Coping strategies of HIV-affected households in Ghana
Identifieur interne : 003012 ( Ncbi/Curation ); précédent : 003011; suivant : 003013Coping strategies of HIV-affected households in Ghana
Auteurs : Amos Laar [Ghana] ; Abubakar Manu [Ghana] ; Matilda Laar [Canada] ; Angela El-Adas [Ghana] ; Richard Amenyah [Ghana] ; Kyeremeh Atuahene [Ghana] ; Dave Quarshie [Suède] ; Andrew Anthony Adjei [Ghana] ; Isabella Quakyi [Ghana]Source :
- BMC Public Health [ 1471-2458 ] ; 2015.
Descripteurs français
- KwdFr :
- Adaptation psychologique, Adolescent, Adulte, Adulte d'âge moyen, Approvisionnement en nourriture, Caractéristiques familiales, Emploi, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Ghana, Humains, Infections à VIH (psychologie), Jeune adulte, Mâle, VIH-1 (Virus de l'Immunodéficience Humaine de type 1), Études transversales.
- MESH :
- psychologie : Infections à VIH.
- Adaptation psychologique, Adolescent, Adulte, Adulte d'âge moyen, Approvisionnement en nourriture, Caractéristiques familiales, Emploi, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Ghana, Humains, Jeune adulte, Mâle, VIH-1 (Virus de l'Immunodéficience Humaine de type 1), Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- MESH :
- geographic : Ghana.
- psychology : HIV Infections.
- Adaptation, Psychological, Adolescent, Adult, Cross-Sectional Studies, Employment, Family Characteristics, Female, Food Supply, HIV-1, Humans, Male, Middle Aged, Socioeconomic Factors, Surveys and Questionnaires, Young Adult.
Abstract
HIV and negative coping mechanisms have a cyclical relationship. HIV infections may lead to the adoption of coping strategies, which may have undesired, negative consequences. We present data on the various coping mechanisms that HIV-affected households in Ghana resort to.
We collected data on coping strategies, livelihood activities, food consumption, and asset wealth from a nationally representative sample of 1,745 Ghanaian HIV-affected households. We computed coping strategies index (CSI), effective dependency rate, and asset wealth using previously validated methodologies.
Various dehumanizing coping strategies instituted by the HIV-affected households included skipping an entire day’s meal (13%), reducing portion sizes (61.3%), harvesting immature crops (7.6%), and begging (5.6%). Two-thirds of the households were asset poor. Asset-poor households had higher CSI than asset-rich households (
Institution of degrading measures by HIV-affected households in reaction to threat of food insecurity was prevalent. The three most important coping strategies used by households were limiting portion size (61.3%), reducing number of meals per day (59.5%) and relying on less expensive foods (56.2%). The least employed strategies included household member going begging (5.6%), eating elsewhere (8.7%) and harvesting immature crop (7.6%).
Given that household assets, and caring for the chronically ill were associated with high CSI, a policy focusing on helping HIV-affected households gradually build up their asset base, or targeting households caring for chronically ill member(s) with conditional household-level support may be reasonable.
Url:
DOI: 10.1186/s12889-015-1418-x
PubMed: 25886186
PubMed Central: 4343049
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PMC:4343049Le document en format XML
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<term>Family Characteristics</term>
<term>Female</term>
<term>Food Supply</term>
<term>Ghana</term>
<term>HIV Infections (psychology)</term>
<term>HIV-1</term>
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<term>Socioeconomic Factors</term>
<term>Surveys and Questionnaires</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Approvisionnement en nourriture</term>
<term>Caractéristiques familiales</term>
<term>Emploi</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Ghana</term>
<term>Humains</term>
<term>Infections à VIH (psychologie)</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term>
<term>Études transversales</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infections à VIH</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Cross-Sectional Studies</term>
<term>Employment</term>
<term>Family Characteristics</term>
<term>Female</term>
<term>Food Supply</term>
<term>HIV-1</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Socioeconomic Factors</term>
<term>Surveys and Questionnaires</term>
<term>Young Adult</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adaptation psychologique</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Approvisionnement en nourriture</term>
<term>Caractéristiques familiales</term>
<term>Emploi</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Ghana</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>VIH-1 (Virus de l'Immunodéficience Humaine de type 1)</term>
<term>Études transversales</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>HIV and negative coping mechanisms have a cyclical relationship. HIV infections may lead to the adoption of coping strategies, which may have undesired, negative consequences. We present data on the various coping mechanisms that HIV-affected households in Ghana resort to.</p>
</sec>
<sec><title>Methods</title>
<p>We collected data on coping strategies, livelihood activities, food consumption, and asset wealth from a nationally representative sample of 1,745 Ghanaian HIV-affected households. We computed coping strategies index (CSI), effective dependency rate, and asset wealth using previously validated methodologies.</p>
</sec>
<sec><title>Results</title>
<p>Various dehumanizing coping strategies instituted by the HIV-affected households included skipping an entire day’s meal (13%), reducing portion sizes (61.3%), harvesting immature crops (7.6%), and begging (5.6%). Two-thirds of the households were asset poor. Asset-poor households had higher CSI than asset-rich households (<italic>p</italic>
<0.001). CSI were also higher among female-headed households and lower where the education level of the household head is higher. Households caring for chronically ill members recorded higher CSI in comparison with their counterparts without the chronically ill (<italic>p</italic>
< 0.05).</p>
</sec>
<sec><title>Conclusions</title>
<p>Institution of degrading measures by HIV-affected households in reaction to threat of food insecurity was prevalent. The three most important coping strategies used by households were limiting portion size (61.3%), reducing number of meals per day (59.5%) and relying on less expensive foods (56.2%). The least employed strategies included household member going begging (5.6%), eating elsewhere (8.7%) and harvesting immature crop (7.6%).</p>
<p>Given that household assets, and caring for the chronically ill were associated with high CSI, a policy focusing on helping HIV-affected households gradually build up their asset base, or targeting households caring for chronically ill member(s) with conditional household-level support may be reasonable.</p>
</sec>
</div>
</front>
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