Coping strategies of HIV-affected households in Ghana

Laar, Amos; Manu, Adom; Laar, Matilda E.; El-Adas, Angela; Amenyah, Richard; Atuahene, Kyeremeh; Quarshie, Dave; Adjei, Andrew A.; Quakyi, Isabella A.

doi:10.1186/s12889-015-1418-x

Cited by 17 publications

(17 citation statements)

References 20 publications

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“…However, in this context social support the family would expect from their neighborhood is very limited as most of them are also face similar situation. Patients compelled to hiding their illness due to stigma that further minimize support from their social networks (Laar et al, 2015). The evidence support the argument that family use both problem-solving and emotion-focused coping strategies where most of them have negative consequences while there only a very few positive outcomes such as the family bonds get strengthen preventing the patients isolating due to illness.…”

Section: Discussionsupporting

confidence: 59%

Burden of Chronic Kidney Disease of Uncertain Etiology on Families of Patients and Their Coping Behaviour in Two Farming Communities in Sri Lanka

Liyanage

2019

Jnl. Soc. Sci. Hum. Rev

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Present paper analyses disease burden of two decades-old CKDu on patients' family, their coping strategies and the repercussions of those strategies. CKDu literature in Sri Lanka discloses that there is quite a large number of studies which attempted to determine unknown etiology of the disease. Findings of those studies reveal that no concrete conclusions with regard to the etiology of CKD, instead a number of hypothesis were developed with contradictory arguments. Since there is no sufficient knowledge to comprehend the impact of growing health hazard on affected people, an empirical study was carried out with the purpose of exploring disease burden of CKDu on patients and their families. Medawachchiya and Padaviya DS Divisions were selected to assess impact of longstanding disease as it was initially identified in these two locations in the late 1990s. Mixed-method approach was adopted in the study and the findings reveal that majority of patients were diagnosed as CKDu at acute stage and they were at productive age in their lifespan. Majority of patients were reported their identity as sick/elderly and their family has to bear a heavy burden of CKDu. Both formal and informal social support systems were insufficient for affected communities. Family as the most significant entity attempts to minimize psychosocial and economic burden of CKDu while bearing low productivity of ill-member due to illness, by allocating its resources, both human and material, to manage the ill-health and the emotional and social cost of illness on family. Patients' family adopts both problem-solving and emotional-focused coping strategies to combat the crisis situation that leads adverse effects on the wellbeing of family members. Findings suggest that patients' family demands positive coping options including more information with regard to illness, educating them to properly manage the illness, access to professional psychosocial counseling and essential support services. In conclusion, the paper highlights number of issues that policy makers, planers and service providers need to take into consideration in order to mitigate adverse effects of emerging health hazard and to improve wellbeing of the family of patients.

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Section: Discussionsupporting

confidence: 59%

Burden of Chronic Kidney Disease of Uncertain Etiology on Families of Patients and Their Coping Behaviour in Two Farming Communities in Sri Lanka

Liyanage

2019

Jnl. Soc. Sci. Hum. Rev

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“…En relación con nuestros resultados, estos parecen indicar que los estudios que analizan las diferentes estrategias de afrontamiento familiar se centran principalmente sobre acontecimientos estresantes negativos para la familia y que suelen desencadenar algún tipo de crisis familiar, como son la aparición de una enfermedad crónica (16,18,24,29,35,37) , accidentes (17) , discapacidades (8) , pérdida del trabajo y problemas financieros derivados de este (19) , entre otros, y en la mayoría de los casos, son los niños los que las padecen (16,18,20,23,24,29,30,(32)(33)(34)37) .…”

Section: Discussionunclassified

“…Estas fueron: 6 estudios sobre estrategias de afrontamiento familiar en las enfermedades crónicas (16,18,24,29,35,37) , 6 sobre el Trastorno del Espectro Autista (TEA) (20,23,30,(32)(33)(34) , 4 sobre enfermedades mentales (25,27,31,36) , 2 sobre adicciones (22,26) , 2 sobre accidentes y discapacidad (8,17) , 2 sobre reajuste familiar (21,28) , y el restante, sobre la pérdida del trabajo y las dificultades financieras (19) .…”

Section: Dussel Et Al 2011 (19)unclassified

Estrategias de afrontamiento familiar y repercusiones en la salud familiar: Una revisión de la literatura

Martínez-Montilla

Amador-Marín

Guerra-Martín

2017

eglobal

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Introducción: La salud familiar ha constituido una preocupación para todos aquellos que trabajan con la familia. La forma que tiene la familia de enfrentarse a los acontecimientos y proceso vitales estresantes es conocida como afrontamiento familiar y tiene repercusión en la salud familiar. El objetivo del estudio fue conocer las estrategias de afrontamiento familiar y su relación con la salud familiar. Metodología: Se realizó una revisión de la literatura científica a través de las siguientes bases de datos: PubMed/Medline, SCOPUS, PsycINFO y Dialnet, desde 2010 hasta 2016. Resultados: Las estrategias iniciales de búsqueda identificaron un total de 1074 resultados, siendo finalmente seleccionados 23 estudios. En cuanto a las principales situaciones familiares estresantes fueron: enfermedades crónicas, Trastornos del Espectro Autista (TEA), enfermedades mentales y adicciones, accidentes y discapacidad, reajuste familiar, problemas laborales y financieros. Y las principales estrategias de afrontamiento familiar fueron: positivas como búsqueda de información, búsqueda de apoyo familiar, social o espiritual, aceptación y mejora de la autoestima. Y las negativas fueron negación, ocultación, desconexión, auto-culpa, distanciamiento emocional, consumo de sustancia, entre otros. Conclusiones: Los acontecimientos estresantes alteran el equilibrio dinámico familiar, de ahí la importancia de que la unidad familiar posea buenas estrategias de afrontamiento. Por otro lado, es importante que los profesionales de la salud conozcan los principales estresores, así como las estrategias de afrontamiento familiar positivas, para mediante la promoción de la salud, poder prevenir los problemas derivados de un inadecuado afrontamiento familiar.Palabras clave: Salud de la familia; Estrategias de Afrontamiento; Ajuste psicológico; Salud. ABSTRACT:Introduction: Family health has been a concern for all those working with the family. The way how the family has to face the stressful events and vital process is known as family coping and has impact on family health. The objective of the study was to find family coping strategies and their relationship to family health.

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“…This is particularly so for women [5,7]. Poverty also acts through food insecurity, to extend a barrier to some PLWHAs' treatment for HIV in other parts of SSA [5,42], as it is in Ghana [43][44][45]. The result is increased risk for both advancing HIV and onward transmission [46].…”

Section: Discussionmentioning

confidence: 99%

A gendered analysis of living with HIV/AIDS in the Eastern Region of Ghana

Owusu

2020

BMC Public Health

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Background: A gender gap exists in knowledge regarding persons living with HIV/AIDS in Ghana. Women living with HIV/AIDS (WLHIV) greatly outnumber males living with HIV/AIDS (MLHIV) in Ghana and Sub-Saharan Africa generally. This necessitates more gender-nuanced evidence-based information on HIV/AIDS to guide individuals, healthcare workers, and other stakeholders in Ghana particularly. This paper undertook a gender-focused analysis of the experiences of WLHIV and MLHIV in a municipal area in Ghana which has been most impacted by HIV/AIDS. Methods: In-depth interviews of 38 HIV-positive persons recruited using combined purposive and random sampling for one month, were tape recorded and analyzed using thematic content analysis. Participants were outpatients who were receiving routine care for co-morbidities at two specially equipped HIV/AIDS Voluntary Counseling and Testing Centers in the Lower Manya Krobo Municipality (LMKM), Eastern Region, Ghana. Results: Our data yielded three major themes: characteristics of participants, health status and health seeking behavior, and challenges encountered living with HIV/AIDS. Except for feeling of sadness due to their HIV/AIDSpositive status, there were significant differences in the experiences of MLHIV, compared to WLHIV. WLHIV were more likely to be housing insecure, unemployed due mostly to stigmatization/self-stigmatization, less likely to have revealed their HIV-positive status to multiple family members, and had more profound challenges regarding their healthcare. Most MLHIV expected, demanded, and had support from their wives; WLHIV were mostly single-never married, divorced or widowed (mostly due to HIV/AIDS). The vast majority of WLHIV complained of near-abject poverty, including for most of them, lack of food for taking their anti-retroviral medicines and/or taking it on time. Conclusions: The experiences of the MLHIV and WLHIV with living and coping with the virus mostly differed. These experiences were unequivocally shaped by differential socio-cultural tenets and gendered nuances; WLHIV had more negative experiences. Public education on the extra burden of HIV/AIDS on WLHIV, more social support, and affirmative action in policy decisions in favor of WLHIV in the study district are needed to seek public sympathy and improve health outcomes and livelihoods of WLHIV particularly. Further studies using multiple sites to explore these differences are warranted.

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Coping strategies of HIV-affected households in Ghana

Cited by 17 publications

References 20 publications

Burden of Chronic Kidney Disease of Uncertain Etiology on Families of Patients and Their Coping Behaviour in Two Farming Communities in Sri Lanka

Burden of Chronic Kidney Disease of Uncertain Etiology on Families of Patients and Their Coping Behaviour in Two Farming Communities in Sri Lanka

Estrategias de afrontamiento familiar y repercusiones en la salud familiar: Una revisión de la literatura

A gendered analysis of living with HIV/AIDS in the Eastern Region of Ghana

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