Positive Influences and Challenges for the Deaf Community Navigating Access to HIV Information, Testing, and Treatment in Kampala, Uganda: A Qualitative Study.


Journal

AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133

Informations de publication

Date de publication:
Apr 2022
Historique:
accepted: 17 09 2021
pubmed: 2 10 2021
medline: 25 3 2022
entrez: 1 10 2021
Statut: ppublish

Résumé

Although sub-Saharan Africa has the highest HIV burden globally, few studies have investigated disabilities and HIV in this region. We conducted a secondary analysis of text data from in-depth interviews (2014-2015) to describe HIV perceptions among a subsample of 73 deaf individuals participating in the Crane survey, Kampala, Uganda. Being deaf was defined as being profoundly or functionally deaf, having deafness onset 5 + years ago, and preferring sign language to communicate. Among participants ever tested for HIV (47%), most (88%) had a negative test. Thematic analysis revealed overcoming challenges/barriers followed by socioeconomic status, support systems, HIV, stigma, abuse, and health conditions as major themes. An unanticipated finding was the role of sex work to support basic living needs. The data showed related themes among participants, suggesting a complex context in which deaf participants experience HIV prevention and treatment. It is important to tailor HIV interventions for deaf and disabled persons.

Identifiants

pubmed: 34596826
doi: 10.1007/s10461-021-03477-5
pii: 10.1007/s10461-021-03477-5
pmc: PMC8940640
mid: NIHMS1760677
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1222-1228

Subventions

Organisme : Intramural CDC HHS
ID : CC999999
Pays : United States
Organisme : NCHHSTP CDC HHS
ID : U2G PS000971
Pays : United States
Organisme : U.S. Department of State
ID : 5U2GPS000971

Informations de copyright

© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.

Références

Sociol Methodol. 2010 Aug;40(1):285-327
pubmed: 22969167
J Assoc Nurses AIDS Care. 2004 Jul-Aug;15(4):27-36
pubmed: 15296656
AIDS Behav. 2015 Feb;19 Suppl 1:S68-76
pubmed: 25432876
AIDS Care. 2014;26(12):1467-76
pubmed: 25033274
Disabil Rehabil. 2009;31(6):508-14
pubmed: 18608420
PLoS One. 2012;7(5):e38143
pubmed: 22693590
BMJ Glob Health. 2020 Oct;5(10):
pubmed: 33060095
Afr J AIDS Res. 2010 Jun;9(2):187-92
pubmed: 25860527
J Deaf Stud Deaf Educ. 2018 Oct 1;23(4):341-350
pubmed: 29860386
AIDS Care. 2005 Jul;17(5):623-34
pubmed: 16036248
EClinicalMedicine. 2020 Aug 01;25:100477
pubmed: 32954240
PLoS One. 2020 Apr 22;15(4):e0231969
pubmed: 32320448
Soc Sci Med. 2013 Jan;77:31-40
pubmed: 23219851
Disabil Rehabil. 2020 Feb;42(3):335-348
pubmed: 30282493
Public Health Rep. 1994 May-Jun;109(3):390-6
pubmed: 8190862
J Int AIDS Soc. 2016 Jul 20;19(5 Suppl 4):20829
pubmed: 27443266
West Indian Med J. 2008 Sep;57(4):398-402
pubmed: 19566023

Auteurs

Italia V Rolle (IV)

Division of Global HIV & Tuberculosis, Center for Global Health, Centers for Disease Control and Prevention, 1 Corporate Boulevard, MS E-30, Atlanta, GA, 30329, USA. itr2@cdc.gov.

Amanda Moyer (A)

Internal Medicine Residency Program, The George Washington University, Washington, DC, USA.

Moses Ogwal (M)

School of Public Health, Makerere University, Kampala, Uganda.

Naeemah Logan (N)

Division of Global HIV & Tuberculosis, Center for Global Health, Centers for Disease Control and Prevention, 1 Corporate Boulevard, MS E-30, Atlanta, GA, 30329, USA.

Jonela Rogers (J)

Morehouse School of Medicine, Atlanta, GA, USA.

Enos Sande (E)

Division of Global HIV & Tuberculosis, Center for Global Health, Centers for Disease Control and Prevention, Kampala, Uganda.

Ronald Kibalama (R)

School of Public Health, Makerere University, Kampala, Uganda.

George Aluzimbi (G)

Division of Global HIV & Tuberculosis, Center for Global Health, Centers for Disease Control and Prevention, Kampala, Uganda.

Justine Nyende (J)

School of Public Health, Makerere University, Kampala, Uganda.

Patrick Awoii (P)

School of Public Health, Makerere University, Kampala, Uganda.

Dorcus Julliet (D)

School of Public Health, Makerere University, Kampala, Uganda.

David Serwada (D)

School of Public Health, Makerere University, Kampala, Uganda.

Wolfgang Hladik (W)

Division of Global HIV & Tuberculosis, Center for Global Health, Centers for Disease Control and Prevention, 1 Corporate Boulevard, MS E-30, Atlanta, GA, 30329, USA.

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Classifications MeSH