دورية أكاديمية
أعرض في EDS

Malaria care-seeking behaviour among HIV-infected patients receiving antiretroviral treatment in South-Eastern Nigeria: A cross-sectional study.

التفاصيل البيبلوغرافية
العنوان: Malaria care-seeking behaviour among HIV-infected patients receiving antiretroviral treatment in South-Eastern Nigeria: A cross-sectional study.
المؤلفون: Chukwuocha UM; Department of Public Health, Federal University of Technology, Owerri, Nigeria., Iwuoha GN; Department of Public Health, Federal University of Technology, Owerri, Nigeria., Nwakwuo GC; RAHI Medical Outreach, Port Harcourt, Nigeria., Egbe PK; Department of Public Health, Federal University of Technology, Owerri, Nigeria., Ezeihekaibe CD; College of Education and Health Sciences, Touro University, California, United States of America., Ekiyor CP; Department of Public Health, Federal University of Technology, Owerri, Nigeria.; RAHI Medical Outreach, Port Harcourt, Nigeria., Dozie INS; Department of Public Health, Federal University of Technology, Owerri, Nigeria., Burrowes S; College of Education and Health Sciences, Touro University, California, United States of America.
المصدر: PloS one [PLoS One] 2019 May 09; Vol. 14 (5), pp. e0213742. Date of Electronic Publication: 2019 May 09 (Print Publication: 2019).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Coinfection* , Information Seeking Behavior* , Patient Acceptance of Health Care*, HIV Infections/*epidemiology , Malaria/*epidemiology, Anti-Retroviral Agents/therapeutic use ; Antimalarials/therapeutic use ; Cross-Sectional Studies ; Female ; HIV Infections/drug therapy ; Humans ; Malaria/drug therapy ; Malaria/parasitology ; Male ; Nigeria/epidemiology ; Self Report
مستخلص: This study assesses malaria prevention and treatment behaviour among people living with HIV/AIDS (PLWHA) in Owerri, South Eastern Nigeria. Although Nigeria bears one of the world's largest burdens of both malaria and HIV, there is almost no research studying how co-infected patients manage their care. We systematically sampled 398 PLWHA receiving care at Imo State Specialist Hospital and the Federal Medical Centre in Owerri to complete a structured, pre-tested questionnaire on malaria care-seeking behaviour. Descriptive statistics were reported and chi-square tests and multivariate logistic regressions were also used. The majority of HIV-infected patients (78.9%) reported having had an episode of suspected malaria quarterly or more often. There was a large variation in care-seeking patterns: on suspicion of malaria, 29.1% of participants engaged in self-medication; 39.2% went to drug shops, and only 22.6% visited HIV/AIDS care centres. Almost 40% waited more than 24 hours before initiating treatment. Most (60.3%), reported taking recommended artemisinin-based combination treatments (ACT) but a significant minority took only paracetamol (25.6%) or herbal remedies (3.5%). Most (80%) finished their chosen course of treatment; and completion of treatment was significantly associated with the frequency of suspected malaria occurrence (p = 0.03). Most (62.8%) did not take anti-malaria medication while taking antiretroviral treatment (ART) and almost all (87.6%) reported taking an ACT regimen that could potentially interact with Nigeria's first-line ART regimen. Our findings suggest the need to pay more attention to malaria prevention and control as a crucial element in HIV/AIDS management in this part of Nigeria and other areas where malaria and HIV/AIDS are co-endemic. Also, more research on ART-ACT interactions, better outreach to community-level drug shops and other private sector stakeholders, and clearer guidelines for clinicians and patients on preventing and managing co-infection may be needed. This will require improved collaboration between programmes for both diseases.
Competing Interests: The authors have declared that no competing interests exist.
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المشرفين على المادة: 0 (Anti-Retroviral Agents)
0 (Antimalarials)
تواريخ الأحداث: Date Created: 20190510 Date Completed: 20200114 Latest Revision: 20200309
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC6508638
DOI: 10.1371/journal.pone.0213742
PMID: 31071091
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0213742