Factors associated with hostility among people living with HIV/AIDS in Northeast China: a cross-sectional study

Abstract

Background Hostility can result in negative outcomes in people living with HIV/AIDS (PLWHA); however, previous research on this topic is far from adequate. To contribute to existing knowledge on this aspect of PLWHA, the current study examined the prevalence of hostility and its potential influencing factors among PLWHA. Methods A cross-sectional questionnaire survey was undertaken on 218 HIV patients in Heilongjiang Province of China between March and August in 2013. A multiple logistic regression analysis was performed to identify factors associated with hostility. Results The prevalence of hostility was 17.0% among the participants. The three most alarming types of hostility included desiring to kill the person who infected them, blaming the infection on the society, and abandoning themselves to despair. A multiple logistic regression model identified that depression (OR = 3.845, 95% CI = 1.309–9.229), perceived stigma (OR = 3.281, 95% CI = 1.109–7.711), and fear of dying (OR = 2.710, 95% CI = 1.068–6.881) were the risk factors for hostility, while higher levels of trust-in-doctor (OR = 0.176, 95% CI = 0.060–0.517) and per capita household income (OR = 0.344, 95% CI = 0.119–0.991) were protective factors. Conclusions Our findings highlight the prominent influence of psychological, healthcare, and social factors on hostility among PLWHA. Interventions specifically targeted to reduce hostility should be provided, including incorporating psychological service into HIV management guidelines, enhancing PLWHA’s trust-in-doctor, establishing comprehensive services for PLWHA, reducing the social stigma against PLWHA, and paying more attention to PLWHA with financial problems. These interventions may improve the management and control of HIV/AIDS.

Alcohol use, depressive symptoms, and intimate partner violence perpetration: A longitudinal analysis among men with HIV in northern Vietnam

“…However, an inherent assumption in these theories is that alcohol use and depressive symptoms are aggression-provoking factors both independently and jointly [ 37 – 39 ]. Our study suggests that Vietnamese men with HIV who are concurrently using alcohol and experiencing depressive symptoms may not express aggression-provoking symptoms, such as hostility or anger [ 33 , 69 ]. The combination of alcohol use, depressive symptoms, and HIV infection may lead to decreased energy and fatigue [ 70 , 71 ], resulting in no relationship between alcohol use and IPV perpetration.…”

Longitudinal analysis of alcohol use and intimate partner violence perpetration among men with HIV in northern Vietnam

“…To prevent IPV perpetration and forward HIV transmission among men with HIV, psychosocial counseling interventions should address alcohol use with a focus on reducing frequent drinking and AUD. to consider unique characteristics in this population that may drive hazardous drinking and IPV perpetration, such as HIV-specific coping strategies, anger, or psychological distress (McIntosh et al, 2015;Zhao et al, 2019).…”

Dukungan Psikologis dan Lingkungan: Komplemen Penting Terapi Antiretroviral Secara Terkontrol untuk Pasien HIV

“…Namun populasi kami justru tidak percaya diri terhadap penampilan fisik mereka sendiri. Maka penting bagi penyedia layanan kesehatan untuk memberikan kepercayaan dan kepastian, bahwa mereka tidak memiliki masalah terhadap penyakitnya [5], [22], [32], [33]. Bagi pasien HIV, kondisi psikologis yang nyaman merupakan atribut penting dalam menjalani hidup damai bersama penyakitnya [34], [35].…”

“…Peningkatan kualitas hidup juga beriringan dengan perbaikan finansial [11], [27], [33], [36], [40], dan pekerjaan yang stabil [36]. Meskipun mereka memperoleh layanan antiretroviral secara gratis, namun mereka perlu finansial yang stabil untuk mengakses layanan penunjang kesehatan lain [41].…”