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Health literacy and HIV AIDS

Francisca Marina de Souza Freire Furtado, José Anderson Galdino Santos, Stedile Loredanna, Eunice Araújo, Ana Alayde Werba Saldanha, Josevânia da Silva
In the 30 years of the AIDS pandemic in Brazil, it is recognized the HIV virus internalization of the phenomenon as a challenge to care and current health policies. In this sense, it aimed to verify sex practices and social representations that rural towns residents have about the disease. Attended by 789 people, men and women, between 18 and 90 years old, residents in 41 towns with fewer than 11,000 inhabitants in the state of Paraiba / Brazil. Data were collected by a questionnaire and the free association of words test...
June 2016: Revista da Escola de Enfermagem da U S P
Keitshokile Dintle Mogobe, Sheila Shaibu, Ellah Matshediso, Motshedisi Sabone, Esther Ntsayagae, Patrice K Nicholas, Carmen J Portillo, Inge B Corless, Carol Dawson Rose, Mallory O Johnson, Allison Webel, Yvette Cuca, Marta Rivero-Méndez, Solymar S Solís Báez, Kathleen Nokes, Darcel Reyes, Jeanne Kemppainen, Paula Reid, Lucille Sanzero Eller, Teri Lindgren, William L Holzemer, Dean Wantland
Low health literacy has been linked to inadequate engagement in care and may serve as a contributor to poor health outcomes among people living with HIV and AIDS. The purpose of this paper was to examine the perspectives of health care providers and professional care team members regarding health literacy in HIV disease. A secondary data analysis was conducted from a qualitative study aimed at understanding factors that help an HIV positive person to manage their HIV disease. Data were collected from sites in Botswana, the US, and Puerto Rico...
2016: AIDS Research and Treatment
Adebola A Adedimeji, David Lounsbury, Oluwafemi Popoola, Chioma Asuzu, Akinmayowa Lawal, V Oladoyin, Cassandra Crifase, Ilir Agalliu, Viswanathan Shankar, Akindele Adebiyi
BACKGROUND: Cancers constitute a significant public health problem in Nigeria. Breast, cervix and prostate cancers are leading causes of cancer-related deaths. Changing diets, lifestyles, HIV/AIDS and macro-structural factors contribute to cancer morbidity and mortality. Poor health information linking cancer risk to individual behaviors, environmental pollutants and structural barriers undermine prevention/control efforts. Studies suggest increasing health literacy and empowering individuals to take preventive action will improve outcomes and mitigate impact on a weak health system...
May 24, 2016: Psycho-oncology
Laura Frances Santoso, Emily E Erkkinen, Anindita Deb, Carlos Adon
A 38-year-old Dominican woman presented at an infectious disease clinic in Santo Domingo, with subacute dementia and psychomotor slowing. Based on physical findings and laboratory results, she was diagnosed with AIDS and HIV-associated dementia (HAD). She subsequently began combined antiretroviral therapy (cART). Psychiatric complications later emerged: the patient developed suicidal ideation and her partner expressed homicidal thoughts. After extensive interviewing, it was revealed that the patient had known her HIV-positive serostatus for years...
2016: BMJ Case Reports
S Bernays, S Paparini, D Gibb, J Seeley
Despite mounting evidence recommending disclosure of human immunodeficiency virus (HIV) status to young people with perinatally acquired HIV as a central motivating factor for adherence to antiretroviral therapy, many young people continue to experience disclosure as a partial event, rather than a process. Drawing from two longitudinal, interview-based qualitative studies with young people living with HIV (aged 10-24) in five different countries in low and high income settings, we present data regarding disclosure and information about HIV in the clinic...
January 2, 2016: Vulnerable Children and Youth Studies
Lisa T Wigfall, Shalanda A Bynum, Daniela B Friedman, Heather M Brandt, Donna L Richter, Saundra H Glover, James R Hébert
We examined communication between women living with human immunodeficiency virus (WLH) and health care providers (HCP) about abnormal Pap tests. During March 2011-April 2012,145 WLH were recruited from Ryan White-funded clinics and community-based AIDS service organizations located in the southeastern United States. WLH who had an abnormal Pap test (69%, n = 100/145) were asked if their HCP shared and explained information about abnormal Pap tests. We performed chi-square tests and multivariable logistic regression analyses using Stata I/C 13...
February 17, 2016: Women & Health
Charles R Salmen, Matthew D Hickey, Kathryn J Fiorella, Dan Omollo, Gor Ouma, Daniel Zoughbie, Marcus R Salmen, Richard Magerenge, Robert Tessler, Harold Campbell, Elvin Geng, Monica Gandhi, Elizabeth A Bukusi, Craig R Cohen
BACKGROUND: In sub-Saharan Africa, failure to initiate and sustain HIV treatment contributes to significant health, psychosocial, and economic impacts that burden not only infected individuals but diverse members of their social networks. Yet, due to intense stigma, the responsibility for managing lifelong HIV treatment rests solely, and often secretly, with infected individuals. We introduce the concept of "HIV risk induction" to suggest that social networks of infected individuals share a vested interest in improving long-term engagement with HIV care, and may represent an underutilized resource for improving HIV/AIDS outcomes within high prevalence populations...
December 2015: Social Science & Medicine
K R Awasthi, K Adefemi, M Tamrakar
This article reviews the effect of male migration on the spread of HIV infections in mid and far-western Nepal. It explains the link between male mobility and HIV in women and children. Materials were collected by a systematic search of the databases and the websites of national and international agencies. HIV infection amongst male migrants was found to be high. Their risk behaviors such as unprotected sex with multiple partners and sex workers increase the risk of HIV infection. Substance abuse, loneliness, separation from families, peer pressure, long working hours and poor living conditions are factors that promote unsafe sex...
January 2015: Kathmandu University Medical Journal (KUMJ)
Julie Ann Zuniga, Moka Yoo-Jeong, Tian Dai, Ying Guo, Drenna Waldrop-Valverde
Individuals infected with HIV experience high rates of depression when compared to their sero-negative counterparts. Although symptoms of depression have been consistently linked to poor medication adherence among persons living with HIV/AIDS, their relation to retention in care are less well-known. The purpose of this study was to examine whether clusters of depressive symptoms influence retention in care and if so, whether these clusters had different relations to retention in care. This is a secondary data analysis of a larger study that investigated the role of health literacy, cognitive impairment, and social determinants on retention in HIV care...
January 2016: AIDS Patient Care and STDs
Jennifer A Pellowski, Seth C Kalichman
One particularly vulnerable population for HIV treatment non-adherence is persons with poor health literacy skills. For these individuals, it is important to simplify medication taking as much as possible by integrating medication adherence into other routine health behaviors. This study aims to ascertain the relationship between medication adherence and other health behaviors. Adults living with HIV (N = 422) completed intake measures and 3 months of unannounced pill counts. Endorsement of diet and exercise behaviors at intake predicted higher medication adherence, over and above other known predictors of medication adherence such as HIV symptoms, depression, social support, and stress...
September 2016: Journal of Health Psychology
Kwaku Oppong Asante, Anna Meyer-Weitz, Inge Petersen
BACKGROUND: Research on homeless youth has shown that this population is at high risk for various mental health problems. Previous studies conducted among homeless young adults in Ghana have focused primarily on economic, social and cultural causes of homelessness, their engagement in risky sexual behaviours and the prevalence of STI including HIV/AIDS. We are therefore not fully informed of the prevalence of psychological symptoms and their associated factors. The aim of the study was to determine the association between psychological functioning and social and health risk behaviours among a sample of homeless youth in Ghana...
2015: International Journal of Mental Health Systems
Jennifer A Pellowski, Seth C Kalichman, Tamar Grebler
Limited health literacy has been shown to contribute to poor adherence to antiretroviral therapy (ART) in people living with HIV/AIDS. Given the mixed results of previous interventions for people with HIV and low health literacy, investigating possible targets for improved adherence is warranted. The present study aims to identify the correlates of optimal and suboptimal outcomes among participants of a recent skills-based medication adherence intervention. This secondary analysis included 188 men and women living with HIV who had low health literacy and who had complete viral load data...
2016: Behavioral Medicine
Elizabeth S Higgs, Allison B Goldberg, Alain B Labrique, Stephanie H Cook, Carina Schmid, Charlotte F Cole, Rafael A Obregón
Given the high morbidity and mortality among children in low- and middle-income countries as a result of preventable causes, the U.S. government and the United Nations Children's Fund convened an Evidence Summit on Enhancing Child Survival and Development in Lower- and Middle-Income Countries by Achieving Population-Level Behavior Change on June 3-4, 2013, in Washington, D.C. This article summarizes evidence for technological advances associated with population-level behavior changes necessary to advance child survival and healthy development in children under 5 years of age in low- and middle-income countries...
2014: Journal of Health Communication
Mariano E Menendez, C Niek van Dijk, David Ring
BACKGROUND: Patients who leave the hospital against medical advice are at risk for readmission and for a variety of complications and are likely to consume more healthcare resources. However, little is known about which factors, if any, may be associated with self-discharge (discharge against medical advice) among orthopaedic inpatients. QUESTIONS/PURPOSES: We studied the frequency and factors associated with self-discharge in patients hospitalized for orthopaedic trauma and musculoskeletal infection...
March 2015: Clinical Orthopaedics and related Research
Roland C Merchant, Melissa A Clark, Claudia A Santelices, Tao Liu, Dharma E Cortés
We assessed the efficacy of a Spanish-language HIV/AIDS and HIV testing video as a substitute for comparable orally-delivered information in healthcare and non-health care settings for Spanish-speakers regardless of health literacy level. In a non-inferiority clinical trial, Spanish-speaking Latinos from an emergency department, a clinic, and community-based organizations were randomly assigned to receive HIV/AIDS and HIV testing information orally or from a video. Comprehension of the information was measured using a questionnaire...
March 2015: AIDS and Behavior
Julia Andrea Behrman
This paper explores the causal relationship between primary schooling and adult HIV status in Malawi and Uganda, two East African countries with some of the highest HIV infection rates in the world. Using data from the 2010 Malawi Demographic Health Survey and the 2011 Uganda AIDS Indicator Survey, the paper takes advantage of a natural experiment, the implementation of Universal Primary Education policies in the mid 1990s. An instrumented regression discontinuity approach is used to model the relationship between increased primary schooling and adult women's HIV status...
February 2015: Social Science & Medicine
Isak Niehaus
Health activists often see the uptake of antiretroviral drugs and adherence to antiretroviral treatment as the outcome of 'treatment literacy.' Organizations have invested considerable resources into educating the public in conventional scientific understandings of HIV and AIDS. Drawing on the results of fieldwork in South Africa and the life history of a man living with AIDS, I highlight the complex and unstable relationship that exists between therapeutic literacy and treatment efficacy. Factors that have little to do with treatment literacy have impacted upon uptake and adherence...
2014: Medical Anthropology
Lisa T Wigfall, Shalanda A Bynum, Heather M Brandt, Daniela B Friedman, Sharon M Bond, Gweneth B Lazenby, Donna L Richter, Saundra H Glover, James R Hébert
Cervical cancer prevention knowledge deficits persist among women living with HIV/AIDS (WLHA) despite increased risk of developing cervical dysplasia/cancer. We examined associations between WLHA's cervical cancer prevention knowledge and abnormal Pap test history. We recruited 145 urban and rural WLHA from Ryan White-funded clinics and AIDS service organizations located in the southeastern USA between March 2011 and April 2012. For this analysis, women who reported a history of cervical cancer (n = 3) or had a complete hysterectomy (n = 14) and observations with missing data (n = 22) were excluded...
June 2015: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
S Harris
The recommendations for controlling HIV/AIDS, whether prescriptive or descriptive, underscore the value of information: its translation into knowledge, and knowledge into behaviour. Thus, accessing, evaluating, disseminating and applying authoritative, credible and scholarly information on HIV/AIDS are critical elements in the control of this pandemic in the Web 2.0 era. The University of the West Indies (UWI) Mona libraries have embraced this information role. This article provides insights into three of the information initiatives implemented by the UWI Mona libraries in this important capacity...
2013: West Indian Medical Journal
Jaime Martinez, Rana Chakraborty
This clinical report provides guidance for the pediatrician in addressing the psychosocial needs of adolescents and young adults living with HIV, which can improve linkage to care and adherence to life-saving antiretroviral (ARV) therapy. Recent national case surveillance data for youth (defined here as adolescents and young adults 13 to 24 years of age) revealed that the burden of HIV/AIDS fell most heavily and disproportionately on African American youth, particularly males having sex with males. To effectively increase linkage to care and sustain adherence to therapy, interventions should address the immediate drivers of ARV compliance and also address factors that provide broader social and structural support for HIV-infected adolescents and young adults...
March 2014: Pediatrics
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