TITLE

Fogging the issue of HIV - Barriers for HIV testing in a migrated population from Ethiopia and Eritrea

AUTHOR(S)
Lindkvist, Pille; Johansson, Eva; Hylander, Ingrid
PUB. DATE
February 2015
SOURCE
BMC Public Health;2015, Vol. 15 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The outcome of HIV treatment has dramatically improved since the introduction of antiretroviral therapy. Studies confirm that if treatment of HIV is initiated when the immune system is not severely affected by the virus the prognosis for the outcome is significantly better. There is also evidence that many immigrants come late for their first HIV test. If found to be HIV positive, and if the immune system is already significantly affected, this will compromise the treatment outcome. This study was performed in an attempt to understand the barriers for early HIV testing in a migrant population from Ethiopia and Eritrea in Stockholm, Sweden. Methods: Participants were theoretically sampled and consisted of individuals who had immigrated from Ethiopia and Eritrea. Data were collected using 14 focus group discussions and seven semi-structured interviews. The analysis was performed according to a Grounded Theory approach using the paradigm model. Results: Denial and fear of knowing one's HIV status dominated all aspects of behavior in relation to HIV. The main strategy was a "fogging" of the issue of HIV. People were said to not want to know because this would bring social isolation and exclusion, and it was often believed that treatment did not help. This attitude had strong roots in their culture and past experiences that were brought along to the new country and maintained within the immigrant community. The length of time spent in Sweden seemed to be an important factor affecting the "fogging of the HIV issue". Conclusions: In bridging the gap between the two cultures, Swedish authorities need to find ways to meet the needs of both earlier and newly arrived immigrants as well as the second generation of immigrants. This will require adjusting and updating the information that is given to these different sub-groups of Ethiopian and Eritrean immigrants. Appropriate access to healthcare for a diverse population obviously requires more than simply providing the healthcare services.
ACCESSION #
101992688

 

Related Articles

  • Antiretroviral drug resistance testing. Sen, S.; Tripathy, S. P.; Paranjape, R. S. // Journal of Postgraduate Medicine;Jul-Sep2006, Vol. 52 Issue 3, p187 

    While antiretroviral drugs, those approved for clinical use and others under evaluation, attempt in lowering viral load and boost the host immune system, antiretroviral drug resistance acts as a major impediment in the management of human immune deficiency virus type-1 (HIV-1) infection....

  • Supervised Treatment Interruptions Fail to Control HIV-1 Viremia. Kaufmann, D. E.; Lichterfeld, M.; Altfeld, M.; Addo, M. M.; Johnston, M. N. // PLoS Medicine;Nov2004, Vol. 1 Issue 2, p94 

    Presents the results of a study on the use of supervised treatment interruption (STI) in controlling HIV-1 viremia. Significance of STI to the immune system; Role of STI in highly active antiretroviral therapy (HAART) used for the treatment of the infection; Effect of HAART on T helper cells.

  • Undiagnosed HIV infection in patients with viral hepatitis. Geretti, Anna Maria; Madge, Sara; Posner, Marcus; Dusheiko, Geoff; Jacobs, Michael // BMJ: British Medical Journal (International Edition);6/28/2008, Vol. 336 Issue 7659, p1451 

    A letter to the editor is presented which discusses a study regarding the diagnosis of HIV infection in viral hepatitis patients.

  • Initiation of ART during Early Acute HIV Infection Preserves Mucosal Th17 Function and Reverses HIV-Related Immune Activation. Schuetz, Alexandra; Deleage, Claire; Sereti, Irini; Rerknimitr, Rungsun; Phanuphak, Nittaya; Phuang-Ngern, Yuwadee; Estes, Jacob D.; Sandler, Netanya G.; Sukhumvittaya, Suchada; Marovich, Mary; Jongrakthaitae, Surat; Akapirat, Siriwat; Fletscher, James L. K.; Kroon, Eugene; Dewar, Robin; Trichavaroj, Rapee; Chomchey, Nitiya; Douek, Daniel C.; O‚Ä≤Connell, Robert J.; Ngauy, Viseth // PLoS Pathogens;Dec2014, Vol. 10 Issue 12, p1 

    Mucosal Th17 cells play an important role in maintaining gut epithelium integrity and thus prevent microbial translocation. Chronic HIV infection is characterized by mucosal Th17 cell depletion, microbial translocation and subsequent immune-activation, which remain elevated despite...

  • The Modern ART of HIV Infection Management: Towards a Tailored Approach to Maximize CD4 T Cell Reconstitution. Sasson, Sarah C.; Kelleher, Anthony D.; Cooper, David A. // Clinical Infectious Diseases;8/1/2005, Vol. 41 Issue 3, p373 

    The article provides information on a study on the modern antiretroviral therapy (ART) of HIV infection management. This study builds on previous work aimed at defining the predictors of CD4 T cell responses after ART. First introduced in the mid-1990s, ART greatly inhibits viral replication,...

  • Cytomegalovirus and HIV: A Dangerous Pas de Deux. Gianella, Sara; Letendre, Scott // Journal of Infectious Diseases;2016 Supplement, Vol. 214, pS67 

    Human immunodeficiency virus (HIV)-infected adults who take stable antiretroviral therapy (ART) are at risk for early onset of age-related diseases. This is likely due to a complex interaction between traditional risk factors, HIV infection itself, and other factors, such as underlying immune...

  • Diplopia in a Patient with HIV Infection. Dhillon, Wishwdeep S.; Shah, Tushar // New England Journal of Medicine;4/15/2010, Vol. 362 Issue 15, pe52 

    The article presents a case study of a man with human immunodeficiency virus (HIV) infection who was receiving highly active antiretroviral therapy and found to have diplopia and headache for a week.

  • Standing in the Way of Eradication: HIV-1 Infection and Treatment in the Male Genital Tract. Shehu-Xhilaga, Miranda; De Kretser, David; Dejucq-Rainsford, Nathalie; Hedger, Mark // Current HIV Research;Oct2005, Vol. 3 Issue 4, p345 

    As a result of the introduction of the Highly Active Antiretroviral Therapy (HAART) many HIV-1 infected individuals are able to live an improved and extended life style that can include the prospect of having children. Problematically, the male reproductive organs may contribute infected cells...

  • Clinical response of newly diagnosed HIV seropositive & seronegative pulmonary tuberculosis patients with the RNTCP Short Course regimen in Pune, India. Tripathy, S.; Anand, A.; Inamdar, V.; Manoj, M. M.; Khillare, K. M.; Datye, A. S.; Iyer, R.; Kanoj, D. M.; Thakar, M.; Kale, V.; Pereira, M.; Risbud, A. R. // Indian Journal of Medical Research;May2011, Vol. 133 Issue 5, p521 

    Background & objectives: in the Revised National Tuberculosis Control Programme (RNTCP) in India prior to 2005, TB patients were offered standard DOTS regimens without knowledge of HIV status. Consequently such patients did not receive anti-retroviral therapy (ART) and the influence of...

  • Optimization of HAART with genetic algorithms and agent-based models of HIV infection. F. Castiglione; F. Pappalardo; M. Bernaschi; S. Motta // Bioinformatics;Dec2007, Vol. 23 Issue 24, p3350 

    Motivation: Highly Active AntiRetroviral Therapies (HAART) can prolong life significantly to people infected by HIV since, although unable to eradicate the virus, they are quite effective in maintaining control of the infection. However, since HAART have several undesirable side effects, it is...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics