Study of Depression and Its Associated Factors among Women Living with HIV/AIDS in Coastal South India

Background. Depression is one of the most prevalent psychiatric diagnoses seen in HIV-positive individuals. Women with HIV are about four times more likely to be depressed than those who are not infected. Aims. To assess the sociodemographic and clinical correlates of depression among women living with HIV/AIDS. Setting and Design. One public and one private hospital in Mangalore, Coastal South India, and cross-sectional design. Methods and Materials. Study constituted of 137 HIV-positive women, depression was assessed using BDI (Beck Depression Inventory), and social support was assessed using Lubben Social Network Scale. Statistical Analysis. All analysis was conducted using SPSS version 11.5. Chi-square test with value less than 0.05 was taken as statistically significant. Results. Among 137 HIV-positive women, 51.1% were depressed. Around 16% were having moderate to high risk for isolation. Depression was statistically significant in rural women, widowed women, and lower socioeconomic class women. Conclusion. Depression is highly prevalent among women living with HIV which is still underdiagnosed and undertreated, and there is a need to incorporate mental health services as an integral component of HIV care.

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Predictive and spatial analysis for estimating the impact of sociodemographic factors on contraceptive use among women living with HIV/AIDS (WLWHA) in Kenya: Implications for policies and practice

BMJ Open ◽

10.1136/bmjopen-2018-022221 ◽

2019 ◽

Vol 9 (1) ◽

pp. e022221 ◽

Cited By ~ 1

Author(s):

Menkeoma Laura Okoli ◽

Samuel Alao ◽

Somtochukwu Ojukwu ◽

Nnadozie C Emechebe ◽

Asuelimen Ikhuoria ◽

...

Keyword(s):

Spatial Autocorrelation ◽

Contraceptive Use ◽

Wealth Index ◽

Sociodemographic Factors ◽

Hiv Positive ◽

Women Living With Hiv ◽

Hiv Positive Women ◽

Study Population ◽

Living With Hiv ◽

Hiv Aids

BackgroundDespite the availability and knowledge of various contraceptive methods, consistent utilisation in women living with HIV/AIDS (WLWHA) within the reproductive age group remains below the Sustainable Development Goals (SDGs) and Family Planning 2020 goals. This study examines the association between sociodemographic factors and contraceptive use including the effect of clustering tendencies of these factors on contraceptive usage among WLWHA in Kenya.MethodsWeighted multivariate logistic regression models were conducted to determine the association of sociodemographic factors on contraception use among WLWHA using the 2008–2009 Kenya Demographic Health Survey. Spatial autocorrelation techniques were used to explore clustering tendencies of these factors on contraception utilisation. Our study population included 304 HIV positive women, aged 15–49 years.ResultsAmong 304 HIV-positive women in our study population, 92 (30.3%) reported using one method of contraception. Contraceptive use was significantly associated with wealth and education after adjustment for other sociodemographic variables. Women classified as having low and middle wealth index were less likely to use contraceptives (OR=0.17, 95% CI 0.07 to 0.43; OR=0.33, 95% CI 0.11 to 0.98, respectively) compared with women classified as having high wealth index. Similarly, women with primary education only were less likely to use contraceptives compared with women with secondary or higher education (OR=0.42, 95% CI 0.18 to 0.98). Spatial autocorrelation revealed significant positive clusters with weak clustering tendencies of non-contraceptive use among different levels of wealth index and education within different regions of Kenya.ConclusionThese findings underscores the need for intervention programmes to further target socially disadvantaged WLWHA, which is necessary for achieving the SDGs.

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Pengetahuan Ibu HIV Mempengaruhi Perilaku Pencegahan Penularan HIV/AIDS dari Ibu ke Bayi di Provinsi Jawa Tengah

JURNAL PROMOSI KESEHATAN INDONESIA ◽

10.14710/jpki.12.2.238-250 ◽

2017 ◽

Vol 12 (2) ◽

pp. 238

Author(s):

Khoiriyah Isni ◽

Zahroh Shaluhiyah ◽

Kusyogo Cahyo

Keyword(s):

Hiv Positive ◽

Hiv Status ◽

Chi Square ◽

Cross Sectional ◽

Central Java ◽

Hiv Positive Mothers ◽

Living With Hiv ◽

Mother To Child ◽

Central Java Province ◽

Hiv Aids

ABSTRAKPMTCT merupakan program pemerintah untuk menekan terjadinya penularan HIV/AIDS ke bayi. Inti dari kegiatan PMTCT adalah strategi mencegah terjadinya penularan HIV/AIDS dari ibu ke bayi pada ibu hamil yang telah terinfeksi HIV. Namun masih terdapat ibu HIV yang terlambat mengetahui status HIV sehingga tidak ikut serta dalam PMTCT. Penelitian ini bertujuan mengetahui perilaku ibu HIV dalam upaya mencegah penularan HIV/AIDS dari ibu ke bayi. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Pengambilan data dilakukan pada 32 ibu HIV yang memiliki balita di Provinsi Jawa Tengah. Analisis data menggunakan analisis univariat dengan distribusi frekuensi, bivariat menggunakan Chi-Square dan Fisher Exact, dan multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan perilaku ibu HIV dalam pencegahan penularan HIV/AIDS dari ibu ke bayi adalah usia bayi, waktu diketahui status HIV, waktu mulai mengikuti ARV, keikutsertaan PMTCT, waktu mulai mengikuti PMTCT, dan pengetahuan. Sedangkan faktor yang paling dominan terhadap perilaku ibu HIV dalam pencegahan penularan HIV/AIDS dari ibu ke bayi adalah pengetahuan. Dari penelitian ini, maka dapat disimpulkan bahwa pengetahuan dapat mempengaruhi perilaku ibu HIV dalam pencegahan penularan HIV/AIDS dari ibu ke bayi.Kata kunci : Ibu HIV, Pencegahan Penularan HIV/ADS dari ibu ke bayi, Provinsi Jawa TengahABSTRACTBehavior of HIV-Positive Mothers in Prevention Mother to Child Transmission of HIV/AIDS in Central Java ProvincePMTCT was government program to suppres HIV/AIDS and child. The point of PMTCT activities was a strategy to prevent HIV/AIDS transmission from mothers living with HIV/AIDS to their child. However, there were mothers living with HIV/AIDS who have been too late knowing their status HIV status so that they did not join PMTCT. This study aims to learn about HIV-positive mothers behavior in preventing of HIV/AIDS transmission from mother to child. This research was a quantitative with cross sectional approach. The data was collected from 32 mothers living with HIV/AIDS who had toddler babies in Central Java Province. Data were analyzed using univariate with frequency distribution, bivariate with chi square and fisher exact, and multivariate with logistic regression. The result showed that the variable which correlated towards behavior of HIV-positive mothers in preventing HIV/AIDS transmission from mother to child were age of child, HIV status reveal time, time of joining ARV, joining PMTCT, time of joining PMTCT, and knowledge. While, knowledge was the main variable that has considerable influence on the behavior of HIV-positive mothers. From this research, can be conclude that knowledge can affect HIV-positive mother’s behavior.Keywords: HIV-positive mothers, PMTCT, Central Java Province

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Factors associated with condom use among men and women living with HIV in Lilongwe, Malawi: a cross-sectional study

BMJ Sexual & Reproductive Health ◽

10.1136/bmjsrh-2017-101825 ◽

2017 ◽

Vol 44 (1) ◽

pp. 1.2-12 ◽

Cited By ~ 2

Author(s):

Lisa B Haddad ◽

Jennifer H Tang ◽

Jamie Krashin ◽

Wingston Ng’ambi ◽

Hannock Tweya ◽

...

Keyword(s):

Condom Use ◽

Hiv Care ◽

Consistent Condom ◽

Hiv Positive ◽

Consistent Condom Use ◽

Cross Sectional ◽

Men And Women ◽

Factors Associated ◽

Women Living With Hiv ◽

Living With Hiv

BackgroundUnderstanding the influences on condom use among men and women living with HIV is critical to tailoring sexually transmitted infection/HIV prevention efforts.MethodsThis is a sub-analysis of a cross-sectional survey including 255 women and 220 men who were sexually active, HIV-positive, and attending HIV care visits in Lilongwe, Malawi. We estimated adjusted prevalence ratios (aPRs) to evaluate for factors associated with consistent condom use (always using condoms in the past month) and use at last coitus for men and women in separate models.ResultsAmong women: 38% and 55% reported consistent condom use and condom use at last coitus, respectively. For women, consistent use and use at last coitus were positively associated with the ability to refuse sex without condoms and shared decision-making compared with making the decision alone regarding condom use, and negatively associated with desire for children in the future. Consistent use also increased with longer antiretroviral therapy (ART) use (≥1 year compared with no ART use). Among men: 51% and 69% reported consistent condom use and condom use at last coitus, respectively. For men, the ability to refuse sex without condoms was associated with consistent use and use at last coitus, and believing that condoms should be used with other contraception was associated with consistent use.ConclusionsOur findings demonstrate ongoing low condom utilisation among HIV-positive individuals, and highlight that ART and contraceptive use do not deter condom use. Efforts to increase condom utilisation must recognise individual-level factors that influence use and should focus on relationship dynamics and promotion of empowerment and self-efficacy.

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The Micro Dynamics of Support Seeking

The Annals of the American Academy of Political and Social Science ◽

10.1177/0002716213475775 ◽

2013 ◽

Vol 647 (1) ◽

pp. 83-101 ◽

Cited By ~ 6

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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Fertility among women living with HIV in western Ethiopia and its implications for prevention of vertical transmission: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-036391 ◽

2020 ◽

Vol 10 (8) ◽

pp. e036391

Author(s):

Tesfaye Regassa Feyissa ◽

Melissa L. Harris ◽

Peta M. Forder ◽

Deborah Loxton

Keyword(s):

Reproductive Age ◽

Systematic Sampling ◽

Hiv Positive ◽

Reproductive Health Services ◽

Cross Sectional ◽

Live Births ◽

Women Living With Hiv ◽

Hiv Positive Women ◽

Living With Hiv ◽

Western Ethiopia

ObjectiveThis study aimed to examine fertility (live births) in the last 3 years and its associated factors among women living with HIV (WLHIV) in western Ethiopia .DesignParticipants were recruited into a cross-sectional survey using systematic sampling.SettingsFour healthcare facilities in western Ethiopia were included.ParticipantsEligible participants were WLHIV of reproductive age (15–49 years) from western Ethiopia who found out about their HIV-positive status more than 3 years ago (N=866).Primary outcome measuresThe fertility (live births) of HIV-positive women in the last 3 years was surveyed using face-to-face interviews (March–June 2018). Logistic regression analyses were conducted to examine factors influencing fertility in the last 3 years.ResultsA total of 108 (12.5%) HIV-positive women gave birth to 121 live children in the last 3 years. Of these births, 18.2% were reported as mistimed at conception, while 26.4% were reported as unwanted. Of the live births, 8.3% ended in death. Of the 76 (62.8%) children with known HIV status born to HIV-positive women in the last 3 years, 7.9% were HIV-positive. In terms of predictors of fertility, women aged 15–24 years (adjusted OR (AOR) 2.72; 95% CI 1.14 to 6.49) and 25–34 years (AOR 4.34; 95% CI 2.61 to 7.21) had increased odds of fertility compared with women aged 35–49 years. Women using antiretroviral therapy (ART) for less than 5 years were more likely to have given birth in the last 3 years compared with those using ART for 10 years or more (AOR 2.96; 95% CI 1.19 to 7.36), even after controlling for age.ConclusionsWLHIV in Ethiopia are having children and so it is imperative that safe conception strategies are readily available as well as support to reduce HIV-related risks for children born to these mothers. Strengthening reproductive health services for HIV-positive women in order to achieve their family planning goals is therefore important.

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Socio-Cultural and Societal Demands Influencing Pregnancy among HIV Positive Women in Kakamega County, Kenya

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2021.3.6.1097 ◽

2021 ◽

Vol 3 (6) ◽

pp. 31-38

Author(s):

Isaac Maru ◽

Rose Olayo ◽

Mary Kipmerewo

Keyword(s):

Employment Status ◽

Target Population ◽

Hiv Positive ◽

Group Discussions ◽

Cross Sectional ◽

Negative Perception ◽

Number Of Children ◽

Women Living With Hiv ◽

Hiv Positive Women ◽

Living With Hiv

Globally, the number of women living with HIV who desire pregnancy has been increasing and little is known as what motivates them, with test and treat women accessing ART desiring pregnancy will increase. Kakamega County has been leading in the region on women living with HIV accessing antenatal services. Past literature in the subject matter failed to look at socio-cultural and societal factors influencing pregnancy among HIV positive women in Kakamega County, Kenya; a gap that informed this study. A descriptive cross-sectional research design was employed. The target population were women aged 18-49 years receiving their family planning services in sub-county hospitals in Kakamega County. Key informants were made up of health care workers at comprehensive care clinics. Purposive sampling was used to select 4 sub-county hospitals, systematic random sampling to select 319 known HIV positive women and 4 focus group discussions. Questionnaires focused on group discussions and key informant interviews were used to collect data. Data collected were entered into Statistical Package for Social Sciences version 25.0. Descriptive results were presented in proportionate tables. The results showed that age, education, employment status and parity influenced the desire for pregnancy among HIV positive women in Kakamega County. Society influenced the number of children a woman should have. The community held a negative perception of childless women, especially HIV positive women; the community members did not attach value and pride over the childless HIV positive women. The socio-cultural and societal demand on HIV positive women influenced pregnancy; however, there decreasing association, which meant that the society was 71% less likely to influence the number of children; the spouse was 63% less likely to influence pregnancy. In conclusion, age, education level, marital status parity and employment status, medical cover influenced pregnancy among the known HIV positive women in Kakamega County. Socio-cultural and societal demands were predictors of pregnancy among known HIV positive women in Kakamega County. The community should treat HIV positive women with respect and dignity, thus permitting them to continue their family legacy and sire children. It recommends that there is a need for the county government, department of health services to provide health education to the community on stigma reduction and discrimination meted on these women and negative perception of childlessness women in the society especially known HIV positive women. Further works on the myths and misconception that barrenness is blamed on women leaving men scot-free for the cloud to be the culprits of childlessness in the family.

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HIV serodiscordant and nondisclosure rates among married women living with HIV in a Southern Nigerian region

Calabar Journal of Health Sciences ◽

10.25259/cjhs_2_2021 ◽

2021 ◽

Vol 5 ◽

pp. 53-60

Author(s):

Ubong Bassey Akpan ◽

Kazeem Arogundade ◽

Ezukwa Omoronyia ◽

Atim Udo ◽

Mabel Ekott ◽

...

Keyword(s):

Married Women ◽

Hiv Care ◽

Hiv Positive ◽

Hiv Status ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Women Living With Hiv ◽

Hiv Status Disclosure ◽

Status Disclosure

Objectives: Intimate sexual partners’ disclosure of HIV positive status is vital in the control of HIV/AIDS pandemic globally. The disclosure rates vary from region to region. The aim of this study was to document the prevalence of HIV serodiscordance and partners disclosure rate; and also determine the associated factors among HIV positive married women living in Calabar region of Nigeria. Material and Methods: A cross-sectional survey was conducted among 260 married women, 18 years and above, receiving HIV care at various health institutions in the region. Data were analyzed using SPSS VERSION 23. Their demographic and health profile were presented in simple proportion and percentages while Chi-square test and logistic regression were used to determine the factors influencing patient’s HIV status disclosure with the level of significance set at 0.05. Results: A total of 254 compiled questionnaires were included in the analysis (response rate-97.7%). The serodiscordant rate was 50%. HIV status disclosure to partner was high, 89.4%. The main determinants of HIV status disclosure were good level of education (AOR = 2.2, 95% CI: = 1.75–2.53, P = 0.007) and long duration of ART use (AOR = 3.23, 95% CI = 2.78–4.15, P = 0.001) while women with high discordant rate were more likely to be divorced/separated (P = 0.012, OR = 1.67). Conclusion: Female education is an important factor in HIV control. Disclosure of HIV status is beneficial to the partner as it promotes safe sex practices and increases adherence to ART.

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The Complexity of Work for Women who are HIV Positive: A Case Study in DKI Jakarta

Jurnal Perempuan ◽

10.34309/jp.v23i4.269 ◽

2018 ◽

Vol 23 (4) ◽

pp. 203

Author(s):

Andi Nur Faizah

Keyword(s):

Qualitative Method ◽

Family Members ◽

Hiv Positive ◽

Difficult Situation ◽

Women Living With Hiv ◽

Hiv Positive Women ◽

And Gender ◽

Gender Categories ◽

Living With Hiv

The phenomenon of HIV-AIDS transmission places women in a difficult situation. The loss of family members such as husbands due to AIDS leaves women living with HIV positive in a struggle to access sources of livelihood. The condition of themselves as PLWHA, concerns about being stigmatized, caring for family members, and earning a living are the burdens of life they have to face. In this regard, this paper explores the complexity of the work of HIV-positive women. This study uses a qualitative method with a feminist perspective to get a complete picture of the livelihood of HIV-positive women. Based on interviews with five HIV-positive women, the findings found a link between social, identity, and gender categories that affect their livelihoods. HIV-positive women also transform themselves into their “normal” self by pretending to be healthy, able to work, have quality, and be independent. This is done as a form of resistance to the stigma attached to PLWHA.

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Food consumption and nutritional status of people living with HIV/AIDS (PLWHA): a case of Thika and Bungoma Districts, Kenya

Public Health Nutrition ◽

10.1017/s1368980009990826 ◽

2009 ◽

Vol 13 (4) ◽

pp. 475-479 ◽

Cited By ~ 9

Author(s):

Elizabeth Nafula Kuria

Keyword(s):

Nutritional Status ◽

Food Consumption ◽

Dietary Habits ◽

Well Being ◽

Hiv Positive ◽

People Living With Hiv ◽

Cross Sectional ◽

Significant Difference ◽

Living With Hiv ◽

Hiv Aids

AbstractObjectiveTo establish the food consumption, dietary habits and nutritional status of people living with HIV/AIDS (PLWHA) and adults whose HIV status is not established.DesignCross-sectional descriptive survey.SettingThika and Bungoma Districts, Kenya.SubjectsA random sample of 439 adults; 174 adults living with HIV/AIDS and 265 adults whose HIV/AIDS status was not established in Thika and Bungoma Districts.ResultsMajority of PLWHA consume foods that are low in nutrients to build up the immune system and help maintain adequate weight, and there is little variety in the foods they consume. More adults who are HIV-positive are undernourished than those whose status is not established. Of the HIV-positive adults, those with a BMI of ≤18·5 kg/m2 were 23·6 % (Thika 20·0 % and Bungoma 25·7 %) while of the adults whose status is not established those with BMI ≤ 18·5 kg/m2 were 13·9 % (Thika 9·3 % and Bungoma 16·7 %).ConclusionsAdults who are HIV-positive are more likely to be undernourished than those whose status is not established, as there is a significant difference (P = 0·000) between the nutritional status (BMI) of PLWHA and those whose HIV/AIDS status is not established. PLWHA consume foods that are low in nutrients to promote their nutritional well-being and health.

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The hope of women with HIV/AIDS: evaluation using the Herth Scale

Texto & Contexto - Enfermagem ◽

10.1590/s0104-07072013000100017 ◽

2013 ◽

Vol 22 (1) ◽

pp. 141-148 ◽

Cited By ~ 4

Author(s):

Fabiana de Souza Orlandi ◽

Neide de Souza Praça

Keyword(s):

Healthcare Services ◽

Cross Sectional Study ◽

Ethics Committee ◽

Average Score ◽

Hiv Positive ◽

Sectional Study ◽

Cross Sectional ◽

Hiv Positive Women ◽

The City ◽

Hiv Aids

This descriptive cross-sectional study had the objective to evaluate the level of hope in women aged 50 or older suffering from HIV/AIDS, utilizing the Herth Hope Scale. The study involved 200 HIV- positive women, within the age bracket of interest, enrolled in three STI/AIDS specialized healthcare services in the city of São Paulo. The rules of the 196/96 Resolution were met and the study was approved by the Research and Ethics Committee. Data were collected in 2010 using two instruments: subjects' characterization and the Herth Hope Scale. Results demonstrated an average score of 36.75 (±4.52) on the Herth Hope Scale, with an interval of 12 to 48. This score is below the score obtained with the same scale for various pathologies, indicating a reduced perception of hope by the sample. Nurses should provide interventions to improve hope for these people, establishing realistic goals and strengthening social support.

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