HIV Symptoms and Health-Related Quality of Life Prior to Initiation of HAART in a Sample of HIV-Positive South Africans

Preez, Natalie Friend-du; Peltzer, Karl

doi:10.1007/s10461-009-9566-6

Cited by 20 publications

(18 citation statements)

References 35 publications

(42 reference statements)

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“…65 Studies from elsewhere in SSA have documented a positive relationship between social capital and health 66 and prayer/spirituality and quality of life among PLWHA. 67 Emerging evidence also shows that the availability of social networks such as treatment partners, healthcare workers and social support groups facilitates retention in care and adherence to ART, 38 66 68 both associated with improved treatment outcomes.…”

Section: Discussionmentioning

confidence: 99%

Living with HIV postdiagnosis: a qualitative study of the experiences of Nairobi slum residents

Wekesa

Coast²

2013

BMJ Open

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ObjectivesTo characterise the experiences of heterosexual men and women living with HIV postdiagnosis and explain these experiences in relation to their identity and sexuality.DesignQualitative study using in-depth interviews and a theoretically informed biographic disruption theory.SettingInterviews were conducted in two Nairobi slums (Kenya).Participants41 HIV-infected heterosexual men and women aged 18 years or older.ResultsPeople living with HIV have divergent experiences surrounding HIV diagnosis. Postdiagnosis, there are multiple phases of identity transition, including status (non-)disclosure, and attempts at identity repair and normalcy. For some people, this process involves a transition to a new self-identity, incorporating both HIV and antiretroviral treatment (ART) into their lives. For others, it involves a partial transition, with some aspects of their prediagnosis identity persisting, and for others it involves a rejection of HIV identity. Those people who were able to incorporate HIV/AIDS in their identity, without it being disruptive to their biography, were pursuing safer sexual and reproductive lives. By contrast, those people with a more continuous biography continued to reflect their prediagnosis identity and sexual behaviour.ConclusionsPeople living with HIV/AIDS (PLWHA) had to rework their sense of identity following diagnosis in the context of living in a slum setting. Men and women living with HIV in slums are poorly supported by health systems and services as they attempt to cope with a diagnosis of HIV. Given the availability of ART, health services and professionals need to support the rights of PLWHA to be sexually active if they want to and achieve their fertility goals, while minimising HIV transmission risk.

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Section: Discussionmentioning

confidence: 99%

Living with HIV postdiagnosis: a qualitative study of the experiences of Nairobi slum residents

Wekesa

Coast²

2013

BMJ Open

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“…Data were presented regarding increase or loss in weight as well as diagnostic of obesity [38,41,42]. Additionally, Similarly in the study by van As et al, 44% of the sample experienced digestive, metabolic or endocrine problems [25,26].…”

Section: Impairments Related To Body Structure and Functionmentioning

confidence: 99%

HIV-Related Disability in HIV Hyper-Endemic Countries: A Scoping Review

Hanass-Hancock¹,

Regondi²,

Egeraat³

et al. 2013

WJA

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Background: In the era of enhanced access to ART, many people live longer lives but with episodes of disability resulting from HIV, HIV-related conditions, and/or as side-effects of ART. It is crucial to understand the extent of disability among people living with HIV in high-prevalence settings to inform choices regarding care, policy and research. This article presents the results of the first scoping review to examine the extent, nature and range of disability among people living with HIV in HIV hyper-endemic countries. Methods: This scoping review used the World Health Organization's International Classification of Functioning, Disability and Health (ICF) to conceptualize "disability". A systematic search of electronic databases was conducted using specific keyword and subject heading combinations. Identified publications were screened and reviewed according to inclusion/exclusion criteria. Data were systematically extracted and reviewed for quality. Extracted data were reviewed for patterns related to methods or results. Results were aligned with the corresponding ICF code. Results: Forty-one articles were included, reporting data from 38 unique studies. Most (78%) of the studies were conducted in South Africa; five in Botswana, one in Zimbabwe and Lesotho, and none in Swaziland. Almost all studies recruited more females than males. All studies except two were in adults. The studies indicate that people living with HIV experience a variety of disabilities. Impairments in body structure/function comprise the majority of data, with particular focus on mental function. Data on activity limitations and participations restriction were limited, however, they were recorded. They indicate severe impact on people's life and possible adherence. Conclusions: We argue that the time has come to elevate the focus holistically on health and life-related consequences of living with HIV and to integrate disability into the discussions and approaches to HIV care.

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“…Medical pluralism or use of multiple healthcare modalities by HIV-positive people is common in South Africa: 51.3% in a 2008 survey of HIV-positive patients within three public hospitals in KwaZulu-Natal (n=618) 11 . Medical pluralism has been associated with delayed HIV testing 12 and heightened healthcare expenditure and increased likelihood of debt 13 .…”

Section: Introductionmentioning

confidence: 99%

Medical Pluralism Predicts Non-ART Use among Parents in Need of ART: A Community Survey in KwaZulu-Natal, South Africa

et al. 2014

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Despite documented common use of traditional healers and efforts to scale up ART in sub-Saharan Africa, evidence on whether medical pluralism predicts ART use is inconclusive and restricted to clinic settings. This study quantitatively assesses whether medical pluralism predicts ART use among parents in need of ART in South Africa. 2477 parents or primary caregivers of children were interviewed in HIV-endemic communities of KwaZulu-Natal. Analysis used multiple logistic regression on a subsample of 435 respondents in need of ART, who reported either medical pluralism (24.6%) or exclusive public healthcare use (75.4%). Of 435 parents needing ART, 60.7% reported ART use. Medical pluralism emerged as a persistent negative predictor of ART utilization among those needing it (AOR [95% CI]= .556 [.344 – .899], p=.017). Use of traditional healthcare services by those who need ART may act as a barrier to treatment access. Effective intersectoral collaboration at community level is urgently needed.

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HIV Symptoms and Health-Related Quality of Life Prior to Initiation of HAART in a Sample of HIV-Positive South Africans

Cited by 20 publications

References 35 publications

Living with HIV postdiagnosis: a qualitative study of the experiences of Nairobi slum residents

Living with HIV postdiagnosis: a qualitative study of the experiences of Nairobi slum residents

HIV-Related Disability in HIV Hyper-Endemic Countries: A Scoping Review

Medical Pluralism Predicts Non-ART Use among Parents in Need of ART: A Community Survey in KwaZulu-Natal, South Africa

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