The Impact of Disaster on HIV in Haiti and Priority Areas Related to the Haitian Crisis

Malow, Robert M.; Rosenberg, Rhonda; Lichtenstein, Bronwen; Dévieux, Jessy G.

doi:10.1016/j.jana.2010.02.002

Cited by 21 publications

(37 citation statements)

References 17 publications

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“…The lack of housing after the earthquake resulted in young women exchanging sex for shelter [6,7]. Lack of security and protection in internally displaced persons camps, combined with inadequate lighting, bathing facilities, tents, and a lack of police patrols elevate exposure to violence – in particular GBSV – and precarious living for internally displaced persons in Haiti [1,2,8–10].…”

Section: Introductionmentioning

confidence: 99%

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‘Life under the tent is not safe, especially for young women’: understanding intersectional violence among internally displaced youth in Leogane, Haiti

Logie

Daniel

Ahmed

et al. 2017

Global Health Action

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Background: Haiti’s 2010 earthquake devastated social, health, and economic infrastructure and left 2 million persons homeless. Over 6 years later 61,000 people remain displaced, most lacking protection, services, and durable solutions. Structural contexts elevate risks of gender-based violence (GBV) targeting internally displaced (ID) girls and women. Objective: We used an intersectionality framework to explore lived experiences and understanding of violence among ID young men and women in Leogane, Haiti. Methods: We conducted six focus groups, three with ID young women (n = 30) and three with ID young men (n = 30) aged 18–24 years, and 11 in-depth individual interviews with frontline workers in Leogane. Focus groups and interviews were conducted in Kreyol, transcribed verbatim, translated into English, and analyzed using narrative thematic techniques. Results: Findings revealed violence experienced by ID youth was (re)produced at the intersection of gender, poverty, displacement, and age. Multi-level forms of violence included structural (e.g. poverty), community (e.g. gender norms, and interpersonal (e.g. family expectations) dimensions. Coping strategies spanned intrapersonal (hope), community (social support), and structural (employment/education) dimensions. Conclusions: Interventions to reduce violence should be tailored to address the social inequities that emerge at the intersection of youth, poverty, displacement, and hegemonic gender norms.

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Section: Introductionmentioning

confidence: 99%

“…Intersecting factors increase gender inequities among internally displaced women in Haiti, including poverty, unemployment, insecure housing, and gender norms grounded in hegemonic masculinity [7,10]. Further, Haiti is the poorest country in the Western hemisphere with an unemployment rate predating the earthquake of 40% [15,16].…”

Section: Introductionmentioning

confidence: 99%

‘Life under the tent is not safe, especially for young women’: understanding intersectional violence among internally displaced youth in Leogane, Haiti

Logie

Daniel

Ahmed

et al. 2017

Global Health Action

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“…Study findings further indicate that even lower adherence rates can be found in PLWH coping with substance abuse and/or environmental and psychosocial constraints (Wood et al, 2009;Malow et al, 2010;Moatti, 2002;Safren et al, 2001). …”

Section: -5mentioning

confidence: 74%

“…In a study conducted in Haiti, it was found that depression and negative attitudes about ART directly predicted poorer adherence (Malow et al, 2010). Findings demonstrate that depression and anxiety are common among the target population and rank among the strongest predictors of non-adherence to ART.…”

Section: Depression and Anxiety In Haitimentioning

confidence: 97%

“…ART has played a significant role not only in reducing mortality and improving the quality of life of persons living with HIV, but also in helping them achieve long-term optimal health and almost certainly in reducing HIV incidence (UN Development Programme, 2013;Donnell et al, 2010;Palombi et al, 2012;Bangsberg, Moss, & Deeks, 2004;Carpenter since the 2010 earthquake (Wood et al, 2009;Malow et al, 2010;Moatti, 2002;Safren et al, 2001;Koenig et al, 2010). Research has identified multiple barriers to ART adherence and response, including poor social support Bryant, 2006), alcohol abuse Baum et al, 2010;Malow et al, 2013;Nachega et al, 2005), negative beliefs about medicine (DiMatteo, Lepper, & Croghan, 2000;Starace et al, 2002), depression and anxiety Starace et al, 2002;Weaver et al, 2005;Krain & Fitzgerald, 2005;Ghose et al, 2013), and stigma (Castro & Farmer, 2005;Dévieux et al, 2004;Vyavaharkar et al, 2007).…”

Section: Women and Hivmentioning

confidence: 99%

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The Influence of Psychological Predictors and Cognitive Behavioral Stress Management Intervention on Antiretroviral Therapy (ART) Adherence Among HIV-Positive Female Haitian Alcohol Users

Jean¹

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DEDICATIONThis dissertation is dedicated to my parents Lionel and Maud Jean for all the sacrifices that they made so that my siblings and I could have all the opportunities in order to live a fulfilled life. This is also dedicated to my grandparents for teaching me about the role of family and about faith. Most importantly, this is dedicated to Haiti and the people of Haiti, for teaching me about perseverance and how to overcome adversities.

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Depression, Substance Abuse and Other Contextual Predictors of Adherence to Antiretroviral Therapy (ART) Among Haitians

et al. 2013

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Haiti has the highest number of individuals living with HIV in the Caribbean. Due to Haiti's resource-poor environment and inadequate mental health and substance abuse services, adherence to antiretroviral therapy (ART) may be especially difficult. This study examined associations among demographics, maladaptive coping, partner conflict, alcohol problems, depression, and negative attitudes about medications and their impact on adherence among 194 HIV-positive Haitians. In a mediated directional structural equation model, depression and negative attitudes about ART directly predicted poorer adherence. Greater partner conflict, maladaptive coping and alcohol problems predicted more depression. Maladaptive coping predicted a negative attitude about ART. Alcohol problems predicted partner conflict and maladaptive coping. Significant indirect effects on adherence mediated through both depression and negative attitudes about ART include negative effects of female gender, alcohol problems and maladaptive coping. Results highlight the importance of integrated care for depression, alcohol use and other psychosocial problems to increase ART adherence.

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The Impact of Disaster on HIV in Haiti and Priority Areas Related to the Haitian Crisis

Cited by 21 publications

References 17 publications

‘Life under the tent is not safe, especially for young women’: understanding intersectional violence among internally displaced youth in Leogane, Haiti

‘Life under the tent is not safe, especially for young women’: understanding intersectional violence among internally displaced youth in Leogane, Haiti

The Influence of Psychological Predictors and Cognitive Behavioral Stress Management Intervention on Antiretroviral Therapy (ART) Adherence Among HIV-Positive Female Haitian Alcohol Users

Depression, Substance Abuse and Other Contextual Predictors of Adherence to Antiretroviral Therapy (ART) Among Haitians

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