Correlates of ART Adherence among Pregnant and Breastfeeding Mothers Initiated on Life Long ART for People Living with HIV/AIDS (LLAPLA) in One Public Health Unit in the Hhohho Region

Background: Comorbidity rates and service needs are high among people living with HIV/AIDS (PLWHA). The effects of service utilization and unmet service needs on antiretroviral therapy (ART) adherence are not well understood. The purpose of this study was to investigate associations among PLWHA’s service utilization, unmet service needs, and ART adherence. Methods: PLWHA (N=162) 18 years or older were recruited from a Nevada statewide needs assessment project in 2016. Participants completed a self-administered questionnaire on paper or online. The independent variables were service utilization and unmet service needs. The outcome variable was ART adherence. Multivariable logistic regression analyses were conducted to examine associations between the amount of utilized services and unmet service needs with ART adherence. Results: Only 12 (7.5%) participants reported they received all needed services. The ART non-adherence group showed significantly higher unmet medical service needs compared to the ART adherence group (p=0.007). Unmet medical service needs (Adjusted Odds Ratio (AOR) 0.69, CI 0.53-0.90) and unmet support service needs (AOR 0.68, CI 0.48-0.97) were negatively associated with ART adherence. However, utilizing medical services (AOR 1.06, CI 0.87-1.30) and support services (AOR 0.88, CI 0.74-1.04) in the current year were not significantly associated with ART adherence. Conclusion: The results of this study indicate that health promotion programming should focus not only on introducing new services at the community level, but also work to optimize the availability and awareness of current services. Furthermore, health promotion programs should focus on filling service coverage gaps and improving the facilitation of services.

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Examining the role of vocational rehabilitation on access to care and public health outcomes for people living with HIV/AIDS

Disability and Rehabilitation ◽

10.3109/09638288.2013.837968 ◽

2014 ◽

Vol 36 (14) ◽

pp. 1203-1210 ◽

Cited By ~ 10

Author(s):

Liza Conyers ◽

K. B. Boomer

Keyword(s):

Public Health ◽

Health Outcomes ◽

Access To Care ◽

Vocational Rehabilitation ◽

People Living With Hiv ◽

Living With Hiv ◽

Hiv Aids

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Prevalence and Factors Associated With Syphilis in People Living With HIV/AIDS in the State of Pará, Northern Brazil

Frontiers in Public Health ◽

10.3389/fpubh.2021.646663 ◽

2021 ◽

Vol 9 ◽

Author(s):

Pedro Leão Fontes Neto ◽

Ricardo Roberto de Souza Fonseca ◽

Maria Eduarda de Sousa Avelino ◽

Elizandro Monteiro Vilhena ◽

Maria dos Anjos de Abreu Pina Barbosa ◽

...

Keyword(s):

Public Health ◽

High School ◽

Minimum Wage ◽

People Living With Hiv ◽

Monthly Income ◽

Factors Associated ◽

Northern Brazil ◽

Living With Hiv ◽

The City ◽

Hiv Aids

Syphilis continues to be a public health problem worldwide and its incidence has increased in people living with HIV/AIDS in recent years. This study determined the prevalence and factors associated with syphilis in people living with HIV/AIDS in the city of Belém, northern Brazil. A cross-sectional study was conducted from June to November 2018. A total of 500 people living with HIV/AIDS attended at a specialized unit of the public health network of the State of Pará were studied. Questionnaires were used to collect socio-demographic data and potential risk factors for syphilis. Blood samples were collected from all subjects and screened for syphilis using VDRL, and the seropositive were confirmed using FTA-abs. Logistic regressions were used to identify the factors associated with syphilis. Most subjects were male (56.8%), had more than 40 years (54.0%), single (63.0%), had finished high school (54.2%), had monthly income ≤1 minimum wage (72.4%), and had been born to the city of Belém (59.8%). Prevalence of syphilis was 6.4%. Eight characteristics/behaviors associated with syphilis: male, young adults, single, studied at least high school, monthly income >1 minimum wage, homosexual/bisexual, does not use or sporadically use condoms during sexual intercourse, and have had more than one sexual partner in the last three months. The prevalence of syphilis in people living with HIV/AIDS in Belém is low when compared to other Brazilian states. However, there is a need for public policies and actions to monitor, control and prevent these two sexually transmitted infections.

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Factors Influencing Dental Caries in HIV/AIDS Patients

Acta Medica Philippina ◽

10.47895/amp.v53i5.73 ◽

2019 ◽

Vol 53 (5) ◽

Author(s):

Retno Palupi ◽

Agung Sosiawan ◽

Gilang Rasuna Sabdho Wening ◽

Aulia Ramadhani

Keyword(s):

Public Health ◽

Dental Caries ◽

Flow Rate ◽

Salivary Flow ◽

Salivary Flow Rate ◽

People Living With Hiv ◽

Cross Sectional ◽

Factors Influencing ◽

Living With Hiv ◽

Hiv Aids

Background. Human immunodeficiency viruses (HIV) / Acquired immunodeficiency syndrome (AIDS) is one of the most significant public health challenges in Surabaya, Indonesia where the greatest number of people living with HIV/AIDS (PLWHA) among key populations is in areas served by Sememi Public Health Center. HIV-infected persons have a greater risk for developing dental caries, such as salivary gland enlargement, and decreased salivary glands function. Given the fact that PLWHA are at high risk of dental caries, utilization of dental health service among PLWHA are still low. Objective. This study aims to know the factors influencing dental caries in HIV/AIDS patients.Methods. This is a descriptive, cross-sectional study conducted on 16 HIV-seropositive individuals. They were asked to complete a WHO questionnaire concerning basic oral health and quality of life. Dental caries was assessed using the Decayed, Missing, and Filled Teeth (DMFT) index. Whole stimulated saliva samples were also collected.Results. Nine out of 16 respondents had low salivary flow rate (56.3%). One patient had low DMF-T score (6.3%) and eight had high DMFT score (50%). Among seven respondents who had normal salivary flow rate (43.8%), two of whom had low DMFT score (12.5%) and five of whom had high DMFT score (31.3%).Conclusion. People living with HIV/AIDS have high DMFT and low salivary flow rate.

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Self-esteem and motivation with adherence of people living with HIV/AIDS (PLWHA) in Indonesia with antiretroviral therapy: a cross-sectional study

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2019-0051 ◽

2019 ◽

Vol 0 (0) ◽

Author(s):

Purwaningsih Purwaningsih ◽

Candra Panji Asmoro ◽

Yenis Anggi Prastiwi

Keyword(s):

Antiretroviral Therapy ◽

Self Esteem ◽

Cross Sectional Study ◽

The Body ◽

People Living With Hiv ◽

Art Adherence ◽

Sectional Study ◽

Cross Sectional ◽

Living With Hiv ◽

Hiv Aids

Abstract Introduction Antiretroviral therapy (ART) helps reduce the amount of human immunodeficiency virus (HIV) that enters the body in order to avoid acquired immune deficiency syndrome (AIDS) and prevents the occurrence of opportunistic infections and complications. This study aims to describe the correlation between self-esteem and motivation with adherence of people living with HIV/AIDS (PLWHA) in ART. Methods This cross-sectional study involved 91 PLWHA who joined a non-government organization (NGO) support group, determined through a purposive sampling technique. The demography, and questionnaires about self-esteem, motivation and adherence to ART were employed to collect the raw data. The data were then analyzed using Spearman’s rho test with the degree of significance at p < 0.05. Results The result showed that self-esteem (p = 0.000, r = 0.445) and motivation (p = 0.019, r = 0.246) had correlation with adherence of PLWHA with ART. Conclusion PLWHA can increase self-esteem and motivation so that they can improve ART adherence. Further research is expected to use an instrument more objectively as a measurement tool for ART adherence in addition to a questionnaire so as to obtain more accurate and specific results.

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Study On The Prevalence Of Pulmonary Tuberculosis Among Hiv Positive Attending Hiv Clinics In Eastern Nepal

SAARC Journal of Tuberculosis Lung Diseases and HIV/AIDS ◽

10.3126/saarctb.v8i1.5885 ◽

1970 ◽

Vol 8 (1) ◽

pp. 1-8

Author(s):

DK Yadav ◽

N Jha ◽

PK Pokharel ◽

SR Niraula ◽

SK Bhattacharya ◽

...

Keyword(s):

Public Health ◽

Pulmonary Tuberculosis ◽

Risk Taking ◽

Health Problem ◽

Public Health Problem ◽

Hiv Positive ◽

People Living With Hiv ◽

Risk Taking Behavior ◽

Living With Hiv ◽

Hiv Aids

Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. More than 2 billion people are infected with TB bacilli worldwide. It is a leading public health problem particularly in the developing countries. The HIV epidemic has increased the global tuberculosis burden. TB is the commonest opportunistic infection and leading cause of mortality of People living with HIV (PLHA). Tuberculosis is a major public health problem in Nepal. The objective of the study is to determine prevalence of Pulmonary Tuberculosis among HIV positives attending HIV clinics in Eastern Nepal, and to assess the socio-demographic factors associated with TB and HIV/AIDS. Methodology: Cross-sectional prospective study was carried out among HIV positive attending different VCT and HIV clinics from Sunsari Morang and Jhapa district of Eastern Nepal. Face to face interview was performed and sputum sample were collected using convenience sampling technique. Data was collected from PLHA on related information on Socio-demographic profi le, risk taking behavior with the help of pretested semi-structured questionnaire. Univariate and bivariate analysis were performed using SPSS 15.0. Chi-squire test was performed to establish statistical signifi cance between dependent and independent variables. Results: Out of total 242 PLHA, 75.2% were males and 24.8% females; around half of them (48.8%) were in the age group of (30-39) yrs, 23% in (25-29) yrs, and 15.7% in (20-24) years. Prevalence of pulmonary tuberculosis was found to be 27.3% (n=66). PTB was high among IDU’s (48.6%), followed by clients of CSWs (21%), housewife (13.6%), highway truck drivers (10.6%) and CSWs (6%). Conclusion: Prevalence of PTB is very high among PLHA attending VCT & HIV clinics of Eastern Nepal. This study reveals that PTB is signifi cantly associated with increasing age, risk taking behavior and place of residence. There is urgent need of active case fi nding as well as periodic screening among people living with HIV/AIDS of this region to address HIV-associated TB morbidity and mortality. DOI: http://dx.doi.org/10.3126/saarctb.v8i1.5885 SAARCTB 2011; 8(1): 1-8

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Social Perceptions of People Living with HIV/AIDS using Multivariate Analysis for Public Health Planning

International Journal of Research in Geography ◽

10.20431/2454-8685.0401009 ◽

2018 ◽

Vol 4 (1) ◽

Keyword(s):

Public Health ◽

Multivariate Analysis ◽

Health Planning ◽

Social Perceptions ◽

People Living With Hiv ◽

Public Health Planning ◽

Living With Hiv ◽

Hiv Aids

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The Association of Family Characteristics and Local Support (Servant Leadership) in Tb Case Finding among People Living with Hiv Aids in East Nusa Tenggara, Indonesia

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.02.41 ◽

2020 ◽

Author(s):

Chatarina Umbul Wahyuni ◽

◽

Erni Astutik ◽

Imelda F.E. Manurung ◽

◽

...

Keyword(s):

Public Health ◽

Servant Leadership ◽

Family Characteristics ◽

High School Education ◽

People Living With Hiv ◽

Emotional Healing ◽

Local Support ◽

Living With Hiv ◽

Hiv Aids

Background: HIV still becomes major global public health problem in the world. People living with HIV AIDS can suffer opportunistic infection, for example Tuberculosis. The role of family and local support is important to prevent opportunistic infection. The study aimed to determine the association between family characteristics and local support (servant leadership) to find TB case in People Living with HIV AIDS. Subjects and Method: This was a case control study conducted in Kupang city, East Nusa Tenggara, in July 2020. A sample of 100 people consisted of 50 cases and 50 control was selected by purposive sampling. We measured family characteristics and local support (servant leadership (altruistic calling, emotional healing, wisdom, persuasive or motivation) and social modals (beliefs, norms, networks). Data was analyzed by using multivariate logistics regression. Results: The study subjects who did not work had 4.76 times odds of having a higher perception of local support for altruistic calling domain (AOR= 4.76; 95% CI= 1.09 to 20.91; p= 0.039). the study subjects who did not work (AOR= 4.64; 95% CI= 1.07 to 20.03; p= 0.040), worked as entrepreneurs (AOR= 4.69; 95% CI= 1.17 to 18.82; p= 0.029), had a junior high school education (AOR= 6.41; 95% CI= 1.33 to 30.94, p= 0.021), had a senior high school education (AOR= 3.47; 95% CI= 1.16 to 10.41; p= 0.0260) had higher local support for emotional healing domain. The unemployed study subjects had 5.04 times odds of having higher perceptions of local support for persuasive or motivation domain (AOR= 5.04; 95% CI= 1.07 to 23.64; p= 0.041). Conclusion: Family characteristics have significant relationship with perceptions of local support. The government needs to seek the role of family and local support in preventing opportunistic tuberculosis infection in people living with HIV AIDS. Keywords: family, local support, servant leadership, social modal, HIV AIDS, Tuberculosis, PLWHA Correspondence: Chatarina Umbul Wahyuni. Department of Epidemiology, Faculty of Public Health, Universitas Airlangga. Email: [email protected]. Mobile: +6281803298525. DOI: https://doi.org/10.26911/the7thicph.02.41

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