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The quality of life of HIV-infected women is associated with psychiatric morbidity
- Authors:
- TOSTES M.A., CHALUB M., BOTEGA N.J.
- Journal article citation:
- AIDS Care, 16(2), February 2004, pp.177-186.
- Publisher:
- Taylor and Francis
Evaluates the effect of clinical, demographic and psychiatric factors on the health-related quality of life of 76 women with HIV infection seen in two HIV reference centres in Brazil. The generic questionnaire for evaluation of Health-Related Quality of Life (SF-36), the Hospital Anxiety and Depression Scale (HAD) and the Clinical Interview Schedule (CIS-R) were used. The statistical tests included the covariance analysis. The sub-group of the non-AIDS symptoms (clinical stage B) showed the worst quality of life. The variables which better explained the scoring variation on both the mental and physical components of the SF-36 were related to mental health. The more mental symptoms present, the worse the health-related quality of life. Concludes that care strategies should be rethought in the area of mental health which are directed toward HIV+ patients, by virtue of the levels of mental health symptoms found and the request for care which the research revealed.
Targeted ethnography as a critical step to inform cultural adaptations of HIV prevention interventions for adults with severe mental illness
- Authors:
- WAINBERG Milton L., et al
- Journal article citation:
- Social Science and Medicine, 65(2), July 2007, pp.296-308.
- Publisher:
- Elsevier
As in other countries worldwide, adults with severe mental illness (SMI) in Brazil are disproportionately infected with HIV relative to the general population. Brazilian psychiatric facilities lack tested HIV prevention interventions. To adapt existing interventions, developed only in the US, the authors conducted targeted ethnography with adults with SMI and staff from two psychiatric institutions in Brazil. The authors sought to characterize individual, institutional, and interpersonal factors that may affect HIV risk behaviour in this population. The authors conducted 350 hours of ethnographic field observations in two mental health service settings in Rio de Janeiro, and 9 focus groups (n=72) and 16 key-informant interviews with patients and staff in these settings. Data comprised field notes and audiotapes of all exchanges, which were transcribed, coded, and systematically analyzed. The ethnography identified and/or characterized the institutional culture: (1) patients’ risk behaviours; (2) the institutional setting; (3) intervention content; and (4) intervention format and delivery strategies. Targeted ethnography also illuminated broader contextual issues for development and implementation of HIV prevention interventions for adults with SMI in Brazil, including an institutional culture that did not systematically address patients’ sexual behaviour, sexual health, or HIV sexual risk, yet strongly impacted the structure of patients’ sexual networks. Further, ethnography identified the Brazilian concept of “social responsibility” as important to prevention work with psychiatric patients. Targeted ethnography with adults with SMI and institutional staff provided information critical to the adaptation of tested US HIV prevention interventions for Brazilians with SMI.
Mental health services in the global village
- Editors:
- APPLEBY Louis, ARAYA Ricardo
- Publisher:
- Gaskell
- Publication year:
- 1991
- Pagination:
- 231p.,tables,bibliogs.
- Place of publication:
- London
Comparative study of mental health services in 16 countries from both the developed and the developing world. Contains sections on countries from: Asia, Europe, Africa, the Middle East and South and Central America.