scholarly journals A model to facilitate self-management of human immunodeficiency virus in students within a university setting and promoting their mental health

2020 ◽  
Vol 25 ◽  
Author(s):  
Teolene G. Diedricks ◽  
Chris P.H. Myburgh ◽  
Marie Poggenpoel
Author(s):  
Faith Martin

Human immunodeficiency virus (HIV) is a chronic condition, currently requiring life-long medication and having potential impacts on physical health through pain, fatigue, adverse medication affects, and opportunistic infections and on mental health through depression and anxiety and the stigmatized nature of HIV. Self-management offers an important avenue to address these concerns, with current research suggesting interventions to support medication-taking, good nutrition, and peer support to boost mental health and optimize a person’s understanding of HIV. Further, knowledge is required to facilitate self-management. The challenges and interventions including legal issues around transmission of HIV are considered, highlighting the multidimensional nature of the condition.


2019 ◽  
Vol 4 (1) ◽  
pp. 316-325 ◽  
Author(s):  
Laura H. Thompson ◽  
Sumit Dutta ◽  
Parinita Bhattacharjee ◽  
Stella Leung ◽  
Anindita Bhowmik ◽  
...  

Author(s):  
Leone Adams ◽  
Talitha Crowley

Background: Human immunodeficiency virus (HIV) is a chronic illness and adolescents living with HIV (ALHIV) need the support of the whole family to self-manage (handle, direct and control) their chronic illness. Little is known about self-management amongst ALHIV in the context of the Eastern Cape, South Africa.Aim: This study explored the self-management needs of ALHIV in the Nelson Mandela Bay area of the Eastern Cape to make recommendations that can be used in further research to develop a programme to support adolescents with self-management.Setting: The study was conducted at two primary healthcare clinics in the Nelson Mandela Bay area of the Eastern Cape.Methods: A qualitative descriptive design was applied. Thirteen adolescents between the age of 14 and 19 years were interviewed. The data were collected through individual interviews. Data analysis was done using the six steps described by Creswell.Results: Adolescents living with HIV have limited knowledge and understanding about HIV and sexual reproductive health. Some ALHIV lack self-regulation skills related to decisions about disclosure, managing stigma and emotions, taking treatment, effective communication and setting goals. Human immunodeficiency virus services were not adolescent-friendly, with long queues and no dedicated services for adolescents. Family and friends were a key self-management resource for ALHIV.Conclusion: Adolescents living with HIV have several self-management needs in the domains of knowledge and beliefs, self-regulation skills and abilities, and self-management resources. Healthcare workers should support adolescents and their caregivers to acquire self-management skills as this may lead to better treatment and health outcomes.


2020 ◽  
Vol 31 (7) ◽  
pp. 619-626
Author(s):  
A Gill ◽  
AWIP Ranasinghe ◽  
A Sumathipala ◽  
KA Fernando

Mental health conditions (MHCs) are often unrecognised which can result in detrimental physical health outcomes and poor quality of life. This can be compounded by the impact of deprivation. People living with human immunodeficiency virus (PLWH) are more likely to be affected by MHCs which if untreated, may result in both clinical and psychosocial adversities. To ascertain the prevalence of and factors associated with MHCs in the human immunodeficiency virus cohort of Stoke-on-Trent, which is the 13th most deprived locality in England, we conducted a cross-sectional service evaluation using electronic records of 302 PLWH attending the service between October 2018 and January 2019. The prevalence of MHCs amongst PLWH was 33.4% (101/302). Depression was the most prevalent MHC affecting 17.2% (52/302). Those of white ethnicity were at higher risk (odds ratio [OR] = 3.14; p < 0.01) of MHCs compared to black Asian and minority ethnic groups. Women were at higher risk of having an MHC (OR = 3.15; p < 0.01), and recreational drug use was also a significant factor (OR = 16.18; p = 0.01) associated with MHCs. There is sub-optimal access and heterogeneity in the modes of referral to mental health support services. Commissioning constraints will further detrimentally affect our ability to provide support in an already deprived area, thus widening health inequalities affecting the most vulnerable.


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