Experiencing uncertain HIV treatment delivery in a transitional setting: qualitative study

Bernays, Sarah; Rhodes, Tim

doi:10.1080/09540120802183495

Cited by 13 publications

(8 citation statements)

References 26 publications

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“…There were similarities between our respondents’ reports with discrimination experiences with those of PLH in other post-socialist countries (Amirkhanian et al 2003; Novotny et al 2003; Rhodes – Simic 2005; Štulhofer et al 2008; Bernays – Rhodes 2009; Bernays et al 2010). The similarities illustrate the disempowering effects of HIV/AIDS stigma especially in denial of access to work either by being fired from workplaces or not being hired for jobs.…”

Section: Discussionsupporting

confidence: 59%

Effects of Stigmatization on Gay Men Living with HIV/AIDS in a Central-Eastern European Context: A Qualitative Analysis from Hungary

et al. 2012

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This qualitative study highlights the social dynamics affecting people living with HIV (PLH) in Hungary and in the Central-Eastern European region. The study focused on the special needs and concerns of men living with HIV/AIDS as well as changes in their social relationships and institutional support provision, coping strategies and patterns of social functioning, especially in the context of social stigmatization. Consistent with international qualitative research findings in the field of HIV/AIDS prevention, the present study contributes to a fuller understanding of relationship between sexual behavior, HIV/AIDS related risks and risk perceptions as well as homosexuality-and HIV/AIDS stigma-related social exclusion in a previously under-researched socio-cultural setting. The findings of our study point to several barriers to effective HIV prevention, which should be overcome to improve the present situation by lessening the adverse effects of HIV/AIDS-and homosexuality-related stigma within the gay community, the general population and especially among service providers. One of the main barriers is the lack of public health programs specifically targeting MSM in Hungary, where the predominant mode of HIV transmission remains sex between men.

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Section: Discussionsupporting

confidence: 59%

Effects of Stigmatization on Gay Men Living with HIV/AIDS in a Central-Eastern European Context: A Qualitative Analysis from Hungary

et al. 2012

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“…For example in Croatia in 2009, out of 26 antiretroviral formulations registered in the EU, 14 were available to Croatian patients. There are also occasionally irregular supplies of antiretrovirals and the level of stigma towards MSM and patients with HIV/AIDS is high [13], [14]. Although there are not many patients in need for treatment and the health care insurance system is universal and free of charge for the individual, there is pressure from health care authorities to save costs.…”

Section: Discussionmentioning

confidence: 99%

Frequency of HIV-1 Viral Load Monitoring of Patients Initially Successfully Treated with Combination Antiretroviral Therapy

et al. 2010

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BackgroundAlthough considered an essential tool for monitoring the effect of combination antiretroviral treatment (CART), HIV-1 RNA (viral load, VL) testing is greatly influenced by cost and availability of resources.ObjectivesTo examine whether HIV infected patients who were initially successfully treated with CART have less frequent monitoring of VL over time and whether CART failure and other HIV-disease and sociodemographic characteristics are associated with less frequent VL testing.MethodsThe study included patients who started CART in the period 1999–2004, were older than 18 years, CART naive, had two consecutive viral load measurements of <400 copies/ml after 5 months of treatment and had continuous CART during the first 15 months. The time between two consecutive visits (days) was the outcome and associated factors were assessed using linear mixed models.ResultsWe analyzed a total of 128 patients with 1683 visits through December 2009. CART failure was observed in 31 (24%) patients. When adjusted for the follow-up time, the mean interval between two consecutive VL tests taken in patients before CART failure (155.2 days) was almost identical to the interval taken in patients who did not fail CART (155.3 days). On multivariable analysis, we found that the adjusted estimated time between visits was 150.9 days before 2003 and 177.6 in 2008/2009. A longer time between visits was observed in seafarers compared to non-seafarers; the mean difference was 30.7 days (95% CI, 14.0 to 47.4; p<0.001); and in individuals who lived more than 160 kilometers from the HIV treatment center (mean difference, 16 days, p = 0.010).ConclusionsLess frequent monitoring of VL became common in recent years and was not associated with failure. We identified seafarers as a population with special needs for CART monitoring and delivery.

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“…Within the HIV literature there has been some focus on feeling with discussions of the importance of hope and hopelessness (Bernays, Rhodes, and Barnett 2007;Kylm€ a, Vehvil€ ainen-Julkunen, and L€ ahdevirta 2001). The causal links between poor adherence and hope is posited such that certain environments do not engender hope or longterm planning which, in turn, weakens self and community regulation of risk (Bernays and Rhodes 2009). But hope itself as a concept has been left relatively uninterrogated; considered simply as 'a positive expectation of the future' (Bernays, Rhodes, and Barnett 2007).…”

Section: Beyond Blame and Individualised Risk Factorsmentioning

confidence: 99%

Understanding men, mood, and avoidable deaths from AIDS in Western Kenya

Aellah

2020

Culture, Health & Sexuality

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Experiencing uncertain HIV treatment delivery in a transitional setting: qualitative study

Cited by 13 publications

References 26 publications

Effects of Stigmatization on Gay Men Living with HIV/AIDS in a Central-Eastern European Context: A Qualitative Analysis from Hungary

Effects of Stigmatization on Gay Men Living with HIV/AIDS in a Central-Eastern European Context: A Qualitative Analysis from Hungary

Frequency of HIV-1 Viral Load Monitoring of Patients Initially Successfully Treated with Combination Antiretroviral Therapy

Understanding men, mood, and avoidable deaths from AIDS in Western Kenya

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