Share This Article:

Factors Associated with Attendance and Non-Attendance of Support Groups among HIV Positive Adults Attending an Antiretroviral Community Clinic at Ekurhuleni District, South Africa

Abstract Full-Text HTML Download Download as PDF (Size:105KB) PP. 111-118
DOI: 10.4236/wja.2013.32015    4,759 Downloads   6,900 Views   Citations

ABSTRACT

Health care facilities providing antiretroviral treatment (ART) to HIV positive people have seen a decline in the uptake and use of HIV support groups. A cross sectional survey was conducted to 1) determine the characteristics of HIV positive people who have and who have not attended support groups; 2) determine factors associated with attendance of support groups; and 3) investigate perceived barriers to participate in support groups among HIV positive adults attending an ART clinic in Gauteng, South Africa. The total samples included 248 HIV positive adults and the highest proportion were females (n = 156, 62.9%). The mean age of the participants was 34.2 years, (range 18 to 56 years). Almost two thirds (n = 144, 58.1%) had never attended support groups. Participants who attended support groups were more likely to be older than non-attenders (OR = 1.04, CI: 1.01 - 1.07), more likely to be taking ART medication (OR = 1.64, CI: 1.00 - 2.65) and more likely to have known of their HIV diagnosis for a longer time (OR = 2.20, CI: 1.42 - 3.40). Employed participants were less likely to attend support groups than unemployed participants (OR = 0.47, CI: 0.27 - 0.80). Concerns for privacy and confidentiality in support groups, and fear of stigma and discrimination were the key barriers to participate in support groups. Participants also perceived support groups as a service for people who could not cope with their HIV diagnosis. Health care providers who plan to start support groups should take into consideration issues of support group size, confidentiality, and timing for support group meetings. It is imperative that education on the benefits of HIV support groups forms a primary component of routine counselling for PLWHI.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

S. Madiba and O. Kekana, "Factors Associated with Attendance and Non-Attendance of Support Groups among HIV Positive Adults Attending an Antiretroviral Community Clinic at Ekurhuleni District, South Africa," World Journal of AIDS, Vol. 3 No. 2, 2013, pp. 111-118. doi: 10.4236/wja.2013.32015.

References

[1] L. C. Simbayi, “HIV, Stigma, and Psychotherapy,” Conference on Psychotherapy, Vol. 18, 2008, p. 20.
[2] S. C. Kalichman and K. J. Sikkema, “People Living with HIV Infection Who Attend and Do Not Attend Support Groups: A Pilot Study of Needs, Characteristics and Experiences,” AIDS Care, Vol. 8, No. 5, 1996, pp. 589-600. doi:10.1080/09540129650125542
[3] R. Spirig, “Support Groups for People Living with HIV/ AIDS: A Review of Literature,” Journal of the Association of Nurses in AIDS Care, Vol. 9, No. 4, 1998, pp. 43-55. doi:10.1016/S1055-3290(98)80044-7
[4] WHO, “Psychosocial Support,” WHO HIV Topics, 2004. http://www.who.int/hiv/topics/psycho social/support/en/
[5] N. VanDevanter, N. S. Parikh, R. M. Cohall, C. Merzel, N. Faber, et al., “Factors Influencing Participation in Weekly Support Groups among Women Completing an HIV/ STD Intervention Program,” Women & Health, Vol. 30, No. 1, 2000, pp. 15-34. doi:10.1300/J013v30n01_02
[6] M. J. Visser and J. P. Mundell, “Establishing Support groups for HIV-Infected Women: Using Experiences to Develop Guiding Principles for Project Implementation,” SAHARA-J: Journal of Social Aspects of HIV/AIDS, Vol. 5, No. 2, 2008, pp. 65-73. doi:10.1080/17290376.2008.9724903
[7] S. A. Wood, “The Analysis of an Innovative HIV-Positive Women’s Support Group,” Social Work with Groups, Vol. 30, No. 3, 2007, pp. 9-28. doi:10.1300/J009v30n03_02
[8] M. Visser, J. Mundell, A. de Villiers, K. Sikkema and B. Jeffery, “Development of Structured Support Groups for HIV-Positive Women in South Africa,” SAHARA-J: Journal of Social Aspects of HIV/AIDS, Vol. 2, No. 3, 2005, pp. 333-343.
[9] R. Lennon-Dearing, “The Benefits of Women-Only HIV Support Groups,” Journal of HIV/AIDS & Social Services, Vol. 7, No. 1, 2008, pp. 27-45. doi:10.1080/15381500802093142
[10] S. Kalichman, D. Rompa and M. Cage, “Group Intervention to Reduce HIV Transmission Risk Behavior among Persons Living with HIV-AIDS,” Behavior Modification, Vol. 29, No. 2, 2005, pp. 256-285. doi:10.1177/0145445504272603
[11] M. Chazan, “Understanding Community Mobilization around HIV/AIDS in South Africa: A Preliminary Scoping Study: Health Economics & HIV/AIDS Research Division (HEARD),” University of Natal, 2006. http://www.heard.org.za/downloads/chazan-community-mobilisation-full-report-working-paper-sep-2006.pdf
[12] E. Shacham, M. Reece, W. Ong’or, O. Omollo, P. O. Monahan, et al., “Characteristics of Psychosocial Support Seeking during HIV-Related Treatment in Western Kenya,” AIDS Patient Care & STDs, Vol. 2, No. 7, 2008, pp. 595-601. doi:10.1089/apc.2007.0213
[13] P. Maboshe, “Living with HIV/AIDS in Rural/Remote Communities of Western Zambia Province,” XVII International AIDS Conference, 2008, Abstract no CDD0545.
[14] J. P. Mundell, M. J. Visser, J. D. Makin, T. S. Kershaw, B. W. C. Forsyth, et al., “The Impact of Structured Support Groups for Pregnant South African Women Recently Diagnosed HIV Positive,” Women & Health, Vol. 51, No. 6, 2011, pp. 546-565. doi:10.1080/03630242.2011.606356
[15] K. L. Sandstrom, “Searching for Information, Understanding, and Self-Value,” Social Work in Health Care, Vol. 23, No. 4, 1996, pp. 51-74. doi:10.1300/J010v23n04_05
[16] P. Liamputtong, N. Haritavorn and N. Kiatying-Angsulee, “HIV and AIDS, Stigma and AIDS Support Groups: Perspectives from Women Living with HIV and AIDS in Central Thailand,” Social Science & Medicine, Vol. 69, No. 6, 2009, pp. 862-868. doi:10.1016/j.socscimed.2009.05.040
[17] S. Madiba and V. Canti-Sigaqa, “Barriers to Participate in Support Groups for People Living with HIV: A Qualitative Study with Men Receiving Antiretroviral Treatment in a HIV Clinic in Mthatha, South Africa,” Global Journal of Health Science, Vol. 4, No. 6, 2012, pp. 119-127. doi:10.5539/gjhs.v4n6p119
[18] K. Morrow, T. Costello and T. Boland, “Understanding the Psychosocial Needs of HIV-Positive Women: A Qualitative Study,” Psychosomatics, Vol. 42, No. 6, 2001, pp. 497-503. doi:10.1176/appi.psy.42.6.497
[19] A. Heyer, H. Mabuza, I. C. Couper and G. A. Ogunbanjo, “Understanding Participation in a Hospital-Based HIV Support Group in Limpopo Province, South Africa,” South African Family Practice, Vol. 52, No. 3, 2010, pp. 234-239.
[20] L. Gilbert and L. Walker, “My Biggest Fear Was That People Would Reject Me Once They Knew My Status...: Stigma as Experienced by Patients in an HIV/AIDS Clinic in Johannesburg, South Africa,” Health & Social Care in the Community, Vol. 18, No. 2, 2010, pp. 139-146. doi:10.1111/j.1365-2524.2009.00881.x
[21] S. W. Mak, C. Poon, L. Pun and S. Cheung, “MetaAnalysis of Stigma and Mental Health,” Social Science & Medicine, Vol. 65, No. 2, 2007, pp. 245-261. doi:10.1016/j.socscimed.2007.03.015
[22] S. C. Walch, L. M. Roetzer and T. A. Minnett, “Support Group Participation among Persons with HIV: Demographic Characteristics and Perceived Barriers,” AIDS Care: Psychological and Socio-Medical Aspects of AIDS/HIV, Vol.18, No. 4, 2006, pp. 284-289.
[23] StataCorp, “Stata Statistical Software. Release 10,” StataCorp LP, TX, 2007.
[24] C. A. Emlet, “An Examination of the Social Networks and Social Isolation in Older and Younger Adults Living with HIV/AIDS,” Health and Social Work, Vol. 31, No. 4, 2006, pp. 299-308. doi:10.1093/hsw/31.4.299
[25] S. C. Kalichman, M. DiMarco, J. Austin, W. Luke and K. DiFonzo, “Stress, Social Support, and HIV-Status Disclosure to Family and Friends Among HIV-Positive Men and Women,” Journal of Behavioral Medicine, Vol. 26, No. 4, 2003, pp. 315-332. doi:10.1023/A:1024252926930
[26] J. M. Serovich, P. S. Brucker and J. A. Kimberly, “Barriers to Social Support for Persons Living with HIV/ AIDS,” AIDS Care, Vol. 12, No. 5, 2000, pp. 651-662. doi:10.1080/095401200750003824

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.