Purpose The purpose of this systematic review of qualitative literature was (1) to identify self-management strategies, (2) to identify women's barriers to self-management, and (3) to compare self-management strategies of diabetes and human immunodeficiency virus (HIV). African American women living with HIV are at high risk for developing diabetes because of genetics, lifestyle, and HIV treatment. Self-management of each of these conditions is critical to decrease morbidity and mortality. Conclusions A literature search resulted in 15 articles: 10 on the topic of HIV and 5 on diabetes. Self-management strategies included spirituality, family and social support, and indulgent self-care. Barriers included depression, stigma, and the role of caregiver. The themes identified for HIV and diabetes self-care barriers and facilitators were exceptionally similar. Themes of spirituality, family support, and indulgent self-care were part of both HIV and diabetes self-care. Women with HIV were less concerned with their independence than women with diabetes, and focused on disclosure of their HIV status and development of a support system.
Race and racial formations and categories define global systems of power and are not bound by history or culture. Nevertheless, with few noted exceptions, race as a category of analysis has largely been rejected and rendered inapplicable within Slavic, east European, and Eurasian Studies. This unwillingness to expand categories of critical analysis has created a void in our area and field of study, shaping a false sense of racelessness. Without the inclusion of race critical theories into our classrooms and scholarship, our students are left with minimal tools to address difference and social exclusion. In this article, we turn to critical perspectives to highlight some ways that race is being meaningfully incorporated into scholarship about the region. We illustrate why engagement with race and racialization is helpful for analysis, urgent, and necessary. Finally, we also address how our field can better prepare students as they engage these subjects.
Diabetes is one of the most common comorbid conditions in people living with HIV (PLWH). Diabetes may affect health-related quality of life (HRQoL) for PLWH because they experience more symptoms, are prescribed more medications, and are required to do self-care activities. The purpose of our study was to compare predictors of the HRQoL for PLWH with and without diabetes. The study was a secondary analysis of data from the Center for AIDS Research Network of Integrated Clinical Systems cohort using multiple regression. Significant differences were found between PLWH with and without diabetes. The significant predictors of HRQoL for PLWH-alone were depression, anxiety, medication adherence, physical activity, smoking, and age. For PLWH with diabetes, the only significant predictors of HRQoL were anxiety and depression.
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