Browsing by Subject "HIV/AIDS"
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Amanze, James N. (Botswana Society, http://www.botsoc.org.bw, NaN, 2000)[more][less]
Abstract: This paper examines the preventative role of condoms in the fight against HIV/ AIDS. It will be argued in this paper that because of the magnitude, severity, devastation and complexity of the HIV/AIDS pandemic there is great need to advise people to use condoms as one of the weapons in the fight against this deadly disease. The primary objective of this advice is to save human lives, though this of course quite often compromises moral standpoints. Failure to stop the spread of HIV/AIDS by all means available is like entering into a covenant with death, which may consequently lead to the eventual depopulation of Botswana. URI: http://hdl.handle.net/10311/1030 Files in this item: 1
Amanze_BNR 2000.pdf (1.292Mb) -
Ntseane, P. G. (UNESCO. http://www.unesco.org, NaN, 2004)[more][less]
Abstract: This paper argues that sex has to be analyzed and understood from a sociological perspective because sex in itself has a social function. A phenomenological study that was carried out among five ethnic groups of Botswana revealed the importance of taking into account cultural sexual realities when prevention strategies for HIV/AIDS are considered and implemented. Furthermore the study threw light on the ineffectiveness of the current national HIV/AIDS prevention strategy of ‘Abstain, Be faithful, and use a Condom’ (ABC), a strategy borrowed from the Christian cultural morality of sex. Therefore, this paper advocates for empowerment processes that take into consideration local ways of knowing and delivery modes such as participatory approaches. An effective and sustainable alternative to the current national ‘ABC’ strategy is to engage people meaningfully in analyzing their current cultural situation and coming up with working strategies that can make a difference in a country seriously affected by the HIV/AIDS pandemic. URI: http://hdl.handle.net/10311/757 Files in this item: 1
Ntseane_PLE_2004.pdf (1.377Mb) -
Chilisa, B. (International Journal of Qualitative Studies in Education; Taylor & Francis [ http://www.tandf.co.uk/journals/titles/09518398.asp ], November NaN, 2005)[more][less]
Abstract: This paper uses the postcolonial lens to highlight that mainstream research in postcolonial societies still ignores, marginalizes and suppresses other knowledge systems and ways of knowing. The marginalization of local knowledge systems, it is argued, was established in the colonial times that relegated all things indigenous or from the colonized communities as unworthy, uncivilized, barbaric and superstitious. Systematic efforts to inscribe Western ways of cultural, economic, political and social systems were applied during the colonial times and maintained in the post-independence era. The educational system did not escape the colonial construction of the colonized subjects and their relegation to otherness. Years after the struggle for independence the content of what is taught, methods of teaching and research remain Western in non-Western contexts. This does not only alienate the ‘othered’ from their own knowledge systems, it can be a matter of life and death as demonstrated by the HIV/AIDS information and education campaign. Using excerpts from studies on HIV/AIDS, the paper highlights that interventions to prevent the spread of HIV/AIDS, legitimized by conventional/Western research knowledge and frameworks, have alienated the people from the struggle to prevent the spread of the virus. Findings from a number of research studies on HIV/AIDS in Botswana are analyzed within the framework of current prevention strategies, more specifically posters and cartoons used in the campaign against HIV/AIDS, to illustrate the marginalization of other knowledge systems and the intersection of the ‘otherness’ ideology with mainstream First World research methodologies. URI: http://hdl.handle.net/10311/54 Files in this item: 2
chilisacolonization1.pdf (3.399Mb)license.txt (1.998Kb) -
Seloilwe, E.S. (Association of Nurses in AIDS Care. http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description, NaN, 2005)[more][less]
Abstract: The results discussed in this report are part of a larger study conducted among the students of the University of Botswana regarding their knowledge, attitudes, and behaviors related to HIV/AIDS. The study triangulated survey methods and focus group discussions. Five main areas were investigated: knowledge and personal experiences of HIV/AIDS, sexual behavior and practices, perceptions about risky sexual behavior on campus, and factors that influence the spread of HIV. This article reports high levels of risky behaviors such as alcohol and drug abuse; unprotected sex; frequent change of sexual partners; sex for financial gain, for prestige, for good grades, to relieve stress, and because of peer pressure; and casual sex as part of socializing. URI: http://hdl.handle.net/10311/578 Files in this item: 1
Factors that influence.pdf (1.399Mb) -
Ngwenya, B.N.; Kgathi, D.L. (Elsevier Ltd; www.elsevier.com/locate/pce, NaN, 2006)[more][less]
Abstract: This case study investigates access to potable water in HIV/AIDS related home-based care households in five rural communities in Ngamiland, Botswana. Primary data collected from five villages, consisted of two parts. The first survey collected household data on demographic and rural livelihood features and impacts of HIV/AIDS. A total of 129 households were selected using a two-stage stratified random sampling method. In the second survey, a total of 39 family primary and community care givers of continuously ill, bed-ridden or non-bed-ridden HIV/AIDS patients were interviewed. A detailed questionnaire, with closed and open-ended questions, was used to collect household data. In addition to using the questionnaire, data was also collected through participant observation, informal interviews and secondary sources. The study revealed that there are several sources of water for communities in Ngamiland such as off-plot, outdoor (communal) and on-plot outdoor and/or indoor (private) water connections, as well as other sources such as bowsed water, well-points, boreholes and open perennial/ephemeral water from river channels and pans. There was a serious problem unreliable water supply caused by, among other things, the breakdown of diesel-powered water pumps, high frequency of HIV/AIDS related absenteeism, and the failure of timely delivery of diesel fuel. Some villages experienced chronic supply disruptions while others experienced seasonal or occasional water shortages. Strategies for coping with unreliability of water supply included economizing on water, reserve storage, buying water, and collection from river/dug wells or other alternative sources such as rain harvesting tanks in government institutions. The unreliability of water supply resulted in an increase in the use of water of poor quality and other practices of poor hygiene as well as a high opportunity cost of water collection. In such instances, bathing of patients was cut from twice daily to once or not at all. Depending on the severity of HIV/AIDS related symptoms, e.g. diarrhoea, 20-80 additional litres of water could be required daily. The case study demonstrates that, at individual level, access to water is an integral element of the patient's holistic healing process and psychosocial well being. At household and community levels, access to sufficient supplies of potable water when and where it is needed is central to mitigation of HIV/AIDS impacts. Access to water should therefore not be treated strictly as an economic good due to its importance as a basic human need, a social good and indeed a human right. URI: http://hdl.handle.net/10311/172 Files in this item: 2
license.txt (1.998Kb)ngwenya_kgathi_PCE_06.pdf (4.416Mb) -
Mogobe, K.D.; Seboni, N.; Brown, M.S.; Ntsayagae, E.; Sebego, M.; Sabone, M. (Elsevier Ltd, http://www.elsevier.com/locate/microc, NaN, 2007)[more][less]
Abstract: This article represents a case study of one university faculty’s efforts to fight the threat of HIV/AIDS to their student body. This case study reviews the early stages of faculty endeavors beginning with the development of an HIV/AIDS course and continuing through evaluation of the success and failures of the course, as well as current refinements now being made. Because the problem of HIV/AIDS on campus is a common one throughout sub-Saharan Africa, the authors hope that this case study of one faculty’s approach may be helpful to those facing the same challenge. URI: http://hdl.handle.net/10311/972 Files in this item: 1
Mogobe_JANAC_2007.pdf (1.034Mb) -
Mogobe, K.D.; Seboni, N.; Brown, M.S.; Ntsayagae, E.; Sebego, M.; Sabone, M. (Association of Nurses in AIDS Care. http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description, NaN, 2007)[more][less]
Abstract: Botswana currently has one of the highest HIVpositive prevalence rates in the world. University students are an important group seriously affected by this pandemic. They represent one of the country’s richest resources for the future, and faculty at University of Botswana believe there is a responsibility to educate them in a way that helps them preserve their health and vitality. This article represents a case study of one university faculty’s efforts to fight the threat of HIV/AIDS to their student body. This case study reviews the early stages of faculty endeavors beginning with the development of an HIV/AIDS course and continuing through evaluation of the success and failures of the course, as well as current refinements now being made. Because the problem of HIV/AIDS on campus is a common one throughout sub-Saharan Africa, the authors hope that this case study of one faculty’s approach may be helpful to those facing the same challenge. URI: http://hdl.handle.net/10311/548 Files in this item: 1
HIV AIDS education.pdf (1.139Mb) -
Ngwenya, B.N.; Mosepele, K. (Elsevier www.elsevier.com/locate/pce, NaN, 2007)[more][less]
Abstract: Generally, rural households pursue all year round natural and non-natural resource-based livelihood systems to diversify these options in order to cope with risks emanating from a range of shocks and stressors. Artisanal fishing in the Delta is not only a major livelihood option but also a source of food security. This paper is based on analysis of primary data collected from a survey of 248 subsistence fishers’ households through simple random sampling in 22 villages in the Delta. The overall objectives of the survey were to assess the general prevalence of HIV/AIDS in the Ngamiland district of Botswana, to investigate potential effects of AIDS-related stressors, particularly chronic illness on artisanal fishing activities, and to assess implications towards food security. Results from this study indicate that HIV prevalence rates for pregnant women attending antenatal clinics in the Delta are approximately 30% and are related to factors such as marriage, education, and employment. Despite this relatively high prevalence percentage, most of the affected households do not have adequate access to HIV/AIDS support facilities. Support services are provided on the basis of population size and/or status of the settlement (i.e. urban, urban village, rural or remote). Therefore, since about 50% of the Delta’s population lives in settlements of less than 500 people, they receive health services indirectly through major population centres whose capacity to deliver timely HIV/AIDS services is limited. This disproportionate access to HIV/AIDS services disadvantages the majority of fishing communities in the Delta, and may affect their ability to fish. Moreover, about 53% of sampled households had cared for a continuously ill person/s (CIP’s) in the last 5 years, out of which approximately 29% felt that this seriously impacted fishing activities. These serious impacts included sale of family assets, depletion of savings, and switching or abandoning fishing activities. Subsequently, household food security is seriously affected because fish provides a significant proportion of food to CIP households where approximately 55% of households get their food from fish products. During food shortages, CIP households resorted to a hierarchy of strategies which included cutting down on meals or reducing meal portions, looking for paid work, gathering wild fruit, asking for food from relatives, selling livestock, and getting social assistance. In conclusion, artisanal fishing is a natural safety net which constitutes an important buffer for households affected by HIV/ AIDS-related stressors in the Okavango Delta. Access to fish helps these households mitigate potentially adverse impacts such as deterioration into chronic poverty. URI: http://hdl.handle.net/10311/572 Files in this item: 1
NGWENYA2007Okavango.pdf (1.602Mb) -
Phorano, O.M.; Nthomang, K.; Ngwenya, B.N. (Botswana Society, NaN, 2005)[more][less]
Abstract: Batswana have been hard-hit by the HIV/AIDS pandemic. The Botswana government has initiated the Community Home-Based Care programme to provide material support for HIV/AIDS patients cared for at home by family members and relatives. This paper identifies and explores emerging home care issues and pays specific attention to potential risks related to poorly managed clinical human and solid waste disposal generated through home-based care of HIV/AIDS patients in Ngamiland and Kweneng Districts in Botswana. Data were collected through focus group discussion with care-givers, discursive interviews with professional service providers, and participant observation. The results of the study indicate that the majority of care givers received material benefits provided through the CHBC programme. However, it was clear that CHBC did not have the capacity to address other critical needs for the proper care of patients in the home. Most households studied are very poor and lack basic facilities such as toilets, basic waste receptacles and regular collection of solid waste. Access to these facilities is important for disposing of both clinical and ordinary human and solid waste from HBC patients. Poor sanitation facilities - especially the improper handling of soiled laundry and inadequate ventilation - increase risks of infection. The study recommends the formation of care-giver support groups to reduce risks associated with poorly managed clinical solid waste disposal generated from home care-giving of HIV/AIDS patients. URI: http://hdl.handle.net/10311/952 Files in this item: 1
Phorano 2005 HIV.pdf (2.631Mb) -
Ngwenya, B.N.; Butale, B.M. (Botswana Society, NaN, 2005)[more][less]
Abstract: Home care involves the transfer of a patient’s medical supervision from a formal institution to a family setting in the context of a community. The aim of this paper is to assess the resource capacity of families to provide immediate home care to HIV/AIDS related chronically or terminally ill member/s in Maun in Ngamiland District. Data for the study was obtained through cross-sectional interviews with 61 care-givers. Ethnographic methods were also used: these included informal interviews with key informants, unobtrusive participant observation, and narratives of individual and family life experiences. Data collection focused on assessing family resource capacity to access three forms of capital, namely social, productive and produced. Issue focus analysis on qualitative data, and descriptive frequencies and cross-tabulations on quantitative data were carried out. Generally, care-givers reported receiving non-material support from multiple sources. These included moral support from close family members, especially their own children, siblings, parents and spouses, and less from parents’ in-law and their extended family. The threshold of care-giving resource demands could either fragment the family unit, on precipitate ‘enclave-like’ or ‘disengaged’ co-existence or passive aggression. On the other hand, caregiving resource demands may enhance mutual obligation and shared responsibility among family members. A high level of tolerability tends to reduce vulnerability and facilitate pooling limited resources in ways that enhance family capacity. Conversely, adversarial intra-family relations compromise the ability of a family to mobilize its resources. About 70% of care-givers were dependent on non-farming activities as their source of livelihood. Care-giving depletes family resources, including the abandonment of income generating activities. About 81% of care-givers said that they could not do anything to recover or reverse the loss. Access to produced capital such as telecommunication infrastructure is important in terms of the dissemination of public education information aimed at helping reduce risks and the prevention of infection. A significant proportion of care-givers had access to a radio (60%) and cell-phone (48%). The paper ends with some policy recommendations. URI: http://hdl.handle.net/10311/953 Files in this item: 1
Ngwenya 2005 AIDS.pdf (3.334Mb) -
Onyewadume, M.A. (Springer Netherlands, http://www.springerlink.com, September NaN, 2008)[more][less]
Abstract: This research investigated the incidence of HIV/AIDS anxiety among students in Botswana. The sample comprised 240 randomly selected students from six schools in three districts in Botswana, with data collected via a questionnaire. Percentages and Chi-square were used to analyze the extent to which the students were anxious about HIV/AIDS and if there was a significant gender difference in this regard. Findings showed that the students were anxious on several fronts about HIV/AIDS; specifically that they and their relations might contract the virus and that they might lose family members. There was gender difference in terms of anxiety about the possibility that relations might become infected. The role of the counsellor in reducing HIV/AIDS anxiety among students in communities living with HIV/AIDS is discussed. URI: http://hdl.handle.net/10311/802 Files in this item: 1
Onyewadume_IJAC_2008.pdf (781.9Kb) -
Monyatsi, P.P. (Kamla - Raj Enterprises, http://www.krepublishers.com, November NaN, 2008)[more][less]
Abstract: This paper argues that much as the gender mainstreaming process was a noble venture, the cross-cutting nature of the gender mainstreaming was not fully understood and appreciated by some very powerful and influential sectors and stakeholders in the religious world. In short, their belief that what has been created by God cannot be changed by man frustrates any gender mainstreaming interventions as they are above the constitutions of the states. URI: http://hdl.handle.net/10311/637 Files in this item: 1
Monyatsi_JSS_2008.pdf (1.317Mb) -
Gwebu, T.D. (Taylor & Francis (Routledge), http://jir.ucsur.pitt.edu/, NaN, 2008)[more][less]
Abstract: Based on the intergenerational wealth flows conceptual framework, this paper investigates how the AIDS pandemic threatens to disrupt the transfer of resources between generations by using a typical low income urban area in sub-Saharan Africa as a case study. It explores the everyday living conditions of orphans, their guardians, and the primary home caregivers, with the intention of gaining a deeper insight into their current and future life chances, as a result of parental morbidity and mortality due to HIV/AIDS. The research employs a qualitative methodology and relies on documentary information from secondary sources. Short- and long-term recommendations on how to mitigate the negative impacts of HIV/AIDS on wealth transfers among the affected populations are suggested based on the study findings. URI: http://hdl.handle.net/10311/1019 Files in this item: 1
Gwebu_JIR_2008.pdf (1.160Mb) -
Nitza, A.; Chilisa, B.; Makwinja-Morara, V. (Routledge. http://www.informaworld.com, June NaN, 2010)[more][less]
Abstract: This article describes a small group intervention for HIV/AIDS prevention among adolescent girls in Botswana. The psychoeducational group model is designed to empower girls to overcome the gender inequality that puts women at increased risk of HIV infection in the country. Group goals include heightening group members' awareness of the influence of the restrictive social messages that surround them and assisting them in developing efficacy and skills to combat the barriers they face. Specific goals, strategies, and interventions for the initial, middle, and termination stages of the group are described. Indigenous and culturally relevant interventions are included in each stage. URI: http://hdl.handle.net/10311/549 Files in this item: 1
Chilisa_JSGW_2010.pdf (548.7Kb) -
Batibo, H.M.; Kopi, M.M. (University of Botswana, Department of English, http://www.ub.bw, NaN, 2008)[more][less]
Abstract: The aim of this study is to investigate sex-related euphemisms in Setswana. Although sex matters, as embarrassing phenomena, are not usually talked about in Setswana communities, they have recently been brought to the open by the incidence of the HIV/AIDS pandemic. The assumption in this study is therefore that, with more open discourse of sex-related matters in Botswana, more euphemisms have been created to camouflage the embarrassing nature of the various referents in this field. The sex-related matters include private parts, sexual activities, sexual secretions, sexual diseases and related phenomena. This study describes the nature, origin, and types of these euphemisms and considers their place and role in the social interaction of the people of Botswana. URI: http://hdl.handle.net/10311/852 Files in this item: 1
Batibo_MJLL_2008.pdf (2.902Mb) -
Phaladze, N.A.; Human, S.; Dlamini, S.B.; Hulela, E.B.; Hadebe, I.M.; Sukati, N. A.; Makoae, L.N.; Seboni, N.M.; Moleko, M.; Holzemer, W.L. (Journal of Nursing Scholarship. http://www.ingentaconnect.com/content/bsc/jnu, NaN, 2005)[more][less]
Abstract: Purpose: To increase understanding of the meaning of quality of life for people living with HIV/AIDS in four countries in sub-Saharan Africa: Botswana, Lesotho, South Africa, and Swaziland. Methods: Using a cross-sectional design and convenience sample, we administered a survey and collected data on demographic characteristics, measures of severity of illness, and perceptions of quality of life. The purposefully selected sample (N=743) consisted of community-based people living with HIV/AIDS in 2002. Based on the Wilson and Cleary framework for organizing variables related to quality of life, a hierarchical multiple regression was conducted with quality of life as the dependent variable. Results: The sample of 743 persons was 61.2% female with a mean age of 34 years. Approximately 62% of the sample reported having received an AIDS diagnosis. Ten predictor variables explained 53.2% of the variance in life satisfaction. Those participants with higher life satisfaction scores were less educated, had worries about disclosure and finances, did not have an AIDS diagnosis or other comorbid conditions, had lower symptom intensity, had greater functioning, and had fewer health worries. None of these participants was taking antiretroviral medications at the time of this study. Conclusions: Several dimensions of the Wilson and Cleary model of quality of life were significantly related to life satisfaction for people living with HIV/AIDS in sub-Saharan Africa. Quality of life for this sample was primarily defined as overall functional ability and control over symptom intensity. These findings are similar to studies in developed countries that have shown the significant relationships among functional abilities, symptom control, and perceived quality of life. As antiretroviral medications become more available in these areas, community members and care providers can help clients realize the possibility of living well with HIV/AIDS, and can work with clients to improve functional ability and control symptom intensity to make living well a reality. URI: http://hdl.handle.net/10311/570 Files in this item: 1
Quality of life.pdf (1.142Mb) -
Kumar, R.A.; Raizada, M. (BONELA, www.bonela.org, NaN, 2008)[more][less]
Abstract: HIV continues to spread throughout the world, posing increasing challenges to human rights, at both national and global levels. The epidermic continues to be marked by discrimination against certain population groups; those who live on the fringes of the society or who are assumed to be at risk because of their behaviour, race, ethnicity and sexual orientation, gender or social characteristics that are stigmatised in a particular society. As the number of people living with HIV/AIDS continues to grow in nations with different economies, social structures and legal systems, HIV/AIDS related human rights issues are not only becoming noticeable, but also increasingly diverse. URI: http://hdl.handle.net/10311/868 Files in this item: 1
Kumar_BRELH2_2008.pdf (1.629Mb) -
Nnyepi, M.S. (Medpharm Publications (Pty) Ltd., http://www.medpharm.co.za, NaN, 2009)[more][less]
Abstract: Objectives: The objectives of this study were to 1)to determine the proportion of people living with HIV/AIDS (PLWHA) at risk of developing malnutrition, 2) to determine the prevalence of malnutrition (BMI < 18.5 kg/m2, and 3)to describe the dietary intake and other nutrition parameters of PLWHA with membership in support groups. Design: Descriptive cross-sectionals study. Setting: Six support groups in Gaborone and neighboring locations. Subjects: Consenting, free- living HIV-positive adults 20-50 years of age with membership in support groups PLWHA. Outcome measures: The subjects' risk of developing malnutrition was established using a modified subjective global assessment (SGA)screening tool. Subjects with an SGA score ≥ 4 were classified as being at high risk of developing malnutrition. Results: From 145 PLWHA screened, 47.5% (n=69)were found to be at high risk of developing malnutrition (SGA score ≥ 4) and 28.5%(n=41) were malnourished (BMI <18.5 kg/m2). In the sample with SGA scores ≥ 4, 52.2% (n=35) presented with BMI <18.5 kg/m2. These two groups also reported more unintentional weight loss, gastrointestinal symptoms, and other conditions commonly associated with a high risk of developing malnutrition. PLWHA with membership in support groups also had low educational attainment and high unemployment rates. A total of 47% of subjects with an SGA score ≥ 4 needed food assistance. Conclusions: Almost 50% of PLWHA with membership in support groups for PLWHA are at risk of developing malnutrition, while about 30% have a BMI <18.5 kg/m2. Nutrition screening can also help to identify those PLWHA with BMI>18.5 kg/m2 who are still at high risk of developing malnutrition. Timely nutrition interventions can therefore be instituted in order to prevent deterioration in nutritional status. Description: Some symbols in the abstract may not be the same as in the original abstract. URI: http://hdl.handle.net/10311/966 Files in this item: 1
Nnyepi_SAJCN_2009.pdf (495.9Kb) -
Phaladze, N.A. (International Council of Nurses. http://www.ingentaconnect.com/content/bsc/inr;jsessionid=81ud25de419e.alexandra, NaN, 2003)[more][less]
Abstract: In Botswana, there is dearth of literature on the role of nursing in health-care policy and resource allocation and yet nurses constitute the majority (85%) of health manpower. The health-care delivery system depends mostly on nurses for service provision. There were two main purposes of this study: first, to gather descriptive data from major key players (with particular emphasis on nurses) concerning knowledge of the policy process and resource allocation for management and care of clients with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) in Botswana; and, second, to identify nurse characteristics (e.g. position, education, experience, job category) associated with motivation to influence healthcare policy in HIV/AIDS management and care in Botswana. A policy process conceptual framework was used to guide data collection and analysis. A case-study research method was used to conduct in-depth interviews from a purposive sample of 19 policy makers, and a survey questionnaire was used to collect data from a purposive sample of 95 registered nurses from six study sites in Botswana. The study findings indicate minimal participation of nurses in health-care policy process and resource allocation. The demographic variable of position was a predictor of the involvement of nurses in policy and in budgetary decisions. Both survey and interview data indicated that this minimal participation of nurses in the policy process resulted in implementation problems, thus compromising service provision. Implications of the findings for the nursing profession, nursing practice and policy, which address the importance of nurses’ involvement, are discussed. URI: http://hdl.handle.net/10311/571 Files in this item: 1
Role of nurses.pdf (1.855Mb) -
Voss, J.; Sukati, N.; Seboni, N.; Makoae, L.; Moleko, M.; Human, S.; Molosiwa, K.; Holzemer, W. (Elsevier; http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description; Association of Nurses in AIDS Care. http://www.nursesinaidscare.org/i4a/pages/index.cfm?pageid=3277, NaN, 2007)[more][less]
Abstract: HIV-related fatigue is a debilitating and disabling symptom that persists for months and years. In 743 HIV/AIDS patients from Southern Africa, the authors found ratings of HIV-related fatigue to be highly prevalent. The authors conducted a secondary data analysis within the theoretical context of the University of California, San Francisco Symptom Management Model. The analysis focused on 538 patients who reported fatigue to investigate correlates and predictors of fatigue severity in relationship to demographic and HIV/AIDS illness indicators, as well as HIV-specific physical and psychological symptoms. A hierarchical regression model explored the contributions of those five blocks on fatigue severity. Of the 47% of the total variance in fatigue severity, a combination of variables within the health and illness block (6%), the physical symptoms block (7%) and the psychological symptom block (2%) contributed significantly to the increase in fatigue severity scores. Fatigue severity in Southern Africa was moderate, and the factors contributing to the perceived fatigue were most likely related to symptoms of acute HIV disease (such as fever and gastrointestinal problems). In conclusion, fatigue severity is less impacted by demographic or environmental variables but much more by co-occurring symptoms and HIV disease severity. The results of this study imply the need for more research to understand if improvements in water quality and access to food would prevent infection and diarrhea and whether sufficient access to antiretroviral treatments to manage the HIV infection would improve fatigue and co-occurring symptom profiles. URI: http://hdl.handle.net/10311/263 Files in this item: 2
license.txt (1.998Kb)Symptom Burden of Fatigue.pdf (5.279Mb)
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