scholarly journals Reasons for Disclosure of HIV Status by People Living with HIV/AIDS and in HIV Care in Uganda: An Exploratory Study

2010 ◽  
Vol 24 (10) ◽  
pp. 675-681 ◽  
Author(s):  
Sarah N. Ssali ◽  
Lynn Atuyambe ◽  
Christopher Tumwine ◽  
Eric Segujja ◽  
Nicolate Nekesa ◽  
...  
Author(s):  
Trinath Sarkar ◽  
Nabarun Karmakar ◽  
Aparajita Dasgupta ◽  
Bibhuti Saha

Background: HIV/AIDS is a serious challenge globally. Plethora of morbidities due to crippling immune system reduces quality of life (QOL). The advent of HAART has changed this deadly disease to a chronic manageable illness with focus shifting from fighting virus to ensuring a good QOL. Objective of the study was to assess stigma and discrimination among PLHA and factors influencing, if any in Indian setting.Methods: A cross sectional study was carried out among 220 male aged >15 years (PLHA) attending ART centre of centre of excellence in HIV care in India (CSTM, Kolkata) from May 2012-April 2013 using a pre-designed and pre-tested schedule regarding socio-demographic characteristics and social stigma. Statistical analysis was done using SPSS version 16.0 and p<0.05 was considered as significant.Results: Nearly half (45%) and one-fifth (20.9%) of the study population were discriminated by the family and community respectively. Most (74.5%) of the study population had disclosed their HIV status to their family members. Maximum participants (96.4%) agreed that those who know their HIV status will tell that to others. In the multivariate model with increase in PCI the odds of score of dependant variable increases, so the odds of social stigma decrease (as increase in score means decrease in social stigma).Conclusions: The results show that factors associated with stigma should be further explored as it’s important in considering public health interventions to improve care of PLHA in India.


2014 ◽  
Vol 18 (6) ◽  
pp. 1133-1141 ◽  
Author(s):  
Erica Breuer ◽  
Kevin Stoloff ◽  
Landon Myer ◽  
Soraya Seedat ◽  
Dan J. Stein ◽  
...  

2020 ◽  
Vol 17 (5) ◽  
pp. 458-466
Author(s):  
Anna Grimsrud ◽  
Lynne Wilkinson ◽  
Ingrid Eshun-Wilson ◽  
Charles Holmes ◽  
Izukanji Sikazwe ◽  
...  

Abstract Purpose of Review Despite the significant progress in the HIV response, gaps remain in ensuring engagement in care to support life-long medication adherence and viral suppression. This review sought to describe the different points in the HIV care cascade where people living with HIV were not engaging and highlight promising interventions. Recent Findings There are opportunities to improve engagement both between testing and treatment and to support re-engagement in care for those in a treatment interruption. The gap between testing and treatment includes people who know their HIV status and people who do not know their status. People in a treatment interruption include those who interrupt immediately following initiation, early on in their treatment (first 6 months) and late (after 6 months or more on ART). For each of these groups, specific interventions are required to support improved engagement. Summary There are diverse needs and specific populations of people living with HIV who are not engaged in care, and differentiated service delivery interventions are required to meet their needs and expectations. For the HIV response to realise the 2030 targets, engagement will need to be supported by quality care and patient choice combined with empowered patients who are treatment literate and have been supported to improve self-management.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Kefyalew Dagne Gizachew ◽  
Yigrem Ali Chekol ◽  
Elyas Admasu Basha ◽  
Shiferaw Abeway Mamuye ◽  
Abate Dargie Wubetu

Abstract Background Suicide is the act of intentionally causing one's own death. HIV/AIDS continues to be associated with an under-recognized risk for suicidal behavior. Suicidal behavior among people living with HIV/AIDS is not only a predictor of future attempted suicide and completed suicide, but it is also associated with poor quality of life and poor adherence with antiretroviral therapy. Objective The aim of this study was to assess the prevalence of suicidal ideation and attempt and associated factors among people living with HIV/AIDS in selected public hospitals of Amhara region, central Ethiopia. Methods Institutional based cross-sectional study design was employed. The study was conducted in four public hospitals in North Shewa Zone from May to December 2017. Study population comprised all HIV-infected individuals from Antiretroviral Therapy (ART) clinic. A total of 348 study subjects were recruited using systematic random sampling and 326 completed the interview. Suicidality module from Composite International Diagnostic Interview (CIDI) was modified to assess suicidal behavior. Crude and adjusted OR was analyzed using logistic regression and the level of significance of association was determined at P value < 0.05. Result A total of 326 (93.7%) study subjects were interviewed. The magnitude of suicidal ideation and attempt was found to be 16% and 7.1%, respectively. Low monthly income, living alone, suicidal thought before knowing seropositive status, family history of suicide, experiencing mild and moderate-to-severe depression and anxiety symptoms, being gossiped sometimes in the last 12 months of the study period due to HIV status and ever use of khat (a psychoactive substance) was statistically significant associated factor with suicidal ideation. And low monthly income, experiencing mild and moderate-to-severe depression and anxiety symptoms, being gossiped sometimes and often in the previous 12 months of the study period due to HIV status and using alcohol currently were significantly associated factors with suicidal attempt. Conclusion Suicidal ideation and attempt among people living with HIV/AIDS (PLWHA) in this study were higher than prevalence in the general population. This shows suicidal ideation and attempt is a mental health concern of PLWHA and it needs great attention in Ethiopia.


2019 ◽  
Author(s):  
REKIKU Fikre ABEBE ◽  
Tamrayhu seyoum

Abstract Abstract Introduction: Globally 78 million peoples have been infected with HIV/AIDS. Ethiopia has one of the largest populations of HIV infected people in the sub-Saharan region of Africa. The relationship between HIV epidemic and food security situation in Ethiopia is complex. Hence, it is likely that the epidemic will contribute to worsening widespread food insecurity. The aim of study was to assess the level of food security and associated factors among adult people living with HIV /AIDS attending ART Clinic in Hospitals of Hawassa city Administration. Methodology: Thisinstitutional based cross-sectional study was conducted from October to December 2017. Systematic sampling technique was used to select a total of 532 study participant. Data entry was done with EPI-info version 3.5.3 and transferred into SPSS Version 20. Crude with adjusted odds ratio with 95% confidence interval at p- value < 0.05were computed to examine statistical significance. Results:Based on food security assessment core module scale 360 (67.3%) People living with HIV/AIDSwere food insecure. People living with HIV/AIDSwho disclose HIV status were 3.9 (AOR=3.902, 95% CI (1.238, 12.301) times more likely to be food secured compared with their counterparts.Similarly, those who were with high and medium dietary diversity were about 5 times more likely to be house hold food insecure compared to those with low dietary diversity AOR= 4.990(2.488,10.05), AOR= 4.696(1.54,14.36), respectively. Conclusions:Food Security status among People living with HIV/AIDSon ART in Hawassa town was low. Dietary diversity, household size, and disclosing HIV status were found to be significant predictors of food security. Key words: Food security, food insecurity ,Adult living with HIV/AIDS.


2020 ◽  
Vol 4 (2) ◽  
pp. 50-58
Author(s):  
Tutur Irfantoro ◽  
Dwi Kartika Rukmi

Background: Victory Plus Foundation is a Non-Government Organization that helps the population directly affected by HIV/AIDS in Yogyakarta. Status disclosure’s research on People Living with HIV/AIDS (PLWHA) in Victory Plus Foundation is scarce. Even though the status disclosure is one of HIV spreading prevention, it has two-sided effects, both negative and positive, so its result can affect the quality of life despite PLWHA having tried to find a support system. Therefore, it is essential to know how the quality of life of PLWHA has opened up their status.Purpose: This study aimed to determine the relationship between HIV status disclosure and the quality of life of PLWHA in the Victory Plus Foundation, Yogyakarta.Method: This descriptive-analytic correlation study with a cross-sectional approach was conducted in June-July 2019 on 68 PLWHA at the Victory Plus Foundation. Purposively, samples were asked to fill out a disclosure questionnaire and WHOQOL-BREF. Univariate data presented in descriptions and Chi-Square tested bivariate data.Result: Most of the HIV status disclosure of PLWHA in the Victory Plus foundation was classified into a moderate category (77.9%) and low quality of life (64 %). The bivariate test result found a significant relationship between the HIV status disclosures with the quality of life in general (p = 0.001) with a moderate relationship closeness (r=0.403).Conclusion: Consequently, there is a relationship between the HIV status disclosures with the quality of life of PLWHA in the Victory Plus Foundation in Yogyakarta.


2017 ◽  
Vol 1 (1) ◽  
pp. 81
Author(s):  
Osman S. Abdirahman ◽  
Dr. Sarah Onyango ◽  
Dr. Charles Walekhwa

Purpose: The purpose of the study was to establish the perceptions and attitudes influence on the level of discrimination and stigmatization of people living with HIV/ AIDS in Garissa County.Methodology: The target population of the study was all the patients with HIV and AIDS attending The Comprehensive care Centre at Garissa Provincial General Hospital in Garissa County. There are approximately 2000 people actively on ARVs attending the facility. A sample of 200 respondents was selected using random sampling from the listed list of all patients in the hospitals. The study used primary data. Data collection methods included: questionnaires and interview guide. Data was analyzed quantitatively and qualitatively. Information was sorted, coded and input into the statistical package for social sciences (SPSS) for production of graphs, tables, descriptive statistics and inferential statistics. Results were presented by use of tables and charts.Results: Based on the findings, the study concluded that perceived factors influenced stigmatization and discrimination levels. Specifically, the likelihood of females spreading HIV influenced levels of stigmatization and discrimination. Similarly, the likelihood of old people spreading HIV influenced levels of stigmatization and discrimination.Unique contribution to theory, practice and policy: Based on the findings, the study recommends that group therapy should be conducted regularly with an aim of encouraging members of the public to be tested and be aware of their HIV status. 


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