Health Of People Living With HIV/AIDS Research Articles

Assessing the measurement invariance of the 10-item Centre for Epidemiological Studies Depression Scale and Beck Anxiety Inventory questionnaires across people living with HIV/AIDS and healthy people

BackgroundRecently, extensive research has been reported the higher rate of depression and anxiety among people living with HIV/AIDS (PLWHAs) as compared to the general population. However, no single study has been carried out to investigate whether this disparity is a real difference or it happens due to lack of measurement invariance. This study aims to assess the measurement invariance of the Beck Anxiety Inventory (BAI) and 10-item Centre for Epidemiological Studies Depression Scale (CESD-10) questionnaires across PLWHAs and healthy individuals.MethodsOne hundred and fifty PLWHAs and 500 healthy individuals filled out the Persian version of the BAI and CESD-10 questionnaires. Multi-group multiple-indicators multiple-causes model (MG-MIMIC) was used to assess measurement invariance across PLWHAs and healthy people.ResultsOur findings revealed that PLWHAs and healthy individuals perceived the meaning of all the items in the BAI and CESD-10 questionnaires similarly. In addition, although depression scores were significantly higher in PLWHAs as opposed to the healthy individuals, no significant difference was observed in anxiety scores of these two groups.ConclusionsThe current study suggests that the BAI and CESD-10 are invariant measures across PLWHAs and healthy people which can be used for meaningful cross-group comparison. Therefore, in comparison to healthy individuals, higher depression score of PLWHAs is a real difference. It is highly recommended that health professionals develop therapeutic interventions and psychological supports to promote the mental health of PLWHAs which alleviate their depressive symptoms.

Promoting access equity and improving health care for women, children and people living with HIV/AIDS in Burkina Faso through mHealth.

ABSTRACTBackgroundIn Burkina Faso, access to health services for women, children and people living with HIV/AIDS (PLWHAs) remains limited. Mobile telephony offers an alternative solution for reaching these individuals. The objective of the study was to improve equity of access to health care and information among women and PLWHAs by reinforcing community participation.MethodsUsing a quasi-experimental approach, a mobile telephone system was set up at five health centres to provide an automated reminder service for health care consultation appointments. Performance evaluations based on key performance indicators were subsequently conducted.ResultsA total of 1501 pregnant women and 301 PLWHAs were registered and received appointment reminders. A 7.34% increase in prenatal coverage, an 84% decrease in loss to follow-up for HIV (P < 0.001) and a 31% increase in assisted deliveries in 2016 (P < 0.0001) were observed in intervention areas. However, there was no statistically significant difference between intervention site and control site (P= 0.451 > 0.05) at post-intervention. Efforts to involve community members in decision-making processes contributed to improved health system governance.ConclusionMhealth may improve maternal and child health and the health of PLWHAs. However, establishment of a mHealth system requires taking into account community dynamics and potential technological challenges.Keywordsaccess to care, Burkina Faso, equity, health system governance, mobile telephony, Nouna

English

The aim of this study was to determine the magnitude of HIV/AIDS related stigmatization, discrimination and coping strategies among people living with HIV/AIDS (PLHIV) at University College Hospital Ibadan. The study adopted a descriptive cross-sectional study design carried out among 700 PLHIV selected using a systematic random sampling technique from May to June 2010. &nbsp;A validated pretested questionnaire was used to collect the data which was analysed using SPSS version 16. The mean age of the respondents was 40.0 &plusmn; 9.40 years and more were females (474, 67.70%). About 212 (30.30%) have experienced stigmatization with verbal insult (138, 65.10%), subjection to ridicule (134, 63.20%) and avoidance by friends (89, 42.0%) being the most reported forms of induced stigmatization/discrimination. In addition, there was no significant relationship of experiencing stigmatization/discrimination by gender (P=0.097). However, more females experienced physical assault than male. Strategies adopted by respondents in coping with stigmatization and discrimination were unmoved 376 (53.70%), prayer 321 (45.90%) and ignoring the person 281 (40.10%). The study reported prevalence of various forms of stigmatization and discrimination against PLHIV. Therefore, there is need for more awareness campaign in communities on the dangers of HIV-related stigmatization and discrimination on the health of PLHIV. Key words: Social discrimination, perception, stigmatization, social support, HIV/AIDS.