HIV/AIDS, treatment adherence, and lifestyle: A qualitative study

Buehler, Kelsey; Spencer‐Rodgers, Julie; Peng, Kaiping

doi:10.1080/15381501.2017.1328326

Cited by 3 publications

(4 citation statements)

References 51 publications

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“…In addition, the behaviour of sex without condoms or sex with casual partners are acknowledged as one source of HIV infection in this study. While the use of condoms consistently and correctly are highly effective in preventing HIV transmission, barriers on the use of condoms have been reported, such as negative perceptions, an unsupportive environment and inequality in a relationship (husband/spouse refuses to use condoms) [5].…”

Section: Discussionmentioning

confidence: 99%

Profile of sociodemographics, sources of infection, antiretrovirals and CD4 counts on HIV/AIDS outpatients in Turen Primary Health Centre, Indonesia

Dhini

Setiadi

Wibowo

2019

Journal of Basic and Clinical Physiology and Pharmacology

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Background The profile of patients with HIV/AIDS is required to develop appropriate HIV/AIDS prevention and treatment programs in Indonesia. Turen is one of the four sub-districts with the highest number of patients with HIV/AIDS in Malang District, Indonesia. The purpose of this study is to determine the sociodemographic profile, sources of infection, use of antiretrovirals and CD4 counts on HIV/AIDS outpatients in Turen Primary Health Centre (PHC). Methods The sociodemographic data, antiretroviral use, and CD4 counts were obtained from medical records on HIV/AIDS outpatients in Turen PHC. A qualitative approach using in-depth interviews was used to explore the source of infection. Descriptive analysis was used to summarise the quantitative data, while thematic analysis was used to analyse the qualitative data derived from interviews. Results A total of 45 HIV/AIDS outpatient medical records were reviewed. Of those, the majority were females (57.8%), ages 26–35 years (51.1%), married (55.6%) and having income less than 2 million rupiah (73.3%). All of them used a combination of antiretroviral therapy from two classes of antiretrovirals, i.e. nucleotide analog reverse transcriptase inhibitor and non-nucleotide analog reverse transcriptase inhibitor; the majority were treated with fixed-dose combination of tenofovir-lamifudin-efavirenz. The CD4 counts data were obtained from 31 patients with an average number of 282 cells/mm3. The qualitative data from interviews with 15 patients revealed that the source of infection was from husband, unsafe/unprotected sex and blood donor. Conclusions The high prevalence of HIV/AIDS among young married women and poor control of the disease in Indonesia warrants further considerations. The government should work together with all related stakeholders in raising awareness of HIV/AIDS, particularly among women, as well as improving treatment and support for people living with HIV/AIDS.

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Section: Discussionmentioning

confidence: 99%

Profile of sociodemographics, sources of infection, antiretrovirals and CD4 counts on HIV/AIDS outpatients in Turen Primary Health Centre, Indonesia

Dhini

Setiadi

Wibowo

2019

Journal of Basic and Clinical Physiology and Pharmacology

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Section: Introductionmentioning

confidence: 99%

“…Identifying people at risk for unhealthy behaviors, recognizing specific barriers to living safely with HIV, and understanding the psychological, social, and lifestyle factors that lead to treatment are key to preventing mortality and improving the overall health of people with HIV. 4 Inappropriate lifestyle is one of the most influential factors in the occurrence of disease and many health problems. Thus, lifestyle plays an important role in the exacerbation or persistence of disease and has other consequences such as feelings of emptiness and dissatisfaction with life, lower life expectancy, poorer quality of life, and higher health care burden.…”

Section: Introductionmentioning

confidence: 99%

“…8 The results of other studies have highlighted the need for further studies on the PLWH, as few studies have been conducted to investigate all aspects of a health-promoting lifestyle in PLWH. 4 Iran as one of the countries few studies have been conducted on the lifestyle of patients despite their exposure to HIV. 9 Kermanshah is one of the centers of HIV disease in Iran, which is associated with social problems such as poverty, unemployment, and social inequalities that lead to inappropriate lifestyles.…”

Section: Introductionmentioning

confidence: 99%

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Lifestyle in People Living With HIV: A Study of Patients in Kermanshah, Iran

Zangeneh

Khademi

Ziapour

et al. 2023

INQUIRY

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There is limited research on the role of lifestyle in people living with HIV (PLWH). This study investigated the health-promoting lifestyle among PLWH in Kermanshah-Iran. This cross-sectional study was conducted in 321 PLWH patients referred to the Kermanshah Behavioral Diseases counseling Center between 2017 and 2018. Patients were selected using the convenience sampling method. Data was collected using a standard health promotion lifestyle profile (HPLP-II) questionnaire. Regression and T-tests were used in SPSS 21 and Stata software to analyze the data. The mean age of patients was 41.07 ± 9.14 years. The mean HPLP score of patients in stress management had the lowest mean score (19.44 ± 4.22), and health responsibility had the highest mean score (22.22 ± 4.57). Comparisons between women and men also showed that women had a lower mean score than men in stress management. In addition, significant differences in their HPLP were observed only in the area of physical activity. The final model had significant influence on the PLWH ( P < .001), in which the main predictors were housing status, family members, and feelings of happiness. These variables had a negative effect on HPLP in PLWH’s. An appropriate education and training has improved the PLWH health-oriented lifestyle. Given that the housing situation affected health responsibility, nutrition, spiritual growth, interpersonal relationships, and stress management, may have caused severe anxiety and confusion in PLWH. Addiction also had a negative effect on patients’ spiritual growth. Relatively simple lifestyle changes such as nutrition and stress management can significantly improve PLWH.

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