scholarly journals Public Health Hospital pharmacists’ knowledge about and attitude toward HIV/AIDS and patients living with HIV/AIDS in Kedah, Malaysia

2013 ◽  
Vol 6 ◽  
pp. 1117-1124 ◽  
Author(s):  
Tahir M. Khan ◽  
Mirza Rafi Baig
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 ◽  
...  

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.


2019 ◽  
Vol 53 (5) ◽  
Author(s):  
Retno Palupi ◽  
Agung Sosiawan ◽  
Gilang Rasuna Sabdho Wening ◽  
Aulia Ramadhani

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.


1970 ◽  
Vol 8 (1) ◽  
pp. 1-8
Author(s):  
DK Yadav ◽  
N Jha ◽  
PK Pokharel ◽  
SR Niraula ◽  
SK Bhattacharya ◽  
...  

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


2019 ◽  
Vol 19 (4) ◽  
pp. 837-849
Author(s):  
Adriana de Araujo Pinho ◽  
Wilza Vieira Villela ◽  
Regina Maria Barbosa ◽  
Simone Souza Monteiro

Abstract Objectives: we investigated the lifetime prevalence of abortion and life contexts and reasons reported for first abortion among women living (WLHA) and not living with HIV/AIDS(WNLHA). Methods: representative samples of 975 users of public health care reference network for HIV/AIDS and of 1,003 users of the primary care public services in São Paulo municipality were selected by cluster-stratified sampling and answered an electronic socio-behavioral questionnaire. Results: the prevalence of abortion was 11.9% (CI95%9.8-13.9) among WLHA and 3.0% (CI95%2.4-5.7) for WNLHA.Most abortions (128) among WLHA occurred before diagnosis and 28 after diagnosis or during pregnancy when diagnosis was given. The majority of women did not use any contraception at the time of the first abortion. The use of misoprostol was the most reported method. Having HIV was very important in deciding to abort for half of the WLHA. Absence of marital life and the lack of desire to have children were the most reported reasons by both groups. Conclusions: the similarity in contexts and reasons to abort among WLHA and WNLHA suggests that they share experiences molded by gender and social inequalities that affect their ability to access sexual and reproductive health resources and services.


2020 ◽  
Author(s):  
Adobea Yaa Owusu

Abstract Background: Ready acceptance of the first news of HIV-positive diagnosis is a known personal and public health safety-net. Its beneficial effects include prompt commencement and sustenance of HIV-positive treatment and care, better management of transmission risk, and disclosure of the HIV-positive status to significant others. Yet, no known study has explored this topic in Ghana; despite Ghana’s generalised HIV/AIDS infection rate. Existing studies have illuminated the effects of such reactions on affected significant others; not the infected.Methods: This paper studied qualitatively the initial reactions of 26 persons living with HIV/AIDS upon receiving the initial news of their diagnosis. Sample selection was combined purposive and random, from two hospitals in a district in Ghana heavily affected by HIV/AIDS. The paper applied the theory of hopelessness.Results: As expected, the vast majority of respondents reacted to the initial announcement of their HIV-positive infection with a myriad of negative psychosocial reactions, including thoughts of committing suicide. A few, however, received the news with resignation. For the vast majority of respondents, having comorbidities from AIDS prior to the diagnosis primarily shaped their initial reactions to it. This was followed by having/having had an HIV-positive spouse/partner, and exposure to health education on HIV/AIDS on TV particularly. Receiving counselling from healthcare workers mostly facilitated their transitioning to self-acceptance of their HIV-positive status.Conclusions: Although the first news of an HIV-positive diagnosis was immobilising to most respondents, the trauma faded, paving the way for beneficial public health actions. The findings do not wholly support earlier propositions of the theory of hopelessness. Rather, results indicate that both internal and external insecurities can trigger hopelessness in persons living with HIV/AIDS. The results imply the critical need for continuous education on HIV/AIDS by public health advocates, using mass media, particularly, TV. This should continuously emphasise the need for voluntary counseling and testing and the fact that once infected, prevention of further transmission, and immediate seeking and adhering to healthcare are important. These can prevent comorbidities and death from HIV infection. Healthcare workers in VCTs should empathise with persons who are informed of their HIV-positive status for the first time.


Author(s):  
Chatarina Umbul Wahyuni ◽  
◽  
Erni Astutik ◽  
Imelda F.E. Manurung ◽  
◽  
...  

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


Author(s):  
Vinícius Mauricio de Lima

Resumo: Introdução: Jovens estão no centro da crise de HIV/Aids. Em 2017, segundo o Unicef, 30 adolescentes de 15 a 19 anos foram infectados/as por hora no mundo. Mas nem sempre eles/elas têm suas demandas sobre sexualidade valorizadas nos serviços de saúde. Objetivo: este artigo tem como objetivo compreender o vínculo entre profissionais de saúde e jovens vivendo com HIV/Aids como meio para a produção e circulação de discursos da sexualidade. Metodologia: a partir de etnografia realizada em uma Clínica de Aids, do serviço público de saúde da cidade do Rio de Janeiro, entre 2013 e 2014, realizamos observação participante de atividades individuais e coletivas dos/as profissionais, entrevistas com profissionais e jovens e análise documental, que evidenciaram o vínculo numa perspectiva histórica e atual. Resultados: identificamos a produção e circulação de discursos da sexualidade em relatórios, Boletins, grupos de convivência e consultas médicas, dispositivos pelos quais se estabelecia o vínculo entre profissionais e jovens. Conclusão: o vínculo possibilitava acolhimento, escuta ativa, afeto, e a participação social de usuários/as, fortalecendo o serviço público de saúde frente às políticas de privatização. Também pelo vínculo, profissionais exerciam o controle da sexualidade juvenil, sendo um dispositivo de incitação ao “cuidado de si”.Palavras-chave: comunicação; saúde; Aids; sexualidade; adolescente.Abstract: Introduction: Young people are at the center of the HIV/AIDS crisis. In 2017, according to UNICEF, 30 teenagers from 15 to 19 years old were infected per hour in the world. But they do not always have their sexuality demands valued in health services. Objective: This article aims to understand the bond between health professionals and adolescents living with HIV/AIDS as a means for the production and circulation of discourses of sexuality. Methodology: Based on ethnography performed at an AIDS Clinic of the public health service of the city of Rio de Janeiro, between 2013 and 2014, we conducted participant observation of individual and collective activities of professionals, interviews with professionals and youth, and documental analysis, which evidenced the bond in a historical and current perspective. Results: We identified the production and circulation of discourses of sexuality in reports, bulletins, internal groups and medical consultations, devices by which the bond between professionals and teens was established. Conclusion: The bond enabled reception, active listening, affection, and social participation of users, strengthening the public health service in the face of privatization policies. Also by the bond, professionals exercised the control of young sexuality, being a device of incitement to “self-care”.Keywords: communication; health; AIDS; sexuality; adolescent.


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