Do challenges still exist amongst HIV/AIDS patients in managing their condition? A cross-sectional study of 297 participants in the Ethekwini Metro of KwaZulu-Natal, South Africa
Autor: | Panjasaram Naidoo, Rayanta Premdutt |
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Rok vydání: | 2019 |
Předmět: |
Adult
Counseling Male medicine.medical_specialty Adolescent Cross-sectional study media_common.quotation_subject Human immunodeficiency virus (HIV) Shame medicine.disease_cause Health Services Accessibility South Africa Young Adult 03 medical and health sciences 0302 clinical medicine Cost of Illness Acquired immunodeficiency syndrome (AIDS) Antiretroviral Therapy Highly Active Surveys and Questionnaires Virology medicine Humans 030212 general & internal medicine Hiv treatment Epidemics media_common financial costs eThekwini Metro knowledge side effects stigma non-disclosure challenges HIV/AIDS Acquired Immunodeficiency Syndrome 030505 public health business.industry Public Health Environmental and Occupational Health Hiv incidence HIV General Medicine Middle Aged medicine.disease Taking medication Cross-Sectional Studies Sexual Partners Infectious Diseases Family medicine Female 0305 other medical science business Kwazulu natal |
Zdroj: | African Journal of AIDS Research; Vol 18, No 3 (2019) |
ISSN: | 1727-9445 1608-5906 |
DOI: | 10.2989/16085906.2019.1648305 |
Popis: | Background: South Africa has the largest HIV/AIDS epidemic globally and the largest anti-retroviral treatment (ART) programme in the world, yet HIV incidence is still chronically high in South Africa, especially in KwaZulu-Natal province (KZN). In light of this, a study was conducted to investigate the extent of challenges making the management of HIV/AIDS difficult in people living with HIV (PLWH) in KZN, South Africa.Methods: A cross-sectional study was carried out with 297 study participants living with HIV and receiving ART from three selected clinics in the Ethekwini Metro of KZN. A self-administered questionnaire assessed the challenges experienced by PLWH, their knowledge of their condition and their management thereof. One-wayfrequency tables were used to descriptively assess participant responses. Associations between certain demographic characteristics and responses to HIV treatment management challenges were assessed using chi-square tests, with statistical significance set at p < 0.05.Results: One-fifth of the participants (n = 60; 20.1%) were within the 18–23 age group, with over 53% (n = 158) having secondary level education. Some of the challenges cited included: difficulty in obtaining medication, mainly due to cost; side effects resulting in non-adherence; shame for taking medication in public (younger patients were more likely to feel ashamed for taking their medication in public [χ2 = 20.3, p = 0.009]); and non-disclosure of HIV-positive status to partners. We found a significant association between education and financial status and management of their condition [χ2 = 11.2, p = 0.011].Conclusion: These findings that challenges still exist have implications for more robust programmes on education and counselling to address such challenges.Keywords: financial costs, eThekwini Metro, knowledge, side effects, stigma, non-disclosure, challenges, HIV/AIDS |
Databáze: | OpenAIRE |
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