دورية أكاديمية
Coping strategies of HIV-affected households in Ghana.
| العنوان: | Coping strategies of HIV-affected households in Ghana. |
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| المؤلفون: | Laar A; Department of Population, Family, & Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, P. O. Box LG 13, Legon, Accra, Ghana. aklaar@yahoo.com., Manu A; Department of Population, Family, & Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, P. O. Box LG 13, Legon, Accra, Ghana. abumanu@yahoo.com., Laar M; School of Dietetics and Human Nutrition, McGill University, Montreal, Canada. matilda.laar@mail.mcgill.ca., El-Adas A; Ghana AIDS Commission, Accra, Ghana. aeladas@ghanaaids.gov.gh., Amenyah R; Ghana AIDS Commission, Accra, Ghana. ramenyah@gmail.com., Atuahene K; Ghana AIDS Commission, Accra, Ghana. katuahene@ghanaids.gov.gh., Quarshie D; School of Management, Blekinge Tekniska Högskola, SE-371 79, Karlskrona, Sweden. quarshiedave@gmail.com., Adjei AA; Department of Pathology, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana. andrewanthonyadjei@yahoo.com., Quakyi I; Department of Biological, Environmental, and Occupational Sciences, School of Public Health, University of Ghana, Accra, Ghana. iaquakyi@yahoo.com. |
| المصدر: | BMC public health [BMC Public Health] 2015 Feb 21; Vol. 15, pp. 166. Date of Electronic Publication: 2015 Feb 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Adaptation, Psychological* , Family Characteristics* , HIV-1*, HIV Infections/*psychology, Adolescent ; Adult ; Cross-Sectional Studies ; Employment ; Female ; Food Supply ; Ghana ; Humans ; Male ; Middle Aged ; Socioeconomic Factors ; Surveys and Questionnaires ; Young Adult |
| مستخلص: | Background: HIV and negative coping mechanisms have a cyclical relationship. HIV infections may lead to the adoption of coping strategies, which may have undesired, negative consequences. We present data on the various coping mechanisms that HIV-affected households in Ghana resort to. Methods: We collected data on coping strategies, livelihood activities, food consumption, and asset wealth from a nationally representative sample of 1,745 Ghanaian HIV-affected households. We computed coping strategies index (CSI), effective dependency rate, and asset wealth using previously validated methodologies. Results: Various dehumanizing coping strategies instituted by the HIV-affected households included skipping an entire day's meal (13%), reducing portion sizes (61.3%), harvesting immature crops (7.6%), and begging (5.6%). Two-thirds of the households were asset poor. Asset-poor households had higher CSI than asset-rich households (p <0.001). CSI were also higher among female-headed households and lower where the education level of the household head is higher. Households caring for chronically ill members recorded higher CSI in comparison with their counterparts without the chronically ill (p < 0.05). Conclusions: Institution of degrading measures by HIV-affected households in reaction to threat of food insecurity was prevalent. The three most important coping strategies used by households were limiting portion size (61.3%), reducing number of meals per day (59.5%) and relying on less expensive foods (56.2%). The least employed strategies included household member going begging (5.6%), eating elsewhere (8.7%) and harvesting immature crop (7.6%). Given that household assets, and caring for the chronically ill were associated with high CSI, a policy focusing on helping HIV-affected households gradually build up their asset base, or targeting households caring for chronically ill member(s) with conditional household-level support may be reasonable. |
| References: | AIDS Behav. 2011 Oct;15(7):1490-502. (PMID: 21822628) Am J Clin Nutr. 2011 Dec;94(6):1740S-1744S. (PMID: 22089447) AIDS. 2012 Jan 2;26(1):67-75. (PMID: 21904186) AIDS. 2012 Jan 2;26(1):115-7. (PMID: 22126815) Lancet. 2003 Oct 11;362(9391):1234-7. (PMID: 14568749) Med Anthropol Q. 2003 Dec;17(4):423-41. (PMID: 14716917) BMC Public Health. 2010;10:585. (PMID: 20920267) Gut. 1995 Nov;37(5):623-9. (PMID: 8549936) Am J Clin Nutr. 1998 Jan;67(1):143-7. (PMID: 9440389) Public Health. 2006 Sep;120(9):795-804. (PMID: 16824562) AIDS. 2007 Nov;21 Suppl 7:S5-S16. (PMID: 18040165) Clin Infect Dis. 2009 Oct 1;49(7):1096-102. (PMID: 19725790) BMC Public Health. 2010;10:316. (PMID: 20529283) Gastroenterol Clin North Am. 1988 Sep;17(3):573-86. (PMID: 3049363) |
| تواريخ الأحداث: | Date Created: 20150418 Date Completed: 20151026 Latest Revision: 20220409 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC4343049 |
| DOI: | 10.1186/s12889-015-1418-x |
| PMID: | 25886186 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2458 |
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| DOI: | 10.1186/s12889-015-1418-x |