‘If you have a problem with your heart, you have a problem with your life’: Self-perception and behaviour in relation to the risk of ischaemic heart disease in people living with HIV
Identifieur interne : 001251 ( Main/Exploration ); précédent : 001250; suivant : 001252‘If you have a problem with your heart, you have a problem with your life’: Self-perception and behaviour in relation to the risk of ischaemic heart disease in people living with HIV
Auteurs : Ronel Roos [Afrique du Sud] ; Hellen Myezwa [Afrique du Sud] ; Helena Van Aswegen [Afrique du Sud]Source :
- African Journal of Primary Health Care & Family Medicine [ 2071-2928 ] ; 2015.
Abstract
Ischaemic heart disease (IHD) is a global health problem and specifically relevant in the African context, as the presence of risk factors for IHD is increasing. People living with the human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) (PLWHA) are at increased risk for IHD due to increased longevity, treatment-specific causes and viral effects.
To determine the self-perception and behaviour in relation to risk for IHD in a cohort of South African PLWHA.
A qualitative study using semi-structured interviews with a card-sort technique was used to gather data from 30 individuals at an HIV clinic in Johannesburg. Descriptive analysis and conventional content analysis were done to generate the findings.
The median age of the cohort was 36.5 (31.8–45.0) years and they were mostly women (
This study highlights that participants did not perceive themselves to be at risk of IHD due to their HIV status or antiretroviral management. Education strategies are required in PLWHA to inform their personal risk perception for IHD.
Url:
DOI: 10.4102/phcfm.v7i1.772
PubMed: 26245593
PubMed Central: 4564874
Affiliations:
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type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName><orgName type="university">Université du Witwatersrand</orgName></affiliation></author><author><name sortKey="Myezwa, Hellen" sort="Myezwa, Hellen" uniqKey="Myezwa H" first="Hellen" last="Myezwa">Hellen Myezwa</name><affiliation wicri:level="4"><nlm:aff id="AF0001">Department of Physiotherapy, University of the Witwatersrand, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Physiotherapy, University of the Witwatersrand</wicri:regionArea><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName><orgName type="university">Université du Witwatersrand</orgName></affiliation></author><author><name sortKey="Van Aswegen, Helena" sort="Van Aswegen, Helena" uniqKey="Van Aswegen H" first="Helena" last="Van Aswegen">Helena Van Aswegen</name><affiliation wicri:level="4"><nlm:aff id="AF0001">Department of Physiotherapy, University of the Witwatersrand, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Physiotherapy, University of the Witwatersrand</wicri:regionArea><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName><orgName type="university">Université du Witwatersrand</orgName></affiliation></author></analytic><series><title level="j">African Journal of Primary Health Care & Family Medicine</title><idno type="ISSN">2071-2928</idno><idno type="eISSN">2071-2936</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title><p>Ischaemic heart disease (IHD) is a global health problem and specifically relevant in the African context, as the presence of risk factors for IHD is increasing. People living with the human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) (PLWHA) are at increased risk for IHD due to increased longevity, treatment-specific causes and viral effects.</p></sec><sec id="st2"><title>Aim</title><p>To determine the self-perception and behaviour in relation to risk for IHD in a cohort of South African PLWHA.</p></sec><sec id="st3"><title>Methods</title><p>A qualitative study using semi-structured interviews with a card-sort technique was used to gather data from 30 individuals at an HIV clinic in Johannesburg. Descriptive analysis and conventional content analysis were done to generate the findings.</p></sec><sec id="st4"><title>Results</title><p>The median age of the cohort was 36.5 (31.8–45.0) years and they were mostly women (<italic>n</italic> = 25; 83.3%) who were employed (<italic>n</italic> = 17; 56.7%) and supporting dependents (<italic>n</italic> = 26; 86.7%). Fifteen (50%) participants did not perceive themselves at risk of IHD and reported having adequate coping behaviour, living a healthy lifestyle and being healthy since initiating therapy. Twelve (40%) did feel at risk because they experienced physical symptoms and had poor behaviour. Knowledge and understanding related to IHD, insight into own risk for IHD and health character in a context of HIV infection were three themes.</p></sec><sec id="st5"><title>Conclusion</title><p>This study highlights that participants did not perceive themselves to be at risk of IHD due to their HIV status or antiretroviral management. 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Sud</li></country><region><li>Gauteng</li></region><settlement><li>Johannesbourg</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><country name="Afrique du Sud"><region name="Gauteng"><name sortKey="Roos, Ronel" sort="Roos, Ronel" uniqKey="Roos R" first="Ronel" last="Roos">Ronel Roos</name></region><name sortKey="Myezwa, Hellen" sort="Myezwa, Hellen" uniqKey="Myezwa H" first="Hellen" last="Myezwa">Hellen Myezwa</name><name sortKey="Van Aswegen, Helena" sort="Van Aswegen, Helena" uniqKey="Van Aswegen H" first="Helena" last="Van Aswegen">Helena Van Aswegen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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