OBJECTIVE: To assess the influence of the relationship between people living with HIV/AIDS and health care providers on treatment adherence and quality of life. METHODS: Qualitative study conducted in Mexico, in 2003, with informants recruited from HIV/AIDS support groups, non-governmental organizations, and infectious disease clinics in public hospitals. A total of 40 people living with HIV/AIDS and five support group leaders were interviewed. Data were collected using sociodemographic questionnaires and in-depth interviews exploring the experience of living with HIV/AIDS, including treatment, disease perception, quality of life, physical and emotional health, and relationship with physicians. Responses were recorded, transcribed and organized thematically based on codes using an inductive analysis. RESULTS: Most respondents aged between 26 and 45 years. The main obstacles to care were related to lack of risk awareness and information among people living with HIV/AIDS and physicians. Physicians proved not to be well trained on HIV/AIDS care. During the follow-up care, most problems were related to inadequate treatment adherence mainly caused by poor communication with physicians and discrimination in public services. CONCLUSIONS: Overall the problems identified were related to information deficiencies, physicians' lack of training and paternalism, and social stigmatization of people living with HIV/AIDS associated with the epidemic.
OBJECTIVE: To assess the influence of the relationship between people living with HIV/AIDS and health care providers on treatment adherence and quality of life. METHODS: Qualitative study conducted in Mexico, in 2003, with informants recruited from HIV/AIDS support groups, non-governmental organizations, and infectious disease clinics in public hospitals. A total of 40 people living with HIV/AIDS and five support group leaders were interviewed. Data were collected using sociodemographic questionnaires and in-depth interviews exploring the experience of living with HIV/AIDS, including treatment, disease perception, quality of life, physical and emotional health, and relationship with physicians. Responses were recorded, transcribed and organized thematically based on codes using an inductive analysis. RESULTS: Most respondents aged between 26 and 45 years. The main obstacles to care were related to lack of risk awareness and information among people living with HIV/AIDS and physicians. Physicians proved not to be well trained on HIV/AIDS care. During the follow-up care, most problems were related to inadequate treatment adherence mainly caused by poor communication with physicians and discrimination in public services. CONCLUSIONS: Overall the problems identified were related to information deficiencies, physicians' lack of training and paternalism, and social stigmatization of people living with HIV/AIDS associated with the epidemic.
Authors: Laramie R Smith; Thomas L Patterson; Carlos Magis-Rodriguez; Victoria D Ojeda; Jose Luis Burgos; Sarah A Rojas; María Luisa Zúñiga; Steffanie A Strathdee Journal: AIDS Behav Date: 2016-05
Authors: Brooke S West; Daniela A Abramovitz; Patricia Gonzalez-Zuniga; Gudelia Rangel; Dan Werb; Javier Cepeda; Leo Beletsky; Steffanie A Strathdee Journal: Int J Drug Policy Date: 2019-11-24
Authors: Angel B Algarin; Marisol Valenzuela Lara; Johanna Chapin-Bardales; Ricardo Baruch-Dominguez; Travis H Sanchez; Mauricio Hernandez-Avila; Laramie R Smith Journal: AIDS Behav Date: 2022-09-26
Authors: Lori A Chambers; Sergio Rueda; D Nico Baker; Michael G Wilson; Rachel Deutsch; Elmira Raeifar; Sean B Rourke Journal: BMC Public Health Date: 2015-09-03 Impact factor: 3.295