Self-Management and Its Associated Factors Among People Living With HIV at University of Gondar Comprehensive Specialized Hospital: A Cross-Sectional Study
View abstract on PubMed
Summary
This summary is machine-generated.Over half of people living with HIV (PLHIV) in Northwest Ethiopia exhibit poor self-management (SM) skills. Key factors contributing to this include unemployment, living alone, and lack of social support, highlighting critical areas for intervention.
Area Of Science
- Public Health
- HIV/AIDS Management
- Patient Self-Management
Background
- Self-management (SM) is crucial for patients actively participating in their disease management.
- Poor SM among people living with human immunodeficiency virus (PLHIV) is linked to increased transmission, mortality, and morbidity.
- Factors influencing SM include condition-specific elements, environment, individual/family dynamics, and the SM process itself.
Purpose Of The Study
- To assess self-management (SM) levels among people living with HIV (PLHIV).
- To identify factors associated with poor SM in PLHIV at the University of Gondar Comprehensive Specialized Hospital (UOGCSH), Northwest Ethiopia.
Main Methods
- A cross-sectional study was conducted at UOGCSH from May to July 2022.
- Systematic random sampling was used, with data collected via a validated tool.
- Binary logistic regression analysis identified factors associated with poor SM (p < 0.05).
Main Results
- Of 419 PLHIV, 52.6% demonstrated poor SM.
- Significant associations with poor SM included unemployment, living alone, unfamiliarity with HIV symptom management, poor social support, low self-efficacy, and lack of adherence support group involvement.
- Unemployment (AOR=2.49), living alone (AOR=2.16), poor symptom management knowledge (AOR=3.59), poor social support (AOR=3.02), poor self-efficacy (AOR=3.04), and lack of support group engagement (AOR=17.17) were key factors.
Conclusions
- The majority of PLHIV studied exhibited poor self-management.
- Findings align with existing theories and studies on SM influencing factors.
- Interventions targeting modifiable sociodemographic, condition-specific, and process-related factors are recommended for government, hospitals, support groups, and PLHIV to enhance SM.