Tips and Tangles When Conducting the Qualitative Dissertation: The Lived Experiences of Young Adults Living with HIV/AIDS in a Low-income, Urban Area

2016 ◽  
Author(s):  
Kathleen A. Thoma
Keyword(s):  
Young Adults ◽  
Urban Area ◽  
Low Income ◽  
Lived Experiences ◽  
Qualitative Dissertation ◽  
Living With Hiv ◽  
Hiv Aids

The association between HIV/AIDS and food insecurity at the US–Mexico border: Experiences of low-income patients in the Rio Grande Valley

2020 ◽  
pp. 095646242093060
Author(s):  
Jennifer Tabler ◽  
Laryssa Mykyta ◽  
Jason M Nagata
Keyword(s):  
Food Insecurity ◽  
Low Income ◽  
Rio Grande Valley ◽  
Rio Grande ◽  
Neighborhood Environment ◽  
Mexico Border ◽  
Aids Diagnosis ◽  
Living With Hiv ◽  
Us Mexico Border ◽  
Hiv Aids

US–Mexico border communities are uniquely vulnerable to human immunodeficiency virus (HIV) transmission given the economic and social challenges these communities face. We surveyed low-income, predominantly Latinx residents receiving sexually transmitted infection testing and/or HIV/acquired immune deficiency syndrome (AIDS) care in the lower Rio Grande Valley of southernmost Texas about their experiences of food insecurity. Participants aged 18 years and over took a self-administered survey available in English or Spanish in a clinic waiting room ( N = 251). Ordinary least squares regression results suggested that those with a prior HIV/AIDS diagnosis reported a response for food insecurity that was approximately 0.67 points higher than peers without a prior HIV/AIDS diagnosis (coefficient = 0.67; p < 0.05), even when adjusting for sociodemographic characteristics, social support, perceived discrimination, and neighborhood environment. Interaction results between age and HIV status indicated that younger individuals living with HIV/AIDS experienced uniquely higher food insecurity; those who reported a prior HIV/AIDS diagnosis experienced an additional reduction in food insecurity by approximately 0.06 points for each additional year of age (age × HIV/AIDS interaction coefficient = −0.06; p < 0.05). Community programs serving low-income populations should consider screening for and intervening on food insecurity, especially among young adults living with HIV/AIDS.

scholarly journals Prevalence and socioeconomic factors associated with smoking in people living with HIV by sex, in Recife, Brazil

2013 ◽  
Vol 16 (2) ◽  
pp. 432-443 ◽  
Author(s):  
Joanna d’Arc Lyra Batista ◽  
Maria de Fátima Pessoa Militão de Albuquerque ◽  
Ricardo Arraes de Alencar Ximenes ◽  
Demócrito de Barros Miranda-Filho ◽  
Heloisa Ramos Lacerda de Melo ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Socioeconomic Factors ◽  
Low Income ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Heavy Alcohol ◽  
Factors Associated ◽  
Risk Of Death ◽  
Living With Hiv ◽  
Hiv Aids

Introduction: Smoking is the leading cause of preventable death in the world. The prevalence of smoking is higher in people infected with HIV than in the general population. Although it is biologically plausible that smoking increases the morbidity and mortality of people living with HIV/AIDS, few studies in developing countries have analyzed the determinants and consequences of smoking in HIV infected people. Objective: To estimate the prevalence of smoking and identify the socioeconomic factors associated with smoking and smoking cessation in patients with HIV by sex. Methods: A cross-sectional study was conducted with baseline data, obtained from an ongoing prospective cohort study of patients with HIV attending two referral centers in Recife, Northeast Region of Brazil, between July 2007 and October 2009. Results: The prevalence of current smoking was 28.9%. For both sexes, smoking was independently associated with heavy alcohol drinking and marijuana use. Among women, smoking was associated with living alone, not being married and illiteracy; and among men, being 40 years or older, low income and using crack. Compared with ex-smokers, current smokers were younger and more likely to be unmarried, heavy drinkers and marijuana users. Conclusions: It is important to incorporate smoking cessation interventions for the treatment of heavy alcohol drinkers and marijuana users with HIV/AIDS, which may increase life expectancy and quality of life, as smoking is related to risk of death, relapse of tuberculosis, and non communicable diseases.

scholarly journals Financing Oral Health Care for Low-Income Adults Living with HIV/AIDS

2012 ◽  
Vol 127 (2_suppl) ◽  
pp. 82-86 ◽  
Author(s):  
Helene Bednarsh ◽  
David A. Reznik ◽  
Carol R. Tobias
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Low Income ◽  
Oral Health Care ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals ADHERENCE TO TREATMENT OF YOUNG ADULTS LIVING WITH HIV/AIDS FROM THE PERSPECTIVE OF COMPLEX THINKING

2019 ◽  
Vol 28 ◽  
Author(s):  
Veridiana Tavares Costa ◽  
Betina Hörner Schlindwein Meirelles
Keyword(s):  
Young Adults ◽  
Health Professionals ◽  
Care Service ◽  
Comparative Method ◽  
Study Data ◽  
Theory Approach ◽  
Adherence To Treatment ◽  
Complex Thinking ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRACT Objetive: to understand the adherence to treatment of young adults with HIV/AIDS treated in a specialized care service from the perspective of complex thinking. Method: a qualitative study, with the data grounded theory approach. Twelve young adults aged from 15 to 24 years old living with HIV/AIDS, nine health professionals and four mothers participated in the study. Data was obtained from interviews conducted between April and September 2016 and analyzed using the constant comparative method. Results: the adherence to treatment of young adults with HIV/AIDS has been understood as a dynamic, multifactorial and constantly changing phenomenon. This process involves multiple aspects, including fear of becoming ill, physical and social death, discrimination and stigma. It was found that even in the face of these difficulties, young adults decide to continue their treatment in search of normalization of health, a long and common life like other young people who do not live with HIV/AIDS. Conclusion: it was considered that in view of the complex and changing phenomenon, adherence to treatment of young adults with HIV/AIDS should be understood and managed by health professionals.

scholarly journals Do Medicare Beneficiaries Living With HIV/AIDS Choose Prescription Drug Plans That Minimize Their Total Spending?

2017 ◽  
Vol 54 ◽  
pp. 004695801773403
Author(s):  
Katherine A. Desmond ◽  
Thomas H. Rice ◽  
Arleen A. Leibowitz
Keyword(s):  
Prescription Drug ◽  
Low Income ◽  
Drug Regimen ◽  
Medicare Beneficiaries ◽  
Part D ◽  
Total Spending ◽  
Prescription Drug Plans ◽  
The Difference ◽  
Living With Hiv ◽  
Hiv Aids

This article examines whether California Medicare beneficiaries with HIV/AIDS choose Part D prescription drug plans that minimize their expenses. Among beneficiaries without low-income supplementation, we estimate the excess cost, and the insurance policy and beneficiary characteristics responsible, when the lowest cost plan is not chosen. We use a cost calculator developed for this study, and 2010 drug use data on 1453 California Medicare beneficiaries with HIV who were taking antiretroviral medications. Excess spending is defined as the difference between projected total spending (premium and cost sharing) for the beneficiary’s current drug regimen in own plan vs spending for the lowest cost alternative plan. Regression analyses related this excess spending to individual and plan characteristics. We find that beneficiaries pay more for Medicare Part D plans with gap coverage and no deductible. Higher premiums for more extensive coverage exceeded savings in deductible and copayment/coinsurance costs. We conclude that many beneficiaries pay for plan features whose costs exceed their benefits.

Internet Use for Health-Related Information: Self-Care Agency of Lower Income Persons Living With HIV/AIDS

2020 ◽  
Vol 33 (3) ◽  
pp. 234-239
Author(s):  
Kathleen M. Nokes ◽  
Darcel M Reyes
Keyword(s):  
Low Income ◽  
Self Care ◽  
Chronically Ill ◽  
Educational Interventions ◽  
Persons Living With Hiv ◽  
Orem's Theory ◽  
Hispanic Latinos ◽  
Living With Hiv ◽  
Care Agency ◽  
Hiv Aids

Chronically ill persons with a condition requiring self-care activities can benefit from learning from reliable internet sources. Orem’s theory of self-care was used to answer the question: Does increasing technical knowledge about reliable internet sites for health information increase self-care agency of low-income persons living with HIV/AIDS ( N = 100)? Self-care agency, as measured by the Self-As-Carer Inventory, increased but not significantly, after two educational interventions. We hoped to gain insight into the measurement of self-care agency in our African American and Hispanic population. The only significantly different basic conditioning factor was ethnicity in that non-Hispanic/Latinos scored higher on self-care agency than Hispanic/Latinos; the only significantly different subscale was the Judgment and Decisions Affecting Production of Self-care subscale. Self-care agency remained stable over the 1-week period, pointing to two possible conclusions: Scores accurately reflect self-care agency, and a more intensive, longer intervention may be needed to change self-care agency.

scholarly journals Predictors of stunting among pediatric children living with HIV/AIDS, Eastern Ethiopia

2020 ◽  
Vol 9 (2) ◽  
pp. 82
Author(s):  
Dawit Gezahegn ◽  
Gudina Egata ◽  
Tesfaye Gobena ◽  
Berhanu Abebaw
Keyword(s):  
Low Income ◽  
Statistical Significance ◽  
Multivariable Analysis ◽  
Public Hospitals ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
P Value ◽  
Eastern Ethiopia ◽  
Living With Hiv ◽  
Hiv Aids

Globally, there were about 3.4 million pediatric children (&lt;15 years of age) who were living with HIV/AIDS. Ethiopia has one of the highest rates of malnutrition in Sub-Saharan Africa. As of 2013, there were about 160,000 pediatric children living with HIV/AIDS in Ethiopia. Even though undernutrition makes it difficult to combat HIV/AIDS, there is paucity of information on the magnitude of stunting and its predictors among seropositive pediatric children in low-income countries like Ethiopia. Institution based quantitative cross sectional study design was employed on 414 randomly selected pediatric (5-15 years) children living with HIV/AIDS in Harari Region and Dire Dawa City Administration Public Hospitals, Eastern Ethiopia. Pretested interviewer administered questionnaire and patient card review was held to collect data. Data were entered through Epi-data and exported to SPSS for analysis. The WHO Anthros plus software was used to calculate the anthropometric indices. Bivariate and Multivariable analysis along with 95%CI were done to identify predictors of stunting. Level of statistical significance was declared at P-value &lt;0.05. The prevalence of stunting was found to be 30.9% (95%CI: 26.0-36.0%). Rural residence [AOR=4.0, (95%CI: 2.22, 7.17)], family monthly income of ≤500 ETB [AOR=5.79, (95%CI: 2.82, 11.60)], being anemic [AOR=3.17, (95% CI: 2.13, 4.93)] and the presence of diarrhea [AOR=6.21, 95% (CI: 3.39, 9.24)] were predictors of stunting. Thus, collaborative measures should be undertaken (to decrease frequent infections and to improve the economic status) to combat chronic malnutrition during HIV/AIDS treatment.

The Micro Dynamics of Support Seeking

2013 ◽  
Vol 647 (1) ◽  
pp. 83-101 ◽  
Author(s):  
Celeste Watkins-Hayes
Keyword(s):  
Social Support ◽  
Middle Class ◽  
Low Income ◽  
Service Providers ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Women Living With Hiv ◽  
Hiv Positive Women ◽  
Living With Hiv ◽  
Hiv Aids

Previous literature suggests that AIDS Service Organizations (ASOs) play an important support role in the lives of impoverished women living with HIV. Less is known about the dynamics of institutional support for middle-class women living with HIV/AIDS, who are assumed to possess a broader base of resources to address their diagnosis. Using qualitative data collected from a racially and economically diverse group of HIV-positive women in Chicago, this article compares how low-income and middle-class women utilize ASOs and reveals how the women’s divergent approaches to availing themselves of institutional resources have important implications for their social and economic coping. For example, associating with ASOs can be status-improving for impoverished women and status-diminishing for middle-class women. As a result, middle-class women report a less robust network of social service providers and people living with HIV/AIDS on whom they rely for HIV-related information and social support, making them vulnerable to HIV-specific social isolation. In sum, the ways that HIV-positive women deploy institutional ties to negotiate their HIV/AIDS status differs markedly depending on socioeconomic status, suggesting that the role of class in gathering social support may be more complex than previously understood.

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