Psychosocial predictors of quality of life among South Africa adolescents receiving antiretroviral therapy

Kagee, Ashraf; Coetzee, Bronwynè; Toit, Stefani Du; Loades, Maria

doi:10.1007/s11136-018-2010-5

Cited by 8 publications

(4 citation statements)

References 58 publications

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“…AGYW living with (or affected by) HIV were found to be affected by poverty, stigma, and discrimination [33,38,43,44,46,48,49,52,55,59,73,85]. Three studies found that poverty was a distinct hindrance to AGYW's health and well-being because poverty acted as a barrier to managing health in their everyday life [43,46,52].…”

Section: Poverty Stigma and Discriminationmentioning

confidence: 99%

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Adolescent Girls and Young Women’s Experiences of Living with HIV in the Context of Patriarchal Culture in Sub-Saharan Africa: A Scoping Review

2022

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Adolescent girls and young women (AGYW) in sub-Saharan Africa are disproportionately affected by the human immunodeficiency virus (HIV) due to socio-cultural gender, power, and economic disparities. This scoping review examined the literature to explore what is known about AGYW’s everyday personal, relational, and social experiences of HIV to help shape future protective HIV policy and practice. Six databases were searched: Medline, CINAHL, Scopus, ASSIA, Google Scholar, and ProQuest, resulting in a total of 12,581 articles. Of these, 40 articles were included in the review. Key themes generated from the thematic analysis were relational and psychosocial challenges, inhibiting sexual expression, poverty, stigma, and discrimination; managing health in everyday life; agency and resilience; and personal space and social support. In conclusion, the review found a lack of understanding of AGYW’s everyday experiences of living with HIV from their own perspectives. There was also little consideration of the role of patriarchal culture and how this constrains AGYW’s ability to negotiate their relationships. Further research is needed to reveal AGYW’s perspectives on living with HIV in sub-Saharan Africa.

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Section: Poverty Stigma and Discriminationmentioning

confidence: 99%

“…This review found that AGYW continue to experience enacted stigma and felt discrimination within their social context [38,43,44,48,49,53,55,59]. Enacted stigma is external stigma from the public based on the condition society perceives to be imperfect [90].…”

Section: Poverty Stigma and Discriminationmentioning

confidence: 99%

Adolescent Girls and Young Women’s Experiences of Living with HIV in the Context of Patriarchal Culture in Sub-Saharan Africa: A Scoping Review

2022

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“…Evidence suggests that higher levels of sleep disturbances in PLWH are closely related to lower CD4 + T cell count and higher HIV viral load ( 13 , 14 ). In addition, sleep disturbances may further contribute to fatigue ( 15 ), depression ( 16 ), impaired cognitive function ( 17 ), increased risk of cardiovascular disease ( 18 ), and reduced quality of life in PLWH ( 19 ). Given the high prevalence and negative impact of sleep disturbances in PLWH, it is necessary to develop appropriate intervention strategies to address the various biological, environmental, and psychological factors that may affect sleep in PLWH.…”

Section: Introductionmentioning

confidence: 99%

Non-pharmacological interventions for improving sleep in people living with HIV: a systematic narrative review

Meng,

Zheng,

Wang

et al. 2023

Front. Neurol.

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BackgroundSleep disturbances are common in people living with Human Immunodeficiency Virus (HIV) and may lead to poor adherence to antiretroviral therapy and worsen HIV symptom severity. Due to the side effects of pharmacotherapy for sleep disturbances, there is more room for non-pharmacological interventions, but knowledge of how these non-pharmacological interventions have been used to improve sleep in people living with HIV (PLWH) is still missing.ObjectiveTo investigate the content of non-pharmacological interventions, sleep measurements, and the impact of these interventions on improving sleep in PLWH.MethodsFollowing PRISMA guidelines, we conducted a systematic search on PubMed, EMBASE, Cochrane Central Registry of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, Web of Science, China National Knowledge Infrastructure, Wanfang Data, and China Biology Medicine disc. Non-pharmacological interventions for improving sleep in PLWH were included, and study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklists. We performed a narrative approach to synthesize the data to better understand the details and complexity of the interventions.ResultsFifteen experimental studies in three categories for improving sleep in PLWH were included finally, including psychological interventions (components of cognitive-behavioral therapy for insomnia or mindfulness-based cognitive therapy, n = 6), physical interventions (auricular plaster therapy, acupuncture, and exercise, n = 8), and elemental interventions (speed of processing training with transcranial direct current stimulation, n = 1). Wrist actigraphy, sleep diary, and self-reported scales were used to measure sleep. Psychological interventions and physical interventions were found to have short-term effects on HIV-related sleep disturbances.ConclusionsPsychological and physical interventions of non-pharmacological interventions can potentially improve sleep in PLWH, and the combination of patient-reported outcomes and actigraphy devices can help measure sleep comprehensively. Future non-pharmacological interventions need to follow protocols with evidence-based dosing, contents, and measures to ensure their sustainable and significant effects.

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“…In sub-Saharan Africa (SSA) there are an estimated 2.8 million YPLHIV aged 15-24 years [4]. Many YPLHIV in SSA are at high risk for HIV-related mortality, morbidity [5] and poor quality of life due to the sub-optimal access to treatment and psycho-social services, including exposure to multiple stigmas [6][7][8][9]. According to the United Nations [10], the number of YPLHIV in Africa is projected to increase by 44% between 2015 and 2030.…”

Section: Introductionmentioning

confidence: 99%

Informing the measurement of wellbeing among young people living with HIV in sub-Saharan Africa for policy evaluations: a mixed-methods systematic review

Govindasamy

Seeley

Olaru

et al. 2020

Health Qual Life Outcomes

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Young people living with HIV (YPLHIV) in sub-Saharan Africa (SSA) are at high risk of having a poor quality of life. Addressing wellbeing explicitly within HIV/AIDS policies could assist mitigation efforts. However, guidance on wellbeing measures to evaluate policies for YPLHIV is scarce. The aims of this mixed-methods review were to identify: i) key dimensions of wellbeing and ii) wellbeing measures that align to these dimensions among YPLHIV (15-24 years) in SSA. We searched six social science and medical databases, including grey literature. We included studies that examined correlates and lived experiences of wellbeing, among YPLHIV in SSA, from January 2000 to May 2019. Two reviewers independently screened abstracts and full texts and assessed methodological quality of included articles. We analysed quantitative and qualitative data using descriptive and meta-ethnographic approaches, respectively. Thereafter, we integrated findings using a framework approach. We identified 6527 citations. Of these, 10 quantitative and 30 qualitative studies were included. Being male, higher educational status, less stigma and more social support were likely correlates of wellbeing. Themes that shaped experiences suggestive of wellbeing were: 1) acceptance and belonging-stigma, social support; 2) coping; 3) standard of living. Our final synthesis found that the following dimensions potentially characterise wellbeing: self-acceptance, belonging, autonomy; positive relations, environmental mastery, purpose in life. Wellbeing for YPLHIV is multi-dimensional and relational. Relevant measures include the Personal Wellbeing Index, Ryff's Psychological Wellbeing Scale and Mental Health Continuum Short Form. However, psychometric evaluations of these scales among YPLHIV in SSA are needed.

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Psychosocial predictors of quality of life among South Africa adolescents receiving antiretroviral therapy

Cited by 8 publications

References 58 publications

Adolescent Girls and Young Women’s Experiences of Living with HIV in the Context of Patriarchal Culture in Sub-Saharan Africa: A Scoping Review

Adolescent Girls and Young Women’s Experiences of Living with HIV in the Context of Patriarchal Culture in Sub-Saharan Africa: A Scoping Review

Non-pharmacological interventions for improving sleep in people living with HIV: a systematic narrative review

Informing the measurement of wellbeing among young people living with HIV in sub-Saharan Africa for policy evaluations: a mixed-methods systematic review

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