Showing 1 - 20 of 25
Results for "quality of life"
Results
Early initiation of antiretroviral therapy results in improved quality of life and reduced mortality.
Provision and Access
12 studies
Gray
I, II, IIIa, IIIb
CD4 count, CD4 counts, Czech Republic, Mali, Morocco, TB, Thailand and Uganda, and Zimbabwe, mortality rates, preventive therapy, quality of life, treatment, tuberculosis
Argentina, Australia, Botswana, Brazil, Chile, Côte d'Ivoire, Estonia, Europe, Haiti, India, Kenya, Lesotho, Malawi, Malaysia, Mexico, Nigeria, Peru, Poland, South Africa, Sub-Saharan Africa, Thailand, USA, Uganda
Further interventions are needed to provide support (physical, psychological, technological, economic) to patients and caregivers. Studies showed that patients and caregivers have many physical, psychological, and economic unmet needs, with high rates of depression and poverty, and in some cases, rely on their young children or relatives to provide care with no outside support. Some studies show that caregivers suffer from stigma attached to caring for someone HIV-positive. [See also %{s:67}] Some studies showed that women have a lower quality of life than men. A study in a high HIV prevalence area showed that for women, lack of control in sexual decision-making was associated with depression, while for men, intergenerational sex was associated with depression.
Antiretroviral therapy initiated at CD4 counts between 350 and 550 can result in fewer serious HIV-1-related clinical events or death.
Provision and Access
6 studies
Gray
II, IIIa, IIIb
CD4 counts, HAART, treatment
Australia, Botswana, Brazil, Canada, Côte d'Ivoire, Europe, India, Kenya, Malawi, North America, South Africa, Thailand, United States, Zimbabwe
Treatment
Antiretroviral therapy has transformed HIV to a chronic - though still incurable - virus requiring ongoing therapy and strict adherence to treatment. For the most part, virally suppressed people living with HIV today have no difference in life expectancy than demographically similar HIV-negative individuals (Sabin, 2013 cited in Justice and Falutz, 2014; Maman et al. 2012a).
This section does ...
Adherence and Support
"I'm 18 years, you are telling me drugs for life?" --Woman living with HIV in Uganda (Hsieh, 2013: 11)Treatment adherence is necessary to continually suppress the virus. Adherence to ART leads to better virological outcomes, prevents disease progression and improves survival (Nachega et al., 2010a; Nachega et al., 2010c). Conversely, inadequate adherence leads to drug resistance, which can then...
Women and Girls
By all estimates, most care and support is provided in the home and women provide two-thirds or more of that care and support (Ogden et al., 2006; Homan et al., 2005b; Akintola, 2006; UN, 2008b; Nyangara et al., 2009b; Surkan et al., 2010). However, this means that one-third of care and support is provided by men, and some have argued that making this more visible can shift gender norms and inc...
Promoting Women’s Leadership
Strengthening womens rights and health NGOs and supporting women leaders who can mobilize in-country efforts in the interests of women and girls affected by HIV is critical. "...It is not enough for programmes and strategies to be designed on behalf of those living with AIDS; we have much to learn from their experiences, and how they struggle to negotiate being positive and maintaining sex live...
Reducing Stigma and Discrimination
"...Three decades into the epidemic, stigmatization remains a core feature of the patient experience of HIV/AIDS" (Gilbert and Walker, 2010: 144). Or as one woman living with HIV in Thailand put it: "It does not matter how many thousand people have HIV/AIDS... I would say that only zero percent will accept people living with HIV/AIDS" (Liamputtong et al., 2009: 865). Stigma and discrimination h...
Advancing Education
Increasing girls' access to education is critical to combating the AIDS pandemic. "There is a well-established protective effect of schooling on HIV risk" (Pettifor et al., 2008a; Hargreaves et al., 2008a; Jukes et al., 2008 cited in Pettifor et al., 2012a: 1). Education of girls is associated with delayed marriage and childbearing, lower fertility, healthier babies, and increased earning poten...
Staying Healthy and Reducing Transmission
"Me, I try to tell the man that, 'In this house we have been found with this problem. We should accept it. I should not point a finger at you. You, too, should not point a finger at me. Just buy your protection.' And so, little by little what he does now is different from what he did in the past." --Malawi woman living with HIV (Mkandawire-Valhmu and Stephens, 2010: 691)Successfully treated peo...
Community-based interventions (including media) that provide accurate information about HIV transmission can significantly reduce HIV stigma and discrimination.
Reducing Stigma and Discrimination
7 studies
Gray
IIIa, IIIb, IV
HIV testing, discrimination, education, knowledge, mass media, microfinance, stigma
China, Ghana, Malawi, Nigeria, Thailand, Vietnam
Sex and HIV education with certain characteristics (see introduction) prior to the onset of sexual activity may be effective in preventing transmission of HIV by increasing age at first sex and, for those who are sexually active, increasing condom use, testing, and reducing the number of sexual partners.
Mitigating Risk
17 studies
Gray
I, II, IIIa, IIIb, IV
Bahama, adolescents, behavior change, condom use, contraception, low- and middle-income countries, pregnancy, seroconversion, sex behavior, sex education, sexual partners, testing
Africa, Brazil, Kenya, Mexico, South Africa, Sub-Saharan Africa, Tanzania, Thailand, United States
Mitigating Risk
Young People Need Information
"I want to know if I can have a boyfriend because every time I ask my mum she tells me not to. I would also love to learn about safe sex and safe motherhood (14 year old adolescent girl living with HIV, Zambia cited in Mburu et al., 2013).
A review of the global literature on adolescents found that "there is a significant unmet need for information, education, an...
Antenatal Care - Testing and Counseling
In 2007, only an estimated 18% of pregnant women were offered HIV tests (ITPC, 2009). "The purpose of antenatal VCT should be to help a woman prepare for a possible positive HIV diagnosis [and] to provide her with information about PMTCT options" (De Bruyn and Paxton, 2005: 145). In developing country settings, between eight and ten percent of women report having received PMTCT interventions (P...
