Facilitators of and barriers to HIV self-management: Perspectives of HIV-positive women in China

Wang, Kerong; Chen, Wei-Ti; Zhang, Lin; Bao, Meijuan; Zhao, Hongxin; Lu, Hongzhou

doi:10.1016/j.apnr.2016.06.004

Cited by 29 publications

(41 citation statements)

References 43 publications

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“…HIV remains a highly stigmatized illness globally [ 1 ]. Numerous studies have shown that stigma is associated with poor adherence to antiretroviral therapy (ART) [ 2 ], mental health disorders such as loneliness, depression and anxiety [ 3 ], non-disclosure of HIV status, and overall poor health outcomes [ 4 , 5 ]. Because stigma continues to be a major barrier to seeking HIV testing, care, and treatment services [ 6 , 7 ], it is recognized as a priority for both primary and secondary prevention of HIV and AIDS [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

HIV-related stigma among people living with HIV/AIDS in rural Central China

Zhen

Morano

Khoshnood³

et al. 2018

BMC Health Serv Res

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BackgroundHIV-related stigma among people living with HIV/AIDS (PLWHA) has been associated with many negative consequences, including poor adherence to therapy and undue psychological stress. However, the relative influence of specific demographic and situational factors contributing to HIV-related stigma among rural PLWHA in central China remains unknown. The aim of this study was to explore the level of HIV-related stigma among rural PLWHA across specific demographic and situational factors in central China.MethodsA cross-sectional study was conducted among PLWHA receiving care through the Chinese Centers for Disease Control of Zhenping county in Henan Province, China. Participants completed a 55-item questionnaire which included demographic and disease-related factors, HIV-related stigma was measured utilizing the validated Berger HIV Stigma Scale which has good psychometric characteristics in Chinese PLWHA.ResultsA total of 239 PLWHA completed the survey. The mean total HIV-related stigma score was 105.92 (SD = 12.35, 95% CI: 104.34, 107.49). Multivariable linear regression analysis revealed a higher level of HIV-related stigma in younger PLWHA (β = − 0.57, 95% CI = − 0.78,-0.35, p<0.001) and those who self-reported opportunistic infections (β = 6.26, 95% CI = 1.26, 11.26, p < 0.05).ConclusionsThe findings in the current study suggest that rural PLWHA in central China suffer from the burden of HIV-related stigma at a moderate to high level. Younger PLWHA and PLWHA that have opportunistic infections tend to perceive a higher level of HIV stigma.

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Section: Introductionmentioning

confidence: 99%

HIV-related stigma among people living with HIV/AIDS in rural Central China

Zhen

Morano

Khoshnood³

et al. 2018

BMC Health Serv Res

View full text Add to dashboard Cite

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“…In a collective culture like China's, nurses should aware of the social norms and how that can enhance self-management in PLWHA (Wang, Chen, et al, 2016). In addition, there are expectation gaps between HCPs and PLWHA.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the HIV-related self-and family management theoretical framework (Wang, Chen, et al, 2016), we revised the model to more closely fit the current study (see Fig. 1).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…Symptoms and stresses vary in PLWHA. For instance, while some individuals have more issues with disclosing their HIV status, others report health access difficulties (Wang, Chen, et al, 2016). In addition, some PLWHA have sought more family and social support while living with HIV (MacCarthy et al, 2018;Wang, Chen, et al, 2016).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…For instance, while some individuals have more issues with disclosing their HIV status, others report health access difficulties (Wang, Chen, et al, 2016). In addition, some PLWHA have sought more family and social support while living with HIV (MacCarthy et al, 2018;Wang, Chen, et al, 2016). Particularly, PLWHA have reported higher needs when the symptoms were more severe (Osse, Vernooij-Dassen, Schade, & Grol, 2007).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

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Unmet needs of symptom management and associated factors among the HIV-positive population in Shanghai, China: A cross-sectional study

Dong

Chen

et al. 2020

Applied Nursing Research

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Background: People living with HIV/AIDS (PLWHA) are a vulnerable group who experience multiple physiological and psychological symptoms. A better understanding of unmet symptom management needs will allow researchers to design interventions that are more reflective of deficits in care and more effective at improving patient care. Few studies have focused on unmet needs for symptom management in PLWHA particularly in China. Factors influencing Chinese PLWHA symptom management needs are rarely discussed. Aim: The purpose of this study was to investigate the unmet needs for symptom management of PLWHA and how their symptom burden, HIV perceived stigma, and self-management capacity contributes to HIV-related selfmanagement practices in Shanghai, China. Design: Study participants were recruited from the outpatient and inpatient HIV/AIDS wards in an infectious hospital in Shanghai, China. Self-administered questionnaires were implemented and medical charts were reviewed. Results: A total of 367 participants was recruited from April to September 2017. The results show that 53.1% (195 of 367) of participants presented at least one unmet symptom management need and that symptom burden, as well as perceived stigma, reduced self-management capacity, and no employment significantly affected unmet symptom management needs. Conclusion: The findings indicate that there is room for improvement in symptom management for Chinese PLWHA. Culturally appropriate interventions focusing on improving symptom burden, decreasing HIV perceived stigma, and enhancing self-management capacity can enhance symptom management in this population.

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The influence of online social support on health self‐management among gay men living with HIV in China

Guo,

Zheng,

Xiang

et al. 2024

Community & Applied Soc Psy

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Gay men living with HIV/AIDS (GMLHA) in China face the dual discrimination from stigmatization of HIV/AIDS and the marginalization of sexual orientation. Online social communities have become an increasingly important channel for them to seek and share health information. This study aims to examine the actual impact of online social support exchange on GMLHA's health self‐management in China. In this study, results of a questionnaire survey conducted in China's Weibo community (N = 303) showed that offering online social support can positively predict both physical and psychological health self‐management. Moreover, receiving online social support in the GMLHA online community can enhance the HIV/AIDS patient's mental health self‐management but does not forecast an improvement in the physical health self‐management level. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.

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Facilitators of and barriers to HIV self-management: Perspectives of HIV-positive women in China

Cited by 29 publications

References 43 publications

HIV-related stigma among people living with HIV/AIDS in rural Central China

HIV-related stigma among people living with HIV/AIDS in rural Central China

Unmet needs of symptom management and associated factors among the HIV-positive population in Shanghai, China: A cross-sectional study

The influence of online social support on health self‐management among gay men living with HIV in China

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