Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial Model.

Autor:	Mwangala PN; Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI), Kilifi, Kenya.; School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.; Institute for Human Development, Aga Khan University, Nairobi, Kenya., Wagner RG; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Newton CR; Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI), Kilifi, Kenya.; Institute for Human Development, Aga Khan University, Nairobi, Kenya.; Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, United Kingdom.; Department of Public Health, Pwani University, Kilifi, Kenya., Abubakar A; Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI), Kilifi, Kenya.; Institute for Human Development, Aga Khan University, Nairobi, Kenya.; Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, United Kingdom.; Department of Public Health, Pwani University, Kilifi, Kenya.
Jazyk:	angličtina
Zdroj:	International journal of public health [Int J Public Health] 2023 Jun 15; Vol. 68, pp. 1605916. Date of Electronic Publication: 2023 Jun 15 (Print Publication: 2023).
DOI:	10.3389/ijph.2023.1605916
Abstrakt:	Objectives: This study explores the perceptions of adults living with HIV aged ≥50 years (recognized as older adults living with HIV-OALWH), primary caregivers and healthcare providers on the health challenges of ageing with HIV at Kilifi, a low literacy setting on the coast of Kenya. Methods: We utilized the biopsychosocial model to explore views from 34 OALWH and 22 stakeholders on the physical, mental, and psychosocial health challenges of ageing with HIV in Kilifi in 2019. Data were drawn from semi-structured in-depth interviews, which were audio-recorded and transcribed. A framework approach was used to synthesize the data. Results: Symptoms of common mental disorders, comorbidities, somatic symptoms, financial difficulties, stigma, and discrimination were viewed as common. There was also an overlap of perceived risk factors across the physical, mental, and psychosocial health domains, including family conflicts and poverty. Conclusion: OALWH at the Kenyan coast are perceived to be at risk of multiple physical, mental, and psychosocial challenges. Future research should quantify the burden of these challenges and examine the resources available to these adults. Competing Interests: The authors declare that they do not have any conflicts of interest. (Copyright © 2023 Mwangala, Wagner, Newton and Abubakar.)
Databáze:	MEDLINE
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