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首页> 外文学位 >Determinants of self efficacy to seek care for tuberculosis and complete tuberculosis treatment among HIV-positive individuals attending HIV/AIDS clinics in Honduras.
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Determinants of self efficacy to seek care for tuberculosis and complete tuberculosis treatment among HIV-positive individuals attending HIV/AIDS clinics in Honduras.

机译：在洪都拉斯参加艾滋病毒/艾滋病门诊的艾滋病毒呈阳性的人中寻求结核病治疗和全面结核病治疗的自我效能感的决定因素。

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摘要

HIV-positive persons bear an elevated risk of developing, relapsing, and dying from tuberculosis (TB), and have greater risk of TB treatment default. Yet little is known about the factors that influence TB care-seeking among this population. This study evaluated sociodemographic, cognitive, and psychosocial characteristics of PLHA without a history of TB receiving care in specialized HIV/AIDS clinics in Honduras, and the influence of several variables on self-efficacy to seek care, including: (1) seeking care for prolonged cough despite external constraints and potential HIV stigmatization, and (2) completing TB treatment once diagnosed.;The majority of participants were women (55%). Seventy-two percent were 33 years of age or older. Nearly 70% believed that they knew little or nothing about TB, but only 38% scored low on items of actual knowledge. One third of respondents perceived their risk of having TB as high, and 67% believed TB to be a fairly/highly severe illness. A majority (72%) of participants had positive attitudes toward public health center staff. Only 49% displayed high self-efficacy to seek care despite external constraints, and 53% had strong care-seeking self-efficacy despite potential HIV stigmatization.;Factors associated with increased self-efficacy to seek care despite external constraints included: (1) no health center visit within the previous year (OR 2.0; 95% CI 1.15-3.78; p=.01); (2) positive attitude toward care provided by health center staff (OR 3.94; 95% CI 2.07-7.52; p.0001); and (3) perceived benefit of TB treatment (OR 2.6; 95% CI 1.46-4.67; p=.001). The first two factors also predicted increased self-efficacy to seek TB care despite HIV stigmatization (OR 1.89; 95% CI 1.11-3.22; p=0.02 and OR 3.93; 95% CI 2.22-6.99; p.0001, respectively). PLHA believing TB to be a fairly to highly severe illness were twice as likely to have high self-efficacy to complete TB treatment if diagnosed, compared with those viewing TB as less severe (OR 2.0; 95% CI 1.09--3.39; p=0.02).;National TB and HIV programs, and non-governmental health care organizations, can use these findings to develop, implement, and evaluate tailored behavior change communication (BCC) targeted at patients and health providers, and create environments in which patients feel confident and self-assured.
机译：HIV阳性者罹患结核病（TB），复发和死亡的风险较高，并且结核病默认治疗的风险较高。对于影响该人群中结核病寻求治疗的因素知之甚少。这项研究评估了洪都拉斯专门的HIV / AIDS诊所没有结核病接受治疗史的PLHA的社会人口统计学，认知和社会心理特征，以及多个变量对寻求护理的自我效能的影响，包括：（1）寻求护理尽管有外部限制和可能的艾滋病毒污名，但咳嗽仍持续了很长时间；（2）一旦被诊断出完成结核病治疗；大多数参与者为女性（55％）。 73％的年龄在33岁以上。将近70％的人认为他们对结核病了解甚少或一无所知，但只有38％的人在实际知识方面得分很低。三分之一的受访者认为他们患结核病的风险很高，而67％的人认为结核病是相当/高度严重的疾病。大多数（72％）的参与者对公共卫生中心工作人员持积极态度。尽管有外部限制，但只有49％的人表现出较高的就医自我效能感，尽管有潜在的HIV污名化，但仍有53％的人具有很强的寻求自我效能感;尽管有外部因素，与寻求就医自我效能感增强相关的因素包括：（1）上一年没有医疗中心就诊（OR 2.0； 95％CI 1.15-3.78； p = .01）； （2）卫生中心工作人员对护理的积极态度（OR 3.94； 95％CI 2.07-7.52； p <.0001）； （3）结核病治疗的益处（OR 2.6； 95％CI 1.46-4.67； p = .001）。前两个因素还预测了尽管受到了艾滋病毒的污名化，但寻求结核病护理的自我效能有所提高（分别为OR 1.89； 95％CI 1.11-3.22； p = 0.02和OR 3.93； 95％CI 2.22-6.99； p <.0001）。与认为结核病较轻的人相比，认为结核病是相当严重的疾病的PLHA如果被诊断出具有较高的自我效能完成结核病治疗的可能性，是那些认为结核病较轻的人（OR 2.0; 95％CI 1.09--3.39; p = 0.02）.;国家结核病和艾滋病项目以及非政府医疗保健组织可以利用这些发现来开发，实施和评估针对患者和健康提供者的量身定制的行为改变交流（BCC），并创造让患者感觉良好的环境自信和自信。

著录项

  • 作者

    Arias, Mayra S.;

  • 作者单位

    The University of Alabama at Birmingham.;

  • 授予单位 The University of Alabama at Birmingham.;
  • 学科 Health Sciences Public Health.
  • 学位 Dr.P.H.
  • 年度 2010
  • 页码 67 p.
  • 总页数 67
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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