Ignite Creation Date:
2024-05-05 @ 11:36 AM
Last Modification Date:
2024-10-26 @ 9:10 AM
Study NCT ID:
NCT00094354
Status:
COMPLETED
Last Update Posted:
2009-03-27
First Post:
2004-10-16
Brief Title:
HIV Assessment in Fuyang Anhui Province China
Sponsor:
National Institute of Allergy and Infectious Diseases NIAID
Organization:
National Institute of Allergy and Infectious Diseases NIAID
Study Overview
Official Title:
A Qualitative Study for the Development of an Intervention Among HIV-Positive Former Plasma Donors FPDs in Fuyang Anhui Province China
Status:
COMPLETED
Status Verified Date:
2009-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study was to examine the needs concerns stigmas and social networks of HIV infected former plasma donors FPDs and their relatives in Fuyang Anhui Province China Interviews and focus groups were used to collect data in preparation for a future larger behavioral study for HIV infected individuals in China
Detailed Description:
The HIV epidemic in China has reached a phase of exponential growth Among the infected are former commercial plasma donors FPDs in rural communities who became infected through contaminated blood collection equipment This study examined the needs concerns stigmas social networks and discrimination among HIV infected FPDs and their families The study was designed to provide preliminary information and help prepare for the implementation of a second study which evaluated community based intervention on quality of life of HIV infection villagers and HIV-related stigma
Four groups of people were enrolled in this study HIV infected FPDs family members of HIV infected FPDs local healthcare workers and other villagers not related to an HIV infected individual Participants were recruited based on sampling framework which stratified potential participants by gender age and place of residence Selected study participants from all four groups had in-depth one-on-one interviews approximately 2 to 3 hours in length The interviews were taped and transcribed and the transcriptions were coded with respect to responses In addition there were 2 separate focus groups one for local healthcare workers and a second for other villagers not related to an HIV infected individual
Information was collected from 111 participants through face-to-face in-depth interviews FFI and focus group discussions FGD FFIs were held with 20 HIV FPDs 20 family members 20 villagers from HIV-negative households and 20 local health workers A further 31 participants participated in four FGDs two each with villagers from HIV-negative households and local health workers respectively
Main findings
1 HIV testing and disclosure Most of the interviewed HIV FPDs were tested when the local CDC went to their villages and offered testing Most of their spouses were also tested Villagers usually knew who is HIV in their village because there have been confidentiality issues in the notification process and because they see who is seeking AIDS-related healthcare or getting assistance from the governments HIVAIDS care and support programs
2 Discrimination and stigma There have been no acts of physical violence as a result of discrimination or stigma Acts of discrimination included being deliberately ignored both by other villagers and their families Stigma associated with HIVAIDS includes imminent death loss of labor and family economy and bad reputation The severity of stigmadiscrimination is inversely related to the prevalence of HIV in a village
3 Psychological status The ART program has improved peoples outlook on life however many remain pessimistic about their health economic situation and future
4 HIV knowledge Almost all the interviewees had heard of HIVAIDS and knew the three main transmission routes ie blood sex mother-to-child however there were some misconceptions about transmission and prevention
5 Sexual behavior Most of the HIV FPDs reduced their frequency of sex and some even stopped having sex after they learned their sero-status Extra-marital sex was rare HIV FPDs rarely used condoms before they knew they were positive While they reported that they now use condoms every time they have sex some of them do not use condoms correctly
6 Healthcare seeking behavior After the introduction of the Four Free and One Care program HIV FPDs tended to seek health services in HIV-designated hospitalsclinics because they provide financial support for medications Despite the subsidies many still found healthcare unaffordable A minority forgot to take or could not adhere to their regimen at first however this situation was very much improved by regular home visits by local health workers
7 Social network and support Social networks among HIV FPDs have been formed as a result of daily life work and medical treatment However the networks vary In Funan a stable network has been formed among HIV people who know each other quite well because they live close to each other and were together when selling blood seeking medical care after being informed of their HIV status and participating in AIDS-related programs In Yingzhou PLWHAs have less contact with each other partly because they do not have a fixed treatment place They do however have some opportunities to meet and chat with each other
8 Perceived needs Participants were keen to learn more about HIV in general and in particular about treatment They also desire more opportunity for communication to help them deal with the stress and pressure they experience Family member recognized the need for some kind of intervention to help their HIV relatives
9 Economic situation HIV individuals are the main income earners for their household however most are not fit enough for jobs in the cities and rely on crops as their main source of income People in Yingzhou are generally better off than people in Funan A large proportion of the family income is spent on healthcare for the HIV family member
10 Modality of intervention Participants opinions on AIDS-related programs varied widely HIV participants indicated their willingness to participate in any kind of AIDS-related programs Group activities seemed to be acceptable It was suggested that groups be divided by gender that activities be held in a nearby or convenient location that the intervention be scheduled during the off-season for farming and that village leaders or doctors act as the contact persons for AIDS-related programs
Four groups of people were enrolled in this study HIV infected FPDs family members of HIV infected FPDs local healthcare workers and other villagers not related to an HIV infected individual Participants were recruited based on sampling framework which stratified potential participants by gender age and place of residence Selected study participants from all four groups had in-depth one-on-one interviews approximately 2 to 3 hours in length The interviews were taped and transcribed and the transcriptions were coded with respect to responses In addition there were 2 separate focus groups one for local healthcare workers and a second for other villagers not related to an HIV infected individual
Information was collected from 111 participants through face-to-face in-depth interviews FFI and focus group discussions FGD FFIs were held with 20 HIV FPDs 20 family members 20 villagers from HIV-negative households and 20 local health workers A further 31 participants participated in four FGDs two each with villagers from HIV-negative households and local health workers respectively
Main findings
1 HIV testing and disclosure Most of the interviewed HIV FPDs were tested when the local CDC went to their villages and offered testing Most of their spouses were also tested Villagers usually knew who is HIV in their village because there have been confidentiality issues in the notification process and because they see who is seeking AIDS-related healthcare or getting assistance from the governments HIVAIDS care and support programs
2 Discrimination and stigma There have been no acts of physical violence as a result of discrimination or stigma Acts of discrimination included being deliberately ignored both by other villagers and their families Stigma associated with HIVAIDS includes imminent death loss of labor and family economy and bad reputation The severity of stigmadiscrimination is inversely related to the prevalence of HIV in a village
3 Psychological status The ART program has improved peoples outlook on life however many remain pessimistic about their health economic situation and future
4 HIV knowledge Almost all the interviewees had heard of HIVAIDS and knew the three main transmission routes ie blood sex mother-to-child however there were some misconceptions about transmission and prevention
5 Sexual behavior Most of the HIV FPDs reduced their frequency of sex and some even stopped having sex after they learned their sero-status Extra-marital sex was rare HIV FPDs rarely used condoms before they knew they were positive While they reported that they now use condoms every time they have sex some of them do not use condoms correctly
6 Healthcare seeking behavior After the introduction of the Four Free and One Care program HIV FPDs tended to seek health services in HIV-designated hospitalsclinics because they provide financial support for medications Despite the subsidies many still found healthcare unaffordable A minority forgot to take or could not adhere to their regimen at first however this situation was very much improved by regular home visits by local health workers
7 Social network and support Social networks among HIV FPDs have been formed as a result of daily life work and medical treatment However the networks vary In Funan a stable network has been formed among HIV people who know each other quite well because they live close to each other and were together when selling blood seeking medical care after being informed of their HIV status and participating in AIDS-related programs In Yingzhou PLWHAs have less contact with each other partly because they do not have a fixed treatment place They do however have some opportunities to meet and chat with each other
8 Perceived needs Participants were keen to learn more about HIV in general and in particular about treatment They also desire more opportunity for communication to help them deal with the stress and pressure they experience Family member recognized the need for some kind of intervention to help their HIV relatives
9 Economic situation HIV individuals are the main income earners for their household however most are not fit enough for jobs in the cities and rely on crops as their main source of income People in Yingzhou are generally better off than people in Funan A large proportion of the family income is spent on healthcare for the HIV family member
10 Modality of intervention Participants opinions on AIDS-related programs varied widely HIV participants indicated their willingness to participate in any kind of AIDS-related programs Group activities seemed to be acceptable It was suggested that groups be divided by gender that activities be held in a nearby or convenient location that the intervention be scheduled during the off-season for farming and that village leaders or doctors act as the contact persons for AIDS-related programs
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| Project 2 | None | None | None |
| CIPRA | None | None | None |