Perceptions of women enrolled in a cardiovascular disease screening and prevention in HIV study

South African Family Practice

Field Value
Title Perceptions of women enrolled in a cardiovascular disease screening and prevention in HIV study
Creator Hanley, Sherika Ndlazi, Galaletsang J. Maddocks, Stacy T. Chetty, Verusia
Subject Family Medicine, Primary health care cardiovascular disease screening and prevention; women with HIV; WHO-PEN; body image; South Africa
Description Background: The ISCHeMiA (integration of cardiovascular disease screening and prevention in the human immunodeficiency virus [HIV] management plan for women of reproductive age) study is an ongoing, 3-year, prospective, quasi-experimental study comparing usual care to a primary health care intervention plan guided by the World Health Organization Package of Essential Non-Communicable (WHO-PEN) disease interventions. Sixty eight percent of women were overweight or obese at baseline in the ISCHeMiA study, many of whom reported nonadherence to interventions at 6 months post enrolment. This study explores the perceptions of women living with HIV (WHIV) towards their participation in the ISCHeMiA study to understand the barriers and facilitators to lifestyle modification interventions for cardiovascular disease (CVD) risk prevention.Methods: A qualitative enquiry using semistructured interviews was conducted with 30 overweight WHIV at one year post-enrolment in the WHO-PEN intervention arm of the ISCHeMiA study. Data were transcribed verbatim following the interviews and analysed using conventional content analysis.Results: Four major themes emerged from the data, namely perceived body image, benefits barriers and recommendations to improve adherence to WHO-PEN lifestyle modification management.Conclusion: Women in the ISCHeMiA study believed that HIV associated stigma hindered access to care. Financial limitations and the lack of social support posed barriers to adherence to programme participation. They were further challenged by poor body image perception. Participants believed that such interventions offered them hope and feelings of improved well-being. Women recommended that lifestyle modification interventions such as those studied in the ISCHeMiA study should include partners and family to improve adherence through social support. 
Publisher AOSIS
Contributor This study was funded by the National Research Foundation of South Africa (NRF) Thuthuka Grant Number: 117730, awarded to SH. The CAPRISA Umlazi clinical research site received funding from PEPFAR/NIH for the parent study, PROMOTE Grant Number 5UM1AI06
Date 2023-04-24
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v65i1.5554
Source South African Family Practice; Vol 65, No 1 (2023): Part 2; 9 pages 2078-6204 2078-6190
Language eng
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Coverage Africa; South Africa; Kwazulu-natal, Umlazi October 2019 Reproductive aged African women over 18 years of age living with HIV
Rights Copyright (c) 2023 Sherika Hanley, Galaletsang J. Ndlazi, Stacy T. Maddocks, Verusia Chetty