), dan bekerja penuh waktu (51.5%). Stadium klinis mayoritas responden (87.3%) stadium 3 dan 4. Sebagian kecil responden (9.7%) memiliki ko-infeksi hepatitis B atau C, dan 12.7 % memiliki anggota keluarga HIV positif. Sebanyak 272 (38,4%) responden mengikuti konseling kelompok. Umur, waktu kerja, kepuasan terhadap penghasilan, memiliki anggota keluarga dengan HIV positif dan responden yang pernah menggunakan narkoba suntik (IDU) merupakan faktor-faktor yang mempengaruhi partisipasi responden pada konseling kelompok. Kesimpulan: Konseling kelompok harus dikenalkan pada penderita HIV yang sulit dijangkau, termasuk pasien yang lebih tua dan pasien dengan riwayat IDU. Selain itu, penyedia layanan kesehatan harus mempertimbangkan jadwal alternatif untuk pasien yang bekerja penuh waktu dan tidak dapat menghadiri konseling kelompok selama jam kerja. Keywords: HIV, konseling, partisipasi, dukungan, sosial   Abstract: Background: Previous studies indicate that social support, including HIV counseling and support groups, have a direct effect on adherence to HIV therapy. Currently, factors of non-participation in HIV counseling in the Indonesian population are unknown. Based on this condition, we performed this study to explore HIV patient in group counseling participation at Prof. Sulianto Saroso Infectious Disease Hospital (RSPI-SS), a national referral hospital in Northern Jakarta in Indonesia. We assessed demographic and clinical factors that are associated with participation in HIV group counseling. Methods: A cross-sectional study was conducted between July and October 2013. 1,440 HIV patients in Jakarta obtaining ART from RSPI-SS were approached to participate in a quantitative survey. Factors associated with group counseling participation were assessed using logistic regression analyses. Results: A total of 709 (80.6%) out of 880 patients in group counseling completed the survey. The most of respondents were male (71.1%), had completed at least secondary school (84.3%), and worked full-time (51.5%). The majority (87.3%) of respondents had advanced disease (clinical stage 3 and 4). A small proportion (9.7%) of patients had hepatitis B or C co-infection, and 12.7 % reported having a family member (partner or child) who was also HIV positive. Only 272 (38,4%) of surveyed patients reported attending HIV group counseling. Five variables were found to be independently associated as factors influencing with participation in HIV group counseling including age, hours worked, income satisfaction, Family member with HIV, and history of Injection Drug User’s (IDU’s).   Conclusion: Based on findings, outreach activities promoting HIV group counseling should target patients who are unable or less likely to attend group counseling, including older patients and patients with history of IDU’s. Additionally, health care providers should consider alternative schedules for patients who work full-time and are unable to attend group counseling during work hours. Keywords: HIV, counseling, participation, social, support

Author(s):  
Hussen Nuru ◽  
Negash Nurahmed ◽  
Yeabkal D. Teka ◽  
Fewzia Mohammed ◽  
Getachew Ferede ◽  
...  

<p><strong>Background</strong>: Globally the burden of human immunodeficiency virus (HIV), hepatitis B virus (HBV) and syphilis infections are a common problem of pregnant women where the complications are transmitted to their new born infants. These infections, often silent and without symptoms, can result in serious and fatal health consequences.</p><p><strong>Methods</strong>: Cross-sectional study was conducted on 384 pregnant women attending Dessie referral hospital from February to April 2019 by using convenience sampling techniques. Data were collected by assigned nurses with face to face interview using a pre-tested questionnaire. Samples were screened by rapid serological tests for HIV and <em>T. pallidum </em>antibodies as well as HBsAg. Data was analysed using SPSS. Logistic regression was used to see the association between dependent and independent variables. P values &lt;0.05 was considered as statistically significant. </p><p><strong>Results:</strong> The overall seroprevalence rates of HIV, HBsAg, syphilis and HIV/HBV coinfections were 6.5%, 4.7% and 0.8%, and 0.5% respectively. The history of sexual transmitted infections (STIs), multiple partners and using sharp materials were significantly associated to HIV with an adjusted odd ratio (AOR) of 8.35, 9.6 and 3.097 respectively. Likewise, the habit of ear/nose piercing and partner’s STIs exposure were associated with hepatitis B infection with an AOR 8.24 and 14.11 respectively.</p><p><strong>Conclusions:</strong> HIV and HBV infections are still critical public health concerns among pregnant women in the study area. History of multiple sexual partners, sharing of sharp materials, history of STIs exposure, habits of ear/nose piercing were significantly associated with infections.</p>


NASPA Journal ◽  
2000 ◽  
Vol 38 (1) ◽  
Author(s):  
Tam M. Spitzer

Traditional (age 23 and under) and nontraditional (age 25 and over) full-time undergraduates were assessed on five personal dimensions, two learning dimensions, and two collegiate goals (GPA and career decidedness). Multiple regression assessed which dimensions predicted the two collegiate goals. Significant predictors were generally the same for both traditional and nontraditional students. Academic efficacy, self-regulation, and social support were positive predictors of GPA. Career decisionmaking self-efficacy and social support were positive predictors of career decidedness. Nontraditional students and females had higher GPAs and greater decidedness. Academic performance and career development were seen as concurrent but largely separate processes.


2020 ◽  
Vol 963 (9) ◽  
pp. 30-43
Author(s):  
M.Yu. Orlov

Studying the current state of cartography and ways of further developing the industry, the role of the map in the future of the society, new methods of promoting cartographic products is impossible without a deep scientific analyzing all the paths, events and factors influencing its formation and development throughout all the historic steps of cartographic production in Russia. In the article, the history of cartographic production in Russia is considered together with the development of private, state and military cartography, since, despite some differences, they have a common technical, technological and production basis. The author describes the stages of originating, formation and growth of industrial cartographic production from the beginning of the XVIII century until now. The connection between the change of political formations and technological structures with the mentioned stages of maps and atlases production is considered. Each stage is studied in detail, a step-by-step analysis was carried out, and the characteristics of each stage are described. All the events and facts are given in chronological order, highlighting especially significant moments influencing the evolution of cartographic production. The data on the volumes of printing and sales of atlases and maps by commercial and state enterprises are presented. The main trends and lines of further development of cartographic production in Russia are studied.


Author(s):  
Margaret J. M. Ezell

Many who lived through the English Civil War penned memoirs of their experiences, some of which were published after their deaths, such as Richard Baxter’s life writings and Thomas Fuller’s accounts of the worthies of England, or wrote and published topical public histories, including John Milton’s history of Britain. Samuel Pepys’s and John Evelyn’s diaries are among the most important sources about the Restoration years. Others such as Lucy Hutchinson wrote memoirs for their family or, like Margaret Cavendish, to defend the reputation of a family member. There was also interest in the history of foreign cultures, past rulers, and antiquarian topics.


2021 ◽  
Vol 11 (4) ◽  
pp. 1669 ◽  
Author(s):  
Rolf K. Eckhoff ◽  
Gang Li

This paper first addresses the question: what is a dust explosion? Afterwards, some specific issues are briefly reviewed: materials that can give dust explosions, factors influencing ignitability and explosibility of dust clouds, the combustion of dust clouds in air, ignition sources that can initiate dust explosions, primary and secondary dust explosions, dust flash fires, explosions of “hybrid mixtures”, and detonation of dust clouds. Subsequently, measures for dust explosion prevention and mitigation are reviewed. The next section presents the case history of an industrial dust explosion catastrophe in China in 2014. In the final section, a brief review is given of some current research issues that are related to the prevention and mitigation of dust explosions. There is a constant need for further research and development in all the areas elucidated in the paper.


2021 ◽  
pp. 088626052110063
Author(s):  
Tingting Gao ◽  
Songli Mei ◽  
Muzi Li ◽  
Carl D’ Arcy ◽  
Xiangfei Meng

Childhood maltreatment is a major public health issue worldwide. It increases a range of health-risk behaviors, psychological and physical problems, which are associated with an increased need for mental health services in adulthood. Identification of mediating factors in the relationship between maltreatment and seeking mental health care may help attenuate the negative consequences of childhood maltreatment and promote more appropriate treatment. This study aims to examine whether the relationship between childhood maltreatment and perceived need for mental health care is mediated by psychological distress and/or moderated by social support. Data from the Canadian Community Health Survey-Mental Health 2012 are analyzed. A total of 8,993 participants, who had complete information on childhood maltreatment and diagnoses of mental disorders or psychological distress, are included in this study. Structural equation modeling and the PROCESS macro were used to identify relationships among childhood maltreatment, perceived needs for mental health care, and psychological distress. Hierarchical linear regression was then used to verify the moderated mediation model. We found that psychological distress partially mediated the effect of childhood maltreatment on perceived needs for mental health care in adulthood. Social support played an important role in terms of moderating the relationship between maltreatment and perceived needs for care. For those with a history of childhood maltreatment, those who perceived a low level of social support were more likely to have higher levels of psychological distress and perceived need for mental health care. This is the first study to identify the separate and combined roles of psychological distress and social support in the relationship between childhood maltreatment and perceived need for mental health care. Selective prevention strategies should focus on social support to improve mental health services among people with a history of childhood maltreatment.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 444-445
Author(s):  
Naomi Meinertz ◽  
Pi-Ju Liu ◽  
Ron Acierno

Abstract Abuse in later life could potentially lead to lower levels of social support, especially when perpetrated by family members who are charged with protecting the older adult in their care. Using both waves of the National Elder Mistreatment longitudinal data (wave one collected in 2008 and wave two in 2015; N=774), long-term effects of abuse (i.e., physical, emotional, sexual, and financial) on levels of social support, physical health, and clinical depressive symptoms for respondents at or above the age of 60 years were analyzed. A multivariate analysis of variance showed that respondents abused at wave one (n=261) by a family member (B=-0.55, p≤0.001), a spouse or ex-partner (B=-0.349, p=0.02), or a non-relative or stranger (B=-0.301, p=0.026) had lower levels of social support eight years later at wave two. Those abused by a family member at wave one also experienced higher levels of depressive symptoms at wave two (B=-0.187, p=0.01). Perpetrator type did not predict general health at wave two. These results emphasize the long-term impact of abuse on the lives of older adults and highlight the importance trusted relationships, such as with family members, have on older adult health and wellbeing.


AERA Open ◽  
2021 ◽  
Vol 7 ◽  
pp. 233285842110063
Author(s):  
Rebecca L. Brower ◽  
Tamara Bertrand Jones ◽  
Shouping Hu

Intersectional stigma is experienced by individuals who share both a minoritized identity and a socially stigmatized identity. This study examines not only both types of intersectional stigma (e.g., homelessness, addiction, history of incarceration) that exist among students but also how campus personnel have extended an ethic of care to assist these students in changing their self-perceptions or “looking glass selves” to persist and succeed in community college. Recommendations for institutional improvement include flexibility in hiring staff with the expertise of lived experience, extending social support, improving access to campus and community resources, and horizontal peer mentoring for students with stigmatized identities.


Author(s):  
Roshan Mathew ◽  
Ritin Mohindra ◽  
Ankit Sahu ◽  
Rachana Bhat ◽  
Akshaya Ramaswami ◽  
...  

Abstract Background Occupational hazards like sharp injury and splash exposure (SISE) are frequently encountered in health-care settings. The adoption of standard precautions by healthcare workers (HCWs) has led to significant reduction in the incidence of such injuries, still SISE continues to pose a serious threat to certain groups of HCWs. Materials and Methods This was a retrospective study which examined the available records of all patients from January 2015 to August 2019 who self-reported to our emergency department with history of sharp injury and/or splash exposure. Details of the patients, mechanism of injury, the circumstances leading to the injury, status of the source (hepatitis B surface antigen, human immunodeficiency virus, and hepatitis C virus antibody status), and the postexposure prophylaxis given were recorded and analyzed. Data were represented in frequency and percentages. Results During the defined period, a total of 834 HCWs reported with SISE, out of which 44.6% were doctors. Majority of the patients have SISE while performing medical procedures on patients (49.5%), while 19.2% were exposed during segregation of waste. The frequency of needle stick injury during cannulation, sampling, and recapping of needle were higher in emergency department than in wards. More than 80% of HCWs received hepatitis B vaccine and immunoglobulin postexposure. Conclusion There is need for periodical briefings on practices of sharp handling as well as re-emphasizing the use of personal protective equipment while performing procedures.


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