RESUMO
Condoms are an integral part of HIV/AIDS prevention, yet their use is affected by several factors. The purpose of this study was to determine the prevalence of condom use and the psychological and behavioural determinants among people living with HIV/AIDS in Egypt. Focus group discussions were used to develop the study tool (questionnaire interview) geared towards eliciting knowledge, attitudes and beliefs about condoms among 338 confirmed HIV-positive persons attending fixed voluntary counselling and testing centres in 8 governorates in Egypt. The prevalence of condom use was 45.0% in regular sexual relations and only 18.1% in casual relations. The determinants of condom use were: type of partner, serostatus of partner, antiretroviral intake, beliefs and attitudes towards condom use and to HIV infection. The study shows that special efforts need to be made to change the attitudes of people living with HIV/AIDS towards condom use.
Assuntos
Preservativos/estatística & dados numéricos , Infecções por HIV/prevenção & controle , Síndrome da Imunodeficiência Adquirida/epidemiologia , Síndrome da Imunodeficiência Adquirida/prevenção & controle , Síndrome da Imunodeficiência Adquirida/transmissão , Adulto , Estudos Transversais , Demografia , Egito/epidemiologia , Feminino , Grupos Focais , Infecções por HIV/epidemiologia , Infecções por HIV/transmissão , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Inquéritos e QuestionáriosRESUMO
The aims of this study were to identify the psychosocial and health care needs of persons living with HIV/AIDS and to determine their coping strategies. The study was conducted in 3 governorates of Egypt on 153 people infected with HIV. The data were collected using a structured questionnaire and in-depth interviews. The majority of the people had been forced to change the pattern of their sexual behaviour. Fear of stigmatization and feelings of anxiety, hopelessness and depression were frequently reported, resulting in a negative psychosocial impact on the infected person. Decreasing stigma and providing psycho-social support would help people living with HIV/AIDS to utilize effective ways of coping with the negative sequelae of the infection.
Assuntos
Adaptação Psicológica , Atitude Frente a Saúde , Infecções por HIV/psicologia , Avaliação das Necessidades/organização & administração , Adolescente , Adulto , Análise de Variância , Ansiedade/psicologia , Efeitos Psicossociais da Doença , Estudos Transversais , Depressão/psicologia , Egito , Medo , Feminino , Infecções por HIV/complicações , Infecções por HIV/prevenção & controle , Humanos , Acontecimentos que Mudam a Vida , Masculino , Pessoa de Meia-Idade , Moral , Pesquisa Qualitativa , Qualidade de Vida/psicologia , Comportamento Sexual/psicologia , Apoio Social , Estereotipagem , Inquéritos e QuestionáriosRESUMO
The aims of this study were to identify the psychosocial and health care needs of persons living with HIV/AIDS and to determine their coping strategies. The study was conducted in 3 governorates of Egypt on 153 people infected with HIV. The data were collected using a structured questionnaire and in-depth interviews. The majority of the people had been forced to change the pattern of their sexual behaviour. Fear of stigmatization and feelings of anxiety, hopelessness and depression were frequently reported, resulting in a negative psychosocial impact on the infected person. Decreasing stigma and providing psycho-social support would help people living with HIV/AIDS to utilize effective ways of coping with the negative sequelae of the infection
