Identifying Key Elements to Inform the Development of an HIV Health Behavior Maintenance Intervention

Hile, Stephen J.; Feldman, Matthew B.; Raker, Amanda R.; Irvine, Mary K.

doi:10.1177/0890117116669108

Cited by 3 publications

(2 citation statements)

References 34 publications

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“…"ml" is milliliter earlier research done in other countries, which showed approximately 25% used alcohol in Africa and 21.8% in the United States in previous month [16,17]. Evidence has shown that the health outcomes are worse in patients who often drink alcohol, including a higher incidence of psychosocial problems and lower treatment adherence levels [18][19][20][21][22]. In addition, most of these drinkers were male PLWHA, which was consistent with findings from other studies [23][24][25].…”

Section: Discussionsupporting

confidence: 86%

Health related behaviors among HIV-infected people who are successfully linked to care: an institutional-based cross-sectional study

Wang

Cheng

2020

Infect Dis Poverty

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Background: By the end of October 2019, there were 958 thousand people were reported living with HIV/AIDS in China. Unhealthy lifestyle factors, such as smoking, drinking alcohol, using illicit drugs and no physical activity have been found to mitigate the positive impact of antiretroviral therapy (ART) on viral load and HIV-related quality of life. Moreover, risky sexual behavior among HIV-positive persons places their partners at risk for HIV transmission and other sexually transmitted infections. The aim of the study is to determine the prevalence of unhealthy behavior of people living with HIV/AIDS and related influencing factors, particularly those that are closely connected with HIV infection and ART effects. Methods: An institutional based cross-sectional study design was used to collect data from people living with HIV/ AIDS (PLWHA) in Beijing and Yunnan Province. The following information was included in the questionnaire survey: social-demographic characteristics, health behavior information, sexual risk behaviors. Binary logistic regression model was conducted to analyze the influencing factors of unhealthy general health behaviors and risky sexual behaviors. Results: In total, 2575 PLWHA were included in the study and 78.3% (2017/2575) were male. For the general health behaviors, 34.2% (987/2544) smoke; 33.8% (870/2575) drank alcohol and 2.3% (49/2134) reported the use of illicit drugs in the previous 6 months. From the sexual behaviors perspective, 59.0% (1519/2575) had sex in the previous 6 months. Among people who had sex, 92.0% (1398/1519) had fixed sexual partners. Among those with no fixed sexual partner, 38.0% (46/121) had more than three partners. Among men who had sex, 34.7% (448/1292) reported having sex with men in the previous 6 months and 16.7% (75/448) of these had group sexual activity. Among participants, 72.2% (1053/1458) used condoms every time they had sex while 6.4% (94/1458) of people never used condom. Male people living with HIV/AIDS were more likely to have sexual risk behaviors (adjusted odds ratio [OR] = 2.208, 95% confidence interval [CI]: 1.147-4.252) and unhealthy general health behaviors (adjusted OR = 2.029, 95% CI: 1.480-2.783). The odds of higher risk sexual behaviors was 1.546 times (95% CI: 1.302-1.827, P = 0.001) greater among participants who drank alcohol compared with their non-drinking counterparts.(Continued on next page)

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Section: Discussionsupporting

confidence: 86%

Health related behaviors among HIV-infected people who are successfully linked to care: an institutional-based cross-sectional study

Wang

Cheng

2020

Infect Dis Poverty

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“…The scope of the study was based on selected articles and publications designed to frame the understanding of eight random key concepts: (1) levirate marriage, (2) sororate marriage, (3) Kintwidi phenomenon, (4) sexual gender-based violence (SGBV) and female genital mutilation (FGM), (5) sexual cleansing, (6) poor condom usage for cultural reasons, (7) unprotected receptive vaginal or anal intercourse, and (8) discrimination and stigma. For instance, Hile et al (2018) employed in-depth individual and group interviews from 42 participants to identify factors that could be incorporated to promote positive HIV-related behavior and self-management in New York City. Further, Zhang et al (2018) suggested new directions for African American men who have sex with men (MSM) as elements to inform HIV programs and positive behavioral intervention to reduce community risks of HIV transmission.…”

Section: Introductionmentioning

confidence: 99%

Community-Based Interventions and Behaviors of HIV+ Persons in Congo-Kinshasa

Ebengho-Bokelo¹,

Super-Eloko²

2021

MAS

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Introduction: Sub-Saharan African communities bear the highest burden of HIV/AIDS in the world. Because of identifiable cultural links and local beliefs, people are more likely to engage in sexual mores that could negatively impact their life. Starting in early 2000, Congolese HIV+ patients have undergone a variety of medico-social inputs designed to decrease risky behaviors among people in the program and their family members. Goals: This inquiry aimed to understand how PLWHs assess the influence of community-based incentives within their society, as primarily conceived to improve daily behaviors of each person living with HIV (PLWH), and a few selected family members with unknown HIV-serostatus. Methods: From December 2020 to March 2021, a cross-sectional study was engaged to gather qualitative-driven information from nine in-depth interviews, three focus groups, and two key-informant interviews. Changes were self-assessed through data gotten from 2004-2014 in sexual cleansing, levirate and sororate marriage, Kintwidi phenomenon, stigma and discrimination, sexual gender-based violence (SGBV) and female genital mutilation (FGM), unprotected receptive vaginal or anal intercourse, and behavioral rejection of condoms throughout a decade of Congolese Community-based Interventions (CBIs) implemented from 2004. Grounded on the socioecological model (SEM), this ethnographic study was based on the meaning of the influence of CBIs on cultural behaviors among PLWHs for HIV/AIDS prevention purposes. Results: Data from Kinshasa and Bandundu were coded and analyzed through NVivo R1 and Excel, showing significant negative sentiments for all eight key-cultural components in PLWHs. Conclusion: Out of the holistic approach employed to tackle HIV/AIDS in communities, the comprehensive strategy enabled for social change in Congo-Kinshasa brought specific impactful insights in terms of behavior according to interviewed PLWHs. Findings could be used to inform further preventive activities to alleviate any community HIV burden in sub-Saharan Africa.

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Spiritual Needs as Expressed by People Living with HIV: A Systematic Review

Valente

Silva²,

Cavalcanti

2022

Religions

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It has been previously demonstrated that religiosity and spirituality can help support people living with HIV. Despite this, little work has been undertaken on this theme. Using the PRISMA methodology, we reviewed academic literature from 2008 to 2020 to summarize how people living with HIV define spiritual needs. We found fifty-nine distinct types of approach that were related to this theme and were grouped into four main categories: religious needs, social needs, existential needs, and emotional needs. Religious needs were more frequently cited, including individual prayers, the ingestion of miraculous medicines, and so on. The study calls attention to the concept’s multidimensionality and the cultural differences in the included papers. It reveals the need of each culture to research, to find an adequate meaning of spirituality, and to cater to the spiritual needs for people living with HIV as part of their healthcare, before setting health policies.

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Identifying Key Elements to Inform the Development of an HIV Health Behavior Maintenance Intervention

Abstract: Participants identified several factors that could be incorporated into an intervention to support HIV-related health-promoting behavior maintenance that could supplement existing HIV self-management interventions.

Cited by 3 publications

References 34 publications

Health related behaviors among HIV-infected people who are successfully linked to care: an institutional-based cross-sectional study

Health related behaviors among HIV-infected people who are successfully linked to care: an institutional-based cross-sectional study

Community-Based Interventions and Behaviors of HIV+ Persons in Congo-Kinshasa

Spiritual Needs as Expressed by People Living with HIV: A Systematic Review

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