Health Care Needs Among People Living with HIV: The Implication of Continuum of Care.

IF 1.5 Q4 INFECTIOUS DISEASES

HIV AIDS-Research and Palliative Care Pub Date : 2023-01-01 DOI:10.2147/HIV.S403510

Kusman Ibrahim, Laili Rahayuwati, Yusshy Kurnia Herliani, Iqbal Pramukti

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Abstract

Background: Human immunodeficiency virus remains a major public health problem in Indonesia. People living with HIV (PLWH) have various health problems as result from disease progression that impacts their health care needs. This study aims to explore health care needs and to test the factors associated with health care needs among people living with HIV.

Methods: A cross-sectional descriptive study design was undertaken with 243 respondents completing a self-reported HIV-Health Care Need Questionnaire. Participants were recruited using the purposive sampling technique from six HIV clinics in West Java, Indonesia. The data were analyzed using descriptive and multiple logistic regression statistical techniques.

Results: The majority of the subjects were diagnosed within less than 5 years and have been receiving antiretroviral therapy. Nursing care was indicated as the most needed, offered, and received care. Emergency financial assistance, legal services, insurance premiums, and nutritional intervention were perceived as gaps between needed and received. Characteristics such as age, educational background, having HIV manager, and income were significantly correlated to nutritional care (p< 0.05). Nutritional care was increased by 3.96% if PLWH having HIV manager (CI: 1.17-13.38, p< 0.05).

Conclusion: Addressing the gap between health care needs and health offered was important to ensure that care was received appropriately. Continuing assessment of health care needs can provide direction to deliver appropriate care and ensure a comprehensive continuum of care for PLWH.

查看原文本刊更多论文

艾滋病毒感染者的卫生保健需求:持续护理的含义。

背景:人类免疫缺陷病毒仍然是印度尼西亚的一个主要公共卫生问题。艾滋病毒感染者由于疾病进展而出现各种健康问题，影响了他们的卫生保健需求。本研究旨在探讨艾滋病毒感染者的卫生保健需求，并测试与卫生保健需求相关的因素。方法:采用横断面描述性研究设计，243名受访者完成自我报告的艾滋病毒卫生保健需求问卷。采用有目的抽样技术从印度尼西亚西爪哇的六个艾滋病毒诊所招募参与者。使用描述性和多元逻辑回归统计技术对数据进行分析。结果:大多数患者在5年内确诊，并一直接受抗逆转录病毒治疗。护理被认为是最需要、提供和接受的护理。紧急财政援助、法律服务、保险费和营养干预被认为是需求与接受之间的差距。年龄、学历、有HIV管理人员、收入等特征与营养护理有显著相关(p< 0.05)。有HIV管理人员的妇女的营养护理提高了3.96% (CI: 1.17 ~ 13.38, p< 0.05)。结论:解决卫生保健需求与提供的卫生保健之间的差距对于确保适当地获得卫生保健非常重要。对卫生保健需求的持续评估可以为提供适当的护理提供指导，并确保为PLWH提供全面的连续护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HIV AIDS-Research and Palliative Care INFECTIOUS DISEASES-

CiteScore

3.00

自引率

6.70%

发文量

审稿时长

16 weeks

期刊介绍： About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.

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