Attitudes Toward Health Care Providers and Appointment Attendance in HIV/AIDS Patients

Bodenlos, Jamie S.; Grothe, Karen; Whitehead, Dori; Konkle‐Parker, Deborah; Jones, Glenn N.; Brantley, Phillip J.

doi:10.1016/j.jana.2007.03.002

Cited by 49 publications

(46 citation statements)

References 23 publications

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“…This study showed an association between social support and adherence among ADHC clients, as seen in other studies of PLWH (Bader et al, 2006;Bodenlos et al, 2007;Simoni et al, 2006). This study was not designed to establish causality, and the authors therefore cannot say that ADHC participation leads to increased social support or to increased adherence, or that increased social support leads to increased adherence in the ADHC setting.…”

Section: Limitations Of the Studysupporting

confidence: 65%

“…The high scores in reliable alliance could be interpreted as having the feeling of a safety net, reflecting the goals of ADHC care (Murphy et al, 1999). The difference in the social support subscale between the adherence groups was statistically significant (p 5 .02), suggesting an association between adherence and social support as has been observed in other groups of PLWH (Bader et al, 2006;Bodenlos et al, 2007;Simoni et al, 2006). Mean subscale scores were higher for instrumental provisions and lower for emotional provisions in both the adherent and nonadherent groups.…”

Section: Discussionmentioning

confidence: 71%

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Social Support and Adherence: Differences Among Clients in an AIDS Day Health Care Program

Gardenier¹,

Andrews²,

Thomas³

et al. 2010

Journal of the Association of Nurses in AIDS Care

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Challenges in care management threaten health outcomes in persons living with HIV (PLWH), who also have other medical and psychiatric diagnoses, substance use problems, or adjustment issues (comorbid PLWH). Integrated primary care programs have been developed to address multiple care needs in comorbid PLWH. The effectiveness of these models has not been shown empirically, in part because of multidisciplinary approaches to care. Adherence and its relationship to social support are key factors in favorable outcomes in HIV. The authors measured social support and adherence among clients in AIDS day health care, an integrated primary care program for comorbid PLWH. The level of social support among AIDS day health care clients who were adherent to their antiretroviral therapy was reported to be significantly higher than social support among those who were nonadherent. Implications of the differences in social support and adherence in the population are explored and discussed. Implications for nursing practice and future research are also addressed.

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Section: Limitations Of the Studysupporting

confidence: 65%

Section: Discussionmentioning

confidence: 71%

Social Support and Adherence: Differences Among Clients in an AIDS Day Health Care Program

Gardenier¹,

Andrews²,

Thomas³

et al. 2010

Journal of the Association of Nurses in AIDS Care

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“…Furthermore, discriminatory attitudes of society or HIV-related-care providers toward PLWHA may have a negative impact on adherence for treatment by people with symptoms of HIV (Brener, von Hippel, von Hippel, Resnick & Treloar 2010). Whereas, positive attitudes toward PLWHA have led to increase in adherence for treatment (Bodenlos et al 2007). Implementation of population-based programs through mass media for all people has to be taken into account as well.…”

Section: Discussionmentioning

confidence: 99%

Public perceptions about HIV/AIDS and discriminatory attitudes toward people living with acquired immunodeficiency syndrome in Iran

Masoudnia

2015

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Negative and discriminatory attitudes towards people living with HIV/AIDS (PLWHA) are one of the biggest experienced challenges by people suffering from HIV, and these attitudes have been regarded as a serious threat to the fundamental rights of all infected people who are affected or associated with this disease in Iran. This study aimed to determine the relationship between public perception about HIV/AIDS and discriminatory attitudes toward PLWHA . The present study was conducted using a descriptive and survey design. Data were collected from 450 patients (236 male and 214 female) in Tehran and Yazd cities. The research instruments were modified HIV-related knowledge/attitude and perception questions about PLWHA, and discriminatory attitudes toward PLWHA. The results showed that prevalence of discriminatory attitudes toward PLWHA in the studied population was 60.0%. There was a significant negative correlation between citizens' awareness about HIV/AIDS, HIV-related attitudes, negative perception toward people with HIV/AIDS symptoms and their discriminatory attitudes toward PLWHA (p , .01). The hierarchical multiple regression analysis showed that components of public perception about HIV/AIDS explained for 23.7% of the variance of discriminatory attitudes toward PLWHA. Negative public perceptions about HIV/AIDS in Iran associated with discriminatory attitudes toward PLWHA and cultural beliefs in Iran tend to stigmatize and discriminate against the LWHA.Keywords: Acquired Immunodeficiency Syndrome, Human Immunodeficiency Virus, negative perception, discriminatory attitudes, Iran RésuméLes attitudes négatives et discriminatoires envers les personnes vivant avec le VIH/SIDA (PVAVS) sont l'un des plus grands défis vécus par les personnes souffrant du VIH, et ces attitudes ont été considérées comme une grave menace pour les droits fondamentaux de toutes les personnes infectées qui sont touchés ou associés à cette maladie en Iran. Cette étude visait à déterminer la relation entre la perception du public sur le VIH/SIDA et les attitudes discriminatoires à l'égard des PVAVS (personnes vivant avec le VIH/SIDA). La présente étude a été réalisée en utilisant une conception descriptive et enquête. Les données ont été recueillies auprès de 450 patients (236 hommes et 214 femmes) à Téhéran et dans les villes de Yazd. Les instruments de recherche ont été modifiés connaissances/attitudes et perceptions des questions liées au VIH, et environ PVAVS attitudes discriminatoires envers les PVAVS. Les résultats ont montré que la prévalence des attitudes discriminatoires envers les PVAVS dans la population étudiée était de 60,0%. Il y avait une corrélation négative significative entre la sensibilisation des citoyens sur le VIH/SIDA, les attitudes liées au VIH, la perception négative envers les personnes vivant avec le VIH/SIDA symptômes et leurs attitudes discriminatoires envers les PVAVS (p , ,01). L'analyse de régression multiple hiérarchique a montré que les composants de la perception du public sur le VIH/SIDA a expliqué...

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“…Patients with positive attitudes toward their healthcare provider were more likely to attend their healthcare appointments. 15 Whetten et al 16 interviewed 611 HIV-infected individuals to assess whether higher trust in healthcare providers and the government was related to better healthcare utilization in the past and better health outcomes at the time of interview. Higher trust in healthcare providers was associated with increased outpatient visits and reduced emergency room visits in the past 9 months; and increased likelihood of taking antiretroviral therapy, and improved mental and physical health at the time of the interview.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Trust in Physicians and Trust in the Healthcare System on Linkage, Retention, and Adherence to HIV Care

Graham

Shahani

Grimes

et al. 2015

AIDS Patient Care and STDs

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Lack of trust by the patient in the physicians or the healthcare system has been associated with poorer health outcomes. The present study was designed to determine if trust in physicians and the healthcare system among persons newly diagnosed with HIV infection was predictive of patients' subsequent linkage, retention, and adherence to HIV care. 178 newly diagnosed HIV infected patients were administered the trust-in-physicians and trust-in-healthcare system scales. Median trust-in-physicians and trust-in-healthcare system scores were compared for all the mentioned subsequent linkage, retention, and adherence to HIV care. Univariate logistic regression using the trust-in-physician scale confirmed significant association with retention in care ( p = 0.04), which persisted in multivariate analyses ( p = 0.04). No significant association was found between trust-inphysicians and linkage to care or adherence to antiretroviral therapy. Trust in the healthcare system was not associated with any of the outcomes. Patients with higher trust in physicians were more likely to be retained in HIV care. Trust at diagnosis may not be a barrier to better clinical outcomes, either because trust changes based on subsequent interactions, or because trust is not a determining feature. Interventions to improve retention in care could include improving trust in physicians or target persons with low trust in physicians.

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Attitudes Toward Health Care Providers and Appointment Attendance in HIV/AIDS Patients

Cited by 49 publications

References 23 publications

Social Support and Adherence: Differences Among Clients in an AIDS Day Health Care Program

Social Support and Adherence: Differences Among Clients in an AIDS Day Health Care Program

Public perceptions about HIV/AIDS and discriminatory attitudes toward people living with acquired immunodeficiency syndrome in Iran

The Influence of Trust in Physicians and Trust in the Healthcare System on Linkage, Retention, and Adherence to HIV Care

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