請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/85478
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 李柏翰(Po-Han Lee) | |
dc.contributor.advisor | 李柏翰(Po-Han Lee | pohanlee@ntu.edu.tw | ), | |
dc.contributor.author | Elochkwu Ernest Uzim | en |
dc.date.accessioned | 2023-03-19T23:17:11Z | - |
dc.date.copyright | 2022-10-03 | |
dc.date.issued | 2022 | |
dc.date.submitted | 2022-07-13 | |
dc.identifier.citation | Abubakar, I., Dalglish, S. L., Angell, B., Sanuade, O., Abimbola, S., Adamu, A. L., Adetifa, I. M. O., Colbourn, T., Ogunlesi, A. O., Onwujekwe, O., Owoaje, E. T., Okeke, I. N., Adeyemo, A., Aliyu, G., Aliyu, M. H., Aliyu, S. H., Ameh, E. A., Archibong, B., Ezeh, A., . . . Zanna, F. H. (2022). The Lancet Nigeria Commission: investing in health and the future of the nation. The Lancet, 399(10330), 1155–1200. https://doi.org/10.1016/s0140-6736(21)02488-0 Adjetey, V., Obiri-Yeboah, D., & Dornoo, B. (2019). Differentiated service delivery: a qualitative study of people living with HIV and accessing care in a tertiary facility in Ghana. BMC Health Services Research, 19(1), n/a. https://doi.org/10.1186/s12913-019-3878-7 Agu, I. C., Mbachu, C. O., Okeke, C., Eze, I., Agu, C., Ezenwaka, U., Ezumah, N., & Onwujekwe, O. (2020). Misconceptions about transmission, symptoms and prevention of HIV/AIDS among adolescents in Ebonyi state, South-east Nigeria. BMC Research Notes, 13(1). https://doi.org/10.1186/s13104-020-05086-2 Atanuriba, G. A., Apiribu, F., Boamah Mensah, A. B., Dzomeku, V. M., Afaya, R. A., Gazari, T., Kuunibe, J. K., & Amooba, P. A. (2021). Caregivers’ Experiences with Caring for a Child Living with HIV/AIDS: A Qualitative Study in Northern Ghana. Global Pediatric Health, 8, n/a. https://doi.org/10.1177/2333794x211003622 Carsten, J. (2000). Cultures of Relatedness: New Approaches to the Study of Kinship (Illustrated ed.). Cambridge University Press. Chaudoir, S. R., Earnshaw, V. A., & Andel, S. (2013). “Discredited” Versus “Discreditable”: Understanding How Shared and Unique Stigma Mechanisms Affect Psychological and Physical Health Disparities. Basic and Applied Social Psychology, 35(1), 75–87. https://doi.org/10.1080/01973533.2012.746612 Cherry, K. (2020, June 26). Understanding Erikson’s Stages of Psychosocial Development. Verywell Mind. Retrieved May 2, 2021, from https://www.verywellmind.com/erik-eriksons-stages-of-psychosocial-development-2795740#citation-1 Chihana, M. L., Conan, N., Ellman, T., Poulet, E., Garone, D. B., Ortuno, R., Wanjala, S., Masiku, C., Etard, J. F., Davies, M. A., & Maman, D. (2021). The HIV cascade of care among serodiscordant couples in four high HIV prevalence settings in sub-Saharan Africa. South African Medical Journal, 111(8), 768–776. https://doi.org/10.7196/samj.2021.v111i8.15489 Chime, O. H., Arinze-onyia, S. U., & Ossai, E. N. (2019). Examining the effect of peer-support on self-stigma among persons living with HIV/AIDS. Pan African Medical Journal, 34, n/a. https://doi.org/10.11604/pamj.2019.34.200.17652 DiCarlo, A. L., Mantell, J. E., Remien, R. H., Zerbe, A., Morris, D., Pitt, B., Abrams, E. J., & El-Sadr, W. M. (2014). ‘Men usually say that HIV testing is for women’: gender dynamics and perceptions of HIV testing in Lesotho. Culture, Health; & Sexuality, 16(8), 867–882. https://doi.org/10.1080/13691058.2014.913812 Dzinamarira, T., Pierre, G., Habtu, M., & Okova, R. (2019). Nutrition And HIV/AIDS: A Qualitative Study on Perceived Factors Affecting Feeding Practices among Adult People Living with HIV/AIDS in Kigali, Rwanda. Nutrition & Food Science International Journal, 9(4), n/a. https://doi.org/10.19080/nfsij.2019.09.555767 Erikson, E. H. (1970). Autobiographic Notes on the Identity Crisis. Daedalus, 99(4), 730–759. http://www.jstor.org/stable/20023973 Federal ministry of health, FMoH. (2018). Nigeria HIV/AIDS indicator and impact survey (NAIIS) technical report. UMB. https://www.ciheb.org/PHIA Fitzpatrick, M. (2008). Stigma. British Journal of General Practice, 58(549), 294.1-294. https://doi.org/10.3399/bjgp08x280092 Fonner, V. A., Ntogwisangu, J., Hamidu, I., Joseph, J., Fields, J., Evans, E., Kilewo, J., Bailey, C., Goldsamt, L., Fisher, C. B., O’Reilly, K. R., Ruta, T., Mbwambo, J., & Sweat, M. D. (2021). “We are in this together:” dyadic-level influence and decision-making among HIV serodiscordant couples in Tanzania receiving access to PrEP. BMC Public Health, 21(1), 720. https://doi.org/10.1186/s12889-021-10707-x Gilborn, L. Z. (2002). The effects of HIV infection and AIDS on children in Africa. Western Journal of Medicine, 176(1), 12–14. https://doi.org/10.1136/ewjm.176.1.12 Gilmore, N., & Somerville, M. A. (1994). Stigmatization, scapegoating and discrimination in sexually transmitted diseases: Overcoming ‘them’ and ‘us.’ Social Science & Medicine, 39(9), 1339–1358. https://doi.org/10.1016/0277-9536(94)90365-4 Gizachew, K. D., Chekol, Y. A., Basha, E. A., Mamuye, S. A., & Wubetu, A. D. (2021). Suicidal ideation and attempt among people living with HIV/AIDS in selected public hospitals: Central Ethiopia. Annals of General Psychiatry, 20(1), xx. https://doi.org/10.1186/s12991-021-00335-5 Goffman, E. (1986). Stigma: Notes on the Management of Spoiled Identity (Reissue ed.). Touchstone. Hammel, E. A. (2005). Kinship-based politics and the optimal size of kin groups. Proceedings of the National Academy of Sciences, 102(33), 11951–11956. https://doi.org/10.1073/pnas.0504647102 Hillier, S. A., Winkler, E., & Lavallée, L. (2020). Decolonising the HIV Care Cascade: Policy and Funding Recommendations from Indigenous Peoples Living with HIV and AIDS. International Journal of Indigenous Health, 15(1), 48–60. https://doi.org/10.32799/ijih.v15i1.34001 Holy, L. (1996). Anthropological Perspectives on Kinship (Anthropology, Culture and Society). Pluto Press. Kay, E. S., Batey, D. S., & Mugavero, M. J. (2016). The HIV treatment cascade and care continuum: updates, goals, and recommendations for the future. AIDS Research and Therapy, 13(35). https://doi.org/10.1186/s12981-016-0120-0 Lavery, J. V., Boyle, J., Dickens, B. M., Maclean, H., & Singer, P. A. (2001). Origins of the desire for euthanasia and assisted suicide in people with HIV-1 or AIDS: a qualitative study. The Lancet, 358(9279), 362–367. https://doi.org/10.1016/s0140-6736(01)05555-6 Lightfoot, M., Rotheram-Borus, M. J., Milburn, N. G., & Swendeman, D. (2005). Prevention for HIV-Seropositive Persons. Behavior Modification, 29(2), 227–255. https://doi.org/10.1177/0145445504272599 Lincoln, M. (2021). Necrosecurity, Immunosupremacy, and Survivorship in the Political Imagination of COVID-19. Open Anthropological Research, 1(1), 46–59. https://doi.org/10.1515/opan-2020-0104 MacGregor, H. (2018). Mental Health and the Maintenance of Kinship in South Africa. Medical Anthropology, 37(7), 597–610. https://doi.org/10.1080/01459740.2018.1508211 MacIntyre, F. (2004). Was Religion a Kinship Surrogate? Journal of the American Academy of Religion, 72(3), 653–694. https://doi.org/10.1093/jaarel/lfh063 Malone, J. C., Liu, S. R., Vaillant, G. E., Rentz, D. M., & Waldinger, R. J. (2016). Midlife Eriksonian psychosocial development: Setting the stage for late-life cognitive and emotional health. Developmental Psychology, 52(3), 496–508. https://doi.org/10.1037/a0039875 Mbonu, N. C., van den Borne, B., & de Vries, N. K. (2009). Stigma of People with HIV/AIDS in Sub-Saharan Africa: A Literature Review. Journal of Tropical Medicine, 2009, 1–14. https://doi.org/10.1155/2009/145891 Mcleod, S. (2018, May 3). Erik Erikson’s Stages of Psychosocial Development. Https://Www.Simplypsychology.Org/Erik-Erikson.Html. Retrieved April 26, 2022, from https://www.simplypsychology.org/Erik-Erikson.html Muoghalu, C. O., & Jegede, S. A. (2013). Perception of HIV/AIDS among the Igbo of Anambra State, Nigeria. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 10(1), 1–13. https://doi.org/10.1080/17290376.2013.807052 Murphy, M. D. (2021, November 3). Kinship Glossary. Anthropology. Retrieved May 10, 2022, from https://anthropology.ua.edu/student-resources/kinship-glossary/ Mutumba, M., Musiime, V., Tsai, A. C., Byaruhanga, J., Kiweewa, F., Bauermeister, J. A., & Snow, R. C. (2015). Disclosure of HIV Status to Perinatally Infected Adolescents in Urban Uganda: A Qualitative Study on Timing, Process, and Outcomes. Journal of the Association of Nurses in AIDS Care, 26(4), 472–484. https://doi.org/10.1016/j.jana.2015.02.001 NCDC. (2022). Nigeria Centre for Disease Control. Ncdc.Gov.Ng. Retrieved May 18, 2022, from https://ncdc.gov.ng/diseases/sitreps/?cat=14&name=An%20update%20of%20COVID-19%20outbreak%20in%20Nigeria Necho, M., Tsehay, M., & Zenebe, Y. (2021). Suicidal ideation, attempt, and its associated factors among HIV/AIDS patients in Africa: a systematic review and meta-analysis study. International Journal of Mental Health Systems, 15(1). https://doi.org/10.1186/s13033-021-00437-3 Newman, B. M., & Newman, P. R. (2020). Psychosocial theories. Theories of Adolescent Development, 149–182. https://doi.org/10.1016/b978-0-12-815450-2.00006-1 Nutrition International. (2021, January 18). Nigeria: Increasing development and productivity through better nutrition. Retrieved May 23, 2022, from https://www.nutritionintl.org/our-work/our-global-projects/africa/nigeria/ Nyongesa, M. K., Nasambu, C., Mapenzi, R., Koot, H. M., Cuijpers, P., Newton, C. R. J. C., & Abubakar, A. (2022). Psychosocial and mental health challenges faced by emerging adults living with HIV and support systems aiding their positive coping: a qualitative study from the Kenyan coast. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-021-12440-x Oladele, T. T., Olakunde, B. O., Oladele, E. A., Ogbuoji, O., & Yamey, G. (2020). The impact of COVID-19 on HIV financing in Nigeria: a call for proactive measures. BMJ Global Health, 5(5), e002718. https://doi.org/10.1136/bmjgh-2020-002718 Ophinni, Y., Adrian, Siste, K., Wiwie, M., Anindyajati, G., Hanafi, E., Damayanti, R., & Hayashi, Y. (2020). Suicidal ideation, psychopathology and associated factors among HIV-infected adults in Indonesia. BMC Psychiatry, 20(1), n/a. https://doi.org/10.1186/s12888-020-02666-1 PEPFAR. (2019, September). Monitoring, evaluation, and reporting indicator reference guide (MER 2.0 (Version 24)). U.S. President’s Emergency Plan for AIDS Relief. Pescosolido, B. A., Martin, J. K., Lang, A., & Olafsdottir, S. (2008). Rethinking theoretical approaches to stigma: A Framework Integrating Normative Influences on Stigma (FINIS). Social Science & Medicine, 67(3), 431–440. https://doi.org/10.1016/j.socscimed.2008.03.018 Rankin, W. W., Brennan, S., Schell, E., Laviwa, J., & Rankin, S. H. (2005). The Stigma of Being HIV-Positive in Africa. PLoS Medicine, 2(8), 702–704. https://doi.org/10.1371/journal.pmed.0020247 Roy, M., Bolton Moore, C., Sikazwe, I., & Holmes, C. B. (2019). A Review of Differentiated Service Delivery for HIV Treatment: Effectiveness, Mechanisms, Targeting, and Scale. Current HIV/AIDS Reports, 16(4), 324–334. https://doi.org/10.1007/s11904-019-00454-5 Salad, A. M., Mohamed, A., Da’ar, O. B., Abdikarim, A., Kour, P., Shrestha, M., & Gele, A. A. (2019). Sick and solo: a qualitative study on the life experiences of people living with HIV in Somalia. HIV/AIDS - Research and Palliative Care, Volume 11, 45–53. https://doi.org/10.2147/hiv.s185040 Schlebusch, L., & Govender, R. D. (2015). Elevated Risk of Suicidal Ideation in HIV-Positive Persons. Depression Research and Treatment, 2015, 1–6. https://doi.org/10.1155/2015/609172 Seeley, J., Mbonye, M., Ogunde, N., Kalanzi, I., Wolff, B., & Coutinho, A. (2011). HIV and identity: the experience of AIDS support group members who unexpectedly tested HIV negative in Uganda. Sociology of Health & Illness, 34(3), 330–344. https://doi.org/10.1111/j.1467-9566.2011.01384.x Speakman, S. (2012). Comparing the Impact of Religious Discourse on HIV/AIDS in Islam and Christianity in Africa. Vanderbilt Undergraduate Research Journal, 8. https://doi.org/10.15695/vurj.v8i0.3490 Stutterheim, S. E., & Ratcliffe, S. E. (2021). Understanding and addressing stigma through qualitative research: Four reasons why we need qualitative studies. Stigma and Health, 6(1), 8–19. https://doi.org/10.1037/sah0000283 Syed, I. A., Syed Sulaiman, S. A., Hassali, M. A., Thiruchelvum, K., & Lee, C. K. (2014). A qualitative insight of HIV/AIDS patients’ perspective on disease and disclosure. Health Expectations, 18(6), 2841–2852. https://doi.org/10.1111/hex.12268 Tucker, J. D., Tso, L. S., Hall, B., Ma, Q., Beanland, R., Best, J., Li, H., Lackey, M., Marley, G., Rich, Z. C., Sou, K. L., & Doherty, M. (2017). Enhancing Public Health HIV Interventions: A Qualitative Meta-Synthesis and Systematic Review of Studies to Improve Linkage to Care, Adherence, and Retention. EBioMedicine, 17, 163–171. https://doi.org/10.1016/j.ebiom.2017.01.036 UNAIDS. (2019, March 14). New survey results indicate that Nigeria has an HIV prevalence of 1.4%. Retrieved April 29, 2021, from https://www.unaids.org/en/resources/presscentre/pressreleaseandstatementarchive/2019/march/20190314_nigeria UNAIDS. (2020, July 6). UNAIDS report on the global AIDS epidemic shows that 2020 targets will not be met because of deeply unequal success; COVID-19 risks blowing HIV progress way off course [Press release]. Retrieved April 30, 2021, from https://www.unaids.org/en/resources/presscentre/pressreleaseandstatementarchive/2020/july/20200706_global-aids-report UNAIDS. (2021, March). Putting people at the centre brings good results in Nigeria. https://www.unaids.org/en/resources/presscentre/featurestories/2021/march/20210305_people-at-the-centre-nigeria United Nations. (2022, February 10). Fast-spreading HIV variant doubles rate of immune system decline. UN News. https://news.un.org/en/story/2022/02/1111372 van Luenen, S., Garnefski, N., Spinhoven, P., Spaan, P., Dusseldorp, E., & Kraaij, V. (2017). The Benefits of Psychosocial Interventions for Mental Health in People Living with HIV: A Systematic Review and Meta-analysis. AIDS and Behavior, 22(1), 9–42. https://doi.org/10.1007/s10461-017-1757-y Vogel-Scibilia, S. E., McNulty, K. C., Baxter, B., Miller, S., Dine, M., & Frese, F. J. (2009). The Recovery Process Utilizing Erikson’s Stages of Human Development. Community Mental Health Journal, 45(6), 405–414. https://doi.org/10.1007/s10597-009-9189-4 Weller, R. P. (1981). Affines, Ambiguity, and Meaning in Hokkien Kin Terms. Ethnology, 20(1), 15–29. https://doi.org/10.2307/3773359 WHO. (1946). Constitution of the world health organization. Who.Int. Retrieved June 9, 2022, from https://www.who.int/about/governance/constitution WHO. (2003, May). Nutrient requirements for people living with HIV/AIDS: report of a technical consultation, World Health Organization, Geneva, 13–15 May 2003. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/42853/9241591196.pdf Wilson, P. A., Valera, P., Martos, A. J., Wittlin, N. M., Muñoz-Laboy, M. A., & Parker, R. G. (2015). Contributions of Qualitative Research in Informing HIV/AIDS Interventions Targeting Black MSM in the United States. The Journal of Sex Research, 53(6), 642–654. https://doi.org/10.1080/00224499.2015.1016139 Winskell, K., Hill, E., & Obyerodhyambo, O. (2011). Comparing HIV-related symbolic stigma in six African countries: Social representations in young people’s narratives. Social Science & Medicine, 73(8), 1257–1265. https://doi.org/10.1016/j.socscimed.2011.07.007 Winskell, K., Holmes, K., Neri, E., Berkowitz, R., Mbakwem, B., & Obyerodhyambo, O. (2015). Making sense of HIV stigma: Representations in young Africans’ HIV-related narratives. Global Public Health, 10(8), 917–929. https://doi.org/10.1080/17441692.2015.1045917 World Bank Group. (2020, May 28). Nigeria releases new report on poverty and inequality in country. World Bank. Retrieved April 27, 2022, from https://www.worldbank.org/en/programs/lsms/brief/nigeria-releases-new-report-on-poverty-and-inequality-in-country | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/85478 | - |
dc.description.abstract | By 2030, Nigeria expects to achieve one of the ambitious targets set by the Joint United Nations Programme on HIV and AIDS (UNAIDS), namely, 95% of the country’s people living with HIV, receiving treatment, and suppressing viral load. National efforts to strategize toward this ambitious goal have been underway since the turn of the 21st century. One vital aspect of such coordinated efforts has, however, remained ignored: the psychosocial health of young seropositive people. As one of the “higher HIV burden states” in the country, Enugu state in southeast Nigeria has an HIV prevalence rate of 1.9%—higher than 1.3%, the national average. A significant proportion of this population (15-49 years) has suffered interruptions in treatment at least once in the last two years (either as missed appointments or loss-to-follow-up patients). These people’s clinical disruption is related to their worsening mental health and even suicidal ideation. A qualitative study has thus been conducted, including focus group discussions and in-depth interviews with 20 young people living with HIV (YPLHIV, aged 20-30 years) in the state from four different health facilities. The interviews focused on their emotional and mental health, their coping strategies in managing the factors that affect their lives, and strategies to recall and retain all YPLHIV with suicidal ideations back to care. Interviews were also conducted with the antiretroviral-providing clinicians across four health facilities to explore health providers’ observations and perspectives on YPLHIV. The study finds that HIV-related stigma contributes to their suffering, resulting in self and social isolation, inability to develop intimate relationships, clinical abuse, and financial and nutritional stressors leading to virologic failure. However, interestingly, the shared experience of stigmatization has also motivated their resilience in the face of clinical angsts. The “sero-kinship”, a web of social relationships between YPLHIV, has connected and supported them in navigating their treatment regimens. Therefore, I argue that, in addition to de-stigmatization and provision of care that is not biomedically focused, it is also important to recognize and strengthen the burgeoning sero-kinship between persons living with HIV, who share almost identical clinical experience and sense of survival—not only for medication maintenance but also for mental health promotion. | en |
dc.description.provenance | Made available in DSpace on 2023-03-19T23:17:11Z (GMT). No. of bitstreams: 1 U0001-1207202212525900.pdf: 1153510 bytes, checksum: 4b0e93d4cb3a78ac06f1a0a00bc514dd (MD5) Previous issue date: 2022 | en |
dc.description.tableofcontents | Acknowledgment 1 Abstract 2 List of abbreviations 6 Chapter One. Introduction 8 Research Background 8 Research Questions and Objectives 10 Chapter Two. Literature Review, Theoretical Framework and Research Methods 13 Stigma 16 Psychosocial Theory 17 Research Design and Methodology 18 Chapter Three. Stigmatization of Young PLHIV 27 Non-Disclosure as a Cocoon against Stigma 28 Clinical-Related Stigma and Prejudice 31 Conclusion 34 Chapter Four. Mental Health of Young People Living with HIV/AIDS 35 Intimacy vs. Isolation on the Cusp of “Identity Crisis” among YPLHIV 35 Serodiscordance and Unmatched Relationships among YPLHIV 39 Financial and Nutritional Stressors as Precursors to Virologic Failure 40 Conclusion 44 Chapter Five. Sero-Kinship among YPLHIV 45 The Idea of Clinical Affinity 46 Disease, Loneliness, Togetherness, Hope 49 Conclusion 53 Chapter Six. Conclusion and Recommendations 54 Recommendations for the Nigerian Health Authorities 55 Limitations of the Study 57 References 58 Appendix 1. NTU IRB 68 Appendix 2. Ministry of Health, Enugu, IRB 69 Appendix 3. Research Participation Consent for Focus Group Discussion 70 Appendix 4. Research Participation Consent for In-Depth Interview 74 Appendix 5. Recruitment Poster 77 Appendix 6. Focus Group Discussion Guide 78 Appendix 7. In-Depth Interview Guide 79 | |
dc.language.iso | en | |
dc.title | 奈及利亞東南部埃努古州年輕愛滋感染者的社會心理健康:質性探勘研究 | zh_TW |
dc.title | The Psychosocial Health of Young People Living with HIV/AIDS in Enugu State—Southeast Nigeria: A Qualitative Study | en |
dc.type | Thesis | |
dc.date.schoolyear | 110-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 官晨怡(CHEN-I KUAN),黃柏堯(POYAO HUANG) | |
dc.subject.keyword | 奈及利亞東南部,社會心理健康,病毒載量抑制,聯合國愛滋病規劃署,心理健康,自殺意念,抗逆轉錄病毒,血清親屬關係, | zh_TW |
dc.subject.keyword | Southeast Nigeria,psychosocial health,viral load suppression,UNAIDS,mental health,suicidal ideation,antiretroviral,sero-kinship, | en |
dc.relation.page | 79 | |
dc.identifier.doi | 10.6342/NTU202201421 | |
dc.rights.note | 同意授權(全球公開) | |
dc.date.accepted | 2022-07-13 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 全球衛生碩士/博士學位學程 | zh_TW |
dc.date.embargo-lift | 2022-10-03 | - |
顯示於系所單位: | 全球衛生學位學程 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
U0001-1207202212525900.pdf | 1.13 MB | Adobe PDF | 檢視/開啟 |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。