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Publication Type
Conference Proceedings
UWI Author(s)
Author, Analytic
Weller, Peter D.
Author Role
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Author Affiliation
University Health Centre
Paper/Section Title
Voices of the women - meeting the psychosocial needs of HIV positive women in Jamaica
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Editor/Compiler
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Proceedings Title
UWI HARP 3rd Annual Scientific & Business Conference
Date of Meeting
May 5-8, 2005
Place of Meeting
Sherbourne Conference Centre, Barbados
Place of Publication
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Publisher Name
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Date of Publication
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Date of Copyright
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Volume ID
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Location in Work
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Series Editor
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Series Editor Role
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Series Title
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Series Volume ID
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Location/URL
http:; www.uwiharpconference.org/presentations/AbstractRoo_111799804232
ISBN
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Notes
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Abstract
Objective To identify and compare patterns of psychosocial functioning among HIV+ and HIV- women attending antenatal and postnatal clinics. Results will inform interventions to promote HIV/AIDS coping and risk reduction behaviour. Method Women attending antenatal or postnatal clinics in Kingston / St. Andrew or St. Catherine participated in focus groups and were interviewed between March and June 2004. Information was collected on emotional well-being, religiosity, and coping behaviours. Responses were analyzed using one of several univariate tests: the chi-squared test for categorical data, a non-parametric test for trend for ordinal data, and Fisher's exact test for questions with small numbers of respondents. Additional focus groups were conducted between January and March 2005 and the results discussed with groups of HIV+ women to identify their interpretations and additional concerns. Results Quantitative data was collected for 55 HIV+ women with a median age of 27 years (range 15 to 41), and 51 women without a known HIV diagnosis with a median age of 25 years (range 14 to 40). More HIV+ women were single with less years of education. A greater proportion of HIV+ women had been depressed in the past month (x2=3.4, p=0.07), and more HIV+ women reported 11 out of 13 other negative emotions, particularly guilt and tension (p=0.04). Although HIV+ women were more likely to report difficulty concentrating (x2= 4.1, pr = 0.05), there was little evidence of increased levels of other `unhealthy' coping behaviours (such as use of alcohol, drugs, and arguments). HIV+ women were more likely to pray, to sleep and to change their eating habits in response to worry and stress (Pr = 0.001). They were less likely to talk to a religious leader about their problems (z=-3.5, pr<0.001) and were more likely to believe that they could be healed by faith (x2= (9.2 pr=0.002). Conclusions The results of this study provide insights into the coping behaviours of HIV+ women. They support the importance of early assessment of psychosocial and spiritual dynamics for effective targeting and referral for behavioural interventions.....
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