This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are present...This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are presented from semi- structured qualitative interviews that were conducted with eleven directors and managers of local branches in the Knox County Public Library (KCPL) System that is located in the East Tennessee region in the United States. Select feedback reported by research participants is summarized in the article about strategies in LIS education that can help local public librarians and others in their efforts to become more responsive information providers to PLWHA. Research findings help better understand the issues and concerns regarding the development of digital and non-digital health information services for PLWHA in local public library institutions.展开更多
Due to the chronic shortage of health personnel, nurses and midwives now play a fundamental role in the care and treatment of people living with HIV/ AIDS (PLHIV) in Cameroon. This study was therefore designed to asse...Due to the chronic shortage of health personnel, nurses and midwives now play a fundamental role in the care and treatment of people living with HIV/ AIDS (PLHIV) in Cameroon. This study was therefore designed to assess the level of knowledge, attitude and practice with regard to care of PLHIV among nursing and midwifery students in Fako division of Cameroon. A survey was performed between May and July 2015, among 227 nursing and midwifery students (in their second to final year of study), selected from 8 government accredited training institutions in Fako division of Cameroon. An anonymous self-administered semi-structured questionnaire was used to collect data. The Pearson’s chi-square test, univariate and multivariate logistic regression analyses adjusting for possible confounders were all performed as part of the statistical analyses. The cutoff of statistical significance was set at p ≤ 0.05. Nursing and midwifery students had a moderate level of HIV/AIDS knowledge (average score of 7.02 on a scale of 11). Attitude towards PLHIV was generally positive (68.7%) but there were some misconceptions and prejudice about PLHIV, with considerable stigmatization (31.3%), unwillingness to share a room with someone infected with HIV (27.7%), and unwillingness to work on PLHIV (23.8%). Good HIV/AIDS knowledge was observed to be the sole independent predictor (p = 0.004) of positive attitude towards PLHIV. Fur-thermore the confidence of the respondents regarding care of PLHIV was generally moderate. Our results suggest the need for the development of a more appropriate education program in nursing and midwifery institutions in Fako division to reduce the discrepancies between the general knowledge, attitude and practice regarding care of PLHIV.展开更多
A study was conducted to explore stigma and discrimination among people living with HIV and AIDS who were on home based care in the Lilongwe district of Malawi. The study design was descriptive through sectional and u...A study was conducted to explore stigma and discrimination among people living with HIV and AIDS who were on home based care in the Lilongwe district of Malawi. The study design was descriptive through sectional and utilized qualitative data collection and analysis method. Fifteen people living with HIV and AIDS, aged between 15 and 60 years were purposively sampled from three organizations, which were: Light House, National Association for people living with HIV and AIDS in Malawi and Lilongwe Diocese. Qualitative data were collected using an open ended interview guide during in-depth face to face interviews with the participants. The data were analysed using ATLAS. ti 5.0. Results show that all the participants were facing stigma and discrimination because they were living with HIV and AIDS. Distant relatives were the main source of stigma and discrimination followed by friends and church members. Most participants indicated that they felt they were discriminated because HIV infection is associated with bad behaviours such as prostitution or promiscuity. However some of them complained that they contracted the virus from their married partners and hence they did not deserve to be stigmatized or discriminated against. Results show that there is a need for creation of awareness among community members on the transmission of HIV and the need for home based care for the chronically ill people living with HIV and AIDS.展开更多
The study evaluated the quality of healthcare services given to PLWHA （people living with HIV/AIDS） in different communities of Enugu State of Nigeria. Descriptive cross sectional survey design was employed for the ...The study evaluated the quality of healthcare services given to PLWHA （people living with HIV/AIDS） in different communities of Enugu State of Nigeria. Descriptive cross sectional survey design was employed for the study. The participants were PLWHA attending health facilities in different communities in the state. A sample of 180 PLWHA who participated in the study were selected using a multi-stage sampling procedure and were interviewed at community level. The data were analyzed using descriptive statistics. The results showed that 82.2% of the respondents were cared for by government health facilities, 75% were of the opinion that the health workers in those places do not discriminate against them, 81.7% felt that they were being given high quality healthcare, 82.8% stated that their drugs were readily available, 75% were of the opinion that the physical facilities in their care centers were adequate, 84.4% felt that grievance redressing were good while 90% felt that their healthcare providers maintain confidentiality about their conditions. It was concluded from the findings that quality of care provided to PLWHA in communities was of good quality as perceived by PLWHA and that the national antiretroviral programmes are making drugs available and affordable in the state. It was then recommended that all levels of government in the nation should strengthen the programmes on HIV prevention and control to maintain the continuity of care to PLWHA.展开更多
Objective China began providing antiretroviral therapy to people living with HIV/AIDS （PLWHA） in 2003. This study was to investigate the living conditions, including quality of life and happiness, and need for palli...Objective China began providing antiretroviral therapy to people living with HIV/AIDS （PLWHA） in 2003. This study was to investigate the living conditions, including quality of life and happiness, and need for palliative care of end-of-life PLWHA in rural Henan. Methods One hundred end-of-life AIDS patients were selected from Weishi, Zhenping and Tanghe counties in Henan, using convenience sampling. The World Health Organization Quality of Life for HIV （WHOQOL-HIV） BREF Chinese Version was used to measure the quality of life and the Memorial University of Newfoundland Scale of Happiness （MUNSH） was employed to measure subjective welfare. Qualitative interviews and focus group discussions were undertaken to learn about the palliative care provided and the specific needs of the end-of-life patients. Results Patients’ overall quality of life was moderate （12.62±1.97）. Highest scores were in the spirituality/religion/personal beliefs, higher than the average scores in the Chinese population （P0.01）, while psychological （13.58±2.06） and environment （12.50±3.28） domain scores were similar to the latter （P0.05）. Both independence （12.15±2.15） and physiological （14.04±3.16） domain scores were lower than the average of the people living with HIV/AIDS in other studies （P0.01）; however, all were in the moderate range. The average MUNSH score was 21.00±6.20, which was also moderate. The in-depth interviews indicated that the Henan Provincial Government’s policy of treatment and care had a beneficial impact on end-of-life AIDS patients, although the care components could be improved. Conclusions Living conditions of the end-of-life AIDS patients were moderate, and the HIV/AIDS palliative care model used was beneficial to them. Care could be improved by assisting the family unit as a whole.展开更多
目的:了解云南省陇川县艾滋病病毒感染者/艾滋病病人(People Living with HIV/AIDS,PLWHA)的生存质量及其影响因素,为今后的深入研究提供依据。方法:采用横断面调查方法,对陇川县PLWHA采用一般情况调查问卷、MOS-HIV生存质量量表进行问...目的:了解云南省陇川县艾滋病病毒感染者/艾滋病病人(People Living with HIV/AIDS,PLWHA)的生存质量及其影响因素,为今后的深入研究提供依据。方法:采用横断面调查方法,对陇川县PLWHA采用一般情况调查问卷、MOS-HIV生存质量量表进行问卷调查。结果:PLWHA生存质量的躯体健康总分为(49.12±11.14)分,精神状况得分为(43.40±10.05)分;经抗病毒治疗组疼痛、精力或疲劳得分均高于未治疗组。女性总体健康感觉(57.88±24.78)分,高于男性的(44.13±26.85)分;女性的角色功能纬度得分和躯体健康总分分别为(72.73±45.23)分和(53.18±9.18)分,均高于男性。经过多元逐步回归分析,少数民族躯体健康总分低于汉族;并发症数越多,躯体健康总分越低。结论:抗病毒治疗能提高PLWHA的生存质量;性别、民族、治疗情况可能是PLWHA生存质量的影响因素。展开更多
目的了解HIV感染者/AIDS病人(people living with HIV/AIDS,PLWHAS)的生存质量现状及其影响因素。方法采用简体中文版MOS-HIV量表评价371例PLWHAS的生存质量现状,同时调查可能影响其生存质量的人口学特征和HIV感染相关情况。采用t检验...目的了解HIV感染者/AIDS病人(people living with HIV/AIDS,PLWHAS)的生存质量现状及其影响因素。方法采用简体中文版MOS-HIV量表评价371例PLWHAS的生存质量现状,同时调查可能影响其生存质量的人口学特征和HIV感染相关情况。采用t检验、方差分析和多元线性回归模型进行统计分析。结果生存质量得分:心理健康总分为(46.60±10.45)分,生理健康总分为(51.14±9.28)分。单因素分析结果显示:年龄、文化程度、职业等因素,与PLWHAS的生存质量各个领域有关(P<0.05)。多元线性回归分析结果显示:年龄、收入、文化程度和感染途径,是影响PLWHAS生存质量的主要因素。结论年龄、收入、文化程度和感染途径等,在不同方面影响着PLWHAS的生存质量。重点关注老年、收入较低、文化程度较低者的生存质量,对提高该人群生存质量有重要意义。展开更多
目的了解农村HIV感染者/AIDS患者(people living with HIVand AIDS,PLWHA)的心理健康状况。方法采用一般情况调查表和症状自评量表(SCL-90)对192例HIV/AIDS人员进行调查。结果192例PLWHA人员SCL-90总分、阳性项目数和各因子分均高于中...目的了解农村HIV感染者/AIDS患者(people living with HIVand AIDS,PLWHA)的心理健康状况。方法采用一般情况调查表和症状自评量表(SCL-90)对192例HIV/AIDS人员进行调查。结果192例PLWHA人员SCL-90总分、阳性项目数和各因子分均高于中国常模(各项P<0.05);心理问题阳性检出率83.9%;AIDS患者总分、阳性因子数、各因子分均显著高于HIV感染者(P<0.01);不同文化程度分组之间SCL-90各个因子的比较,除抑郁因子外,其他因子均有显著差异(P<0.05);不同经济收入之间有显著差异,接受政府救济才能维持基本开支组显著高于不需救济组(P<0.01)。性别、年龄、感染方式之间均无显著差异。结论被调查的HIV/AIDS人群存在突出的心理健康问题,应建立便捷有效的心理帮助机制,在实施心理帮助时应更加重视AIDS患者、低学历和低收入人群。展开更多
文摘This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are presented from semi- structured qualitative interviews that were conducted with eleven directors and managers of local branches in the Knox County Public Library (KCPL) System that is located in the East Tennessee region in the United States. Select feedback reported by research participants is summarized in the article about strategies in LIS education that can help local public librarians and others in their efforts to become more responsive information providers to PLWHA. Research findings help better understand the issues and concerns regarding the development of digital and non-digital health information services for PLWHA in local public library institutions.
文摘Due to the chronic shortage of health personnel, nurses and midwives now play a fundamental role in the care and treatment of people living with HIV/ AIDS (PLHIV) in Cameroon. This study was therefore designed to assess the level of knowledge, attitude and practice with regard to care of PLHIV among nursing and midwifery students in Fako division of Cameroon. A survey was performed between May and July 2015, among 227 nursing and midwifery students (in their second to final year of study), selected from 8 government accredited training institutions in Fako division of Cameroon. An anonymous self-administered semi-structured questionnaire was used to collect data. The Pearson’s chi-square test, univariate and multivariate logistic regression analyses adjusting for possible confounders were all performed as part of the statistical analyses. The cutoff of statistical significance was set at p ≤ 0.05. Nursing and midwifery students had a moderate level of HIV/AIDS knowledge (average score of 7.02 on a scale of 11). Attitude towards PLHIV was generally positive (68.7%) but there were some misconceptions and prejudice about PLHIV, with considerable stigmatization (31.3%), unwillingness to share a room with someone infected with HIV (27.7%), and unwillingness to work on PLHIV (23.8%). Good HIV/AIDS knowledge was observed to be the sole independent predictor (p = 0.004) of positive attitude towards PLHIV. Fur-thermore the confidence of the respondents regarding care of PLHIV was generally moderate. Our results suggest the need for the development of a more appropriate education program in nursing and midwifery institutions in Fako division to reduce the discrepancies between the general knowledge, attitude and practice regarding care of PLHIV.
文摘A study was conducted to explore stigma and discrimination among people living with HIV and AIDS who were on home based care in the Lilongwe district of Malawi. The study design was descriptive through sectional and utilized qualitative data collection and analysis method. Fifteen people living with HIV and AIDS, aged between 15 and 60 years were purposively sampled from three organizations, which were: Light House, National Association for people living with HIV and AIDS in Malawi and Lilongwe Diocese. Qualitative data were collected using an open ended interview guide during in-depth face to face interviews with the participants. The data were analysed using ATLAS. ti 5.0. Results show that all the participants were facing stigma and discrimination because they were living with HIV and AIDS. Distant relatives were the main source of stigma and discrimination followed by friends and church members. Most participants indicated that they felt they were discriminated because HIV infection is associated with bad behaviours such as prostitution or promiscuity. However some of them complained that they contracted the virus from their married partners and hence they did not deserve to be stigmatized or discriminated against. Results show that there is a need for creation of awareness among community members on the transmission of HIV and the need for home based care for the chronically ill people living with HIV and AIDS.
文摘The study evaluated the quality of healthcare services given to PLWHA （people living with HIV/AIDS） in different communities of Enugu State of Nigeria. Descriptive cross sectional survey design was employed for the study. The participants were PLWHA attending health facilities in different communities in the state. A sample of 180 PLWHA who participated in the study were selected using a multi-stage sampling procedure and were interviewed at community level. The data were analyzed using descriptive statistics. The results showed that 82.2% of the respondents were cared for by government health facilities, 75% were of the opinion that the health workers in those places do not discriminate against them, 81.7% felt that they were being given high quality healthcare, 82.8% stated that their drugs were readily available, 75% were of the opinion that the physical facilities in their care centers were adequate, 84.4% felt that grievance redressing were good while 90% felt that their healthcare providers maintain confidentiality about their conditions. It was concluded from the findings that quality of care provided to PLWHA in communities was of good quality as perceived by PLWHA and that the national antiretroviral programmes are making drugs available and affordable in the state. It was then recommended that all levels of government in the nation should strengthen the programmes on HIV prevention and control to maintain the continuity of care to PLWHA.
基金supported by the China Global Fund Round 3 and the China Multidisciplinary AIDS Prevention Training Program with NIH Research Grant #U2R TW06918-01funded by the Fogarty International Centre,the National Institute on Drug Abuse and the National Institute of Mental Health (China ICOHRTA, with Principal Investigator being Zun-You WU)
文摘Objective China began providing antiretroviral therapy to people living with HIV/AIDS （PLWHA） in 2003. This study was to investigate the living conditions, including quality of life and happiness, and need for palliative care of end-of-life PLWHA in rural Henan. Methods One hundred end-of-life AIDS patients were selected from Weishi, Zhenping and Tanghe counties in Henan, using convenience sampling. The World Health Organization Quality of Life for HIV （WHOQOL-HIV） BREF Chinese Version was used to measure the quality of life and the Memorial University of Newfoundland Scale of Happiness （MUNSH） was employed to measure subjective welfare. Qualitative interviews and focus group discussions were undertaken to learn about the palliative care provided and the specific needs of the end-of-life patients. Results Patients’ overall quality of life was moderate （12.62±1.97）. Highest scores were in the spirituality/religion/personal beliefs, higher than the average scores in the Chinese population （P0.01）, while psychological （13.58±2.06） and environment （12.50±3.28） domain scores were similar to the latter （P0.05）. Both independence （12.15±2.15） and physiological （14.04±3.16） domain scores were lower than the average of the people living with HIV/AIDS in other studies （P0.01）; however, all were in the moderate range. The average MUNSH score was 21.00±6.20, which was also moderate. The in-depth interviews indicated that the Henan Provincial Government’s policy of treatment and care had a beneficial impact on end-of-life AIDS patients, although the care components could be improved. Conclusions Living conditions of the end-of-life AIDS patients were moderate, and the HIV/AIDS palliative care model used was beneficial to them. Care could be improved by assisting the family unit as a whole.
文摘目的:了解云南省陇川县艾滋病病毒感染者/艾滋病病人(People Living with HIV/AIDS,PLWHA)的生存质量及其影响因素,为今后的深入研究提供依据。方法:采用横断面调查方法,对陇川县PLWHA采用一般情况调查问卷、MOS-HIV生存质量量表进行问卷调查。结果:PLWHA生存质量的躯体健康总分为(49.12±11.14)分,精神状况得分为(43.40±10.05)分;经抗病毒治疗组疼痛、精力或疲劳得分均高于未治疗组。女性总体健康感觉(57.88±24.78)分,高于男性的(44.13±26.85)分;女性的角色功能纬度得分和躯体健康总分分别为(72.73±45.23)分和(53.18±9.18)分,均高于男性。经过多元逐步回归分析,少数民族躯体健康总分低于汉族;并发症数越多,躯体健康总分越低。结论:抗病毒治疗能提高PLWHA的生存质量;性别、民族、治疗情况可能是PLWHA生存质量的影响因素。
文摘目的了解HIV感染者/AIDS病人(people living with HIV/AIDS,PLWHAS)的生存质量现状及其影响因素。方法采用简体中文版MOS-HIV量表评价371例PLWHAS的生存质量现状,同时调查可能影响其生存质量的人口学特征和HIV感染相关情况。采用t检验、方差分析和多元线性回归模型进行统计分析。结果生存质量得分:心理健康总分为(46.60±10.45)分,生理健康总分为(51.14±9.28)分。单因素分析结果显示:年龄、文化程度、职业等因素,与PLWHAS的生存质量各个领域有关(P<0.05)。多元线性回归分析结果显示:年龄、收入、文化程度和感染途径,是影响PLWHAS生存质量的主要因素。结论年龄、收入、文化程度和感染途径等,在不同方面影响着PLWHAS的生存质量。重点关注老年、收入较低、文化程度较低者的生存质量,对提高该人群生存质量有重要意义。
文摘目的了解农村HIV感染者/AIDS患者(people living with HIVand AIDS,PLWHA)的心理健康状况。方法采用一般情况调查表和症状自评量表(SCL-90)对192例HIV/AIDS人员进行调查。结果192例PLWHA人员SCL-90总分、阳性项目数和各因子分均高于中国常模(各项P<0.05);心理问题阳性检出率83.9%;AIDS患者总分、阳性因子数、各因子分均显著高于HIV感染者(P<0.01);不同文化程度分组之间SCL-90各个因子的比较,除抑郁因子外,其他因子均有显著差异(P<0.05);不同经济收入之间有显著差异,接受政府救济才能维持基本开支组显著高于不需救济组(P<0.01)。性别、年龄、感染方式之间均无显著差异。结论被调查的HIV/AIDS人群存在突出的心理健康问题,应建立便捷有效的心理帮助机制,在实施心理帮助时应更加重视AIDS患者、低学历和低收入人群。
