Prevalence and predictors of low self-esteem among people living with HIV/AIDS in a Nigerian Clinic

Апстракт

Introduction - Nigeria is st il l bat tl ing with the psychosocial impact of HIV/AIDS. Self-esteem is essentially an internal monitor of the degree to which one is valued or devalued. This research aims to evaluate the prevalence and predictors of low self-esteem.
among people attending an HIV/AIDS clinic at Ladoke Aki nt ol a University of Technology Teaching Hospital, Osogbo.
Methods: Five hundred clients were recruited among patients attending the HIV/AIDS clinic in Ladoke Akintola University of Technology Teaching Hospital, Osogbo between September and December 2018. This is a cross-sectional descriptive study of five hundred participants who were recruited among patients attending the HIV/AIDS clinic in Ladoke Akintola University of Technology Teaching Hospital, Osogbo between September and December 2018. Questionnaires containing the sociodemographic variable and the clinical variable were used in the study. Besides, the Rosenberg self-esteem scale was used to measure the perceived self-esteem by the respondents. Data were analyzed using percentages, chi square and regression analysis with SPSS version 20.
Results: Fifty-two percent of the respondents were above 40 years. Females, Christians, traders, and those that had tertiary education were 83.6%, 65.2%, 45.8%, and 70.8% of the respondents respectively. Two hundred and sixty (52%) had available social support, 64.0% of the respondents were bordered sometimes with the viral load while 79.6% earn less than #18,000 as average monthly income. Three hundred and twenty-two (64.4 %) of the respondents had low self-esteem while one hundred and seventy-eight (35.6%) had high self-esteem. The predictors of low self-esteem were respondents who were 40 years and below (B= 1.541,  P<0.001), females (B=1,246, P = 0.005), traders, (B=1.094, P<0.001)
respondents that didn’t perceive social support

PDF (енглески)

Референце

Olorunmoteni O.E., Fatusi A.O., Komolafe M.A.

a n d Omi s o r e A. S l e e p p a t t e r n ,

socioenvironmental factors, and use of electronic

devi ce s a mong Ni ge r i a n s chool -at t endi ng

adolescents. Sleep health.2018; 4(6), 551-557

Nasidi, A. and Harry T.O. The epidemiology of

HIV/AIDS in Nigeria. AIDS in Nigeria: a nation

on the threshold. Cambridge (Massachusetts):

Harvard Center for Population and Development

Studies. 2006; pp.17-36.

Ibr ahi m SA, Sabi tu K, Abubakar A, et al .

Demogr aphi c f act or s ass oci at ed wi t h HIV

infection between low and high prevalence areas

in Ni geria, 2015. The Pan African Medical

Journal. 2019; 32(Suppl 1).

Stockton R., Paul T., Morran D. K. and Mokalake

E.. Survey of HIV/AIDS Clients in Botswana:

Re a c t i o ns t o Su pp o r t i ve Co u ns e l l i ng.

International Journal for the Advancement of

Counselling. 2016; 38, 249-268.

Darlington C. K and Hutson S. P. Understanding

HIV- r e l a t e d s t i gma a mo ng wome n i n t he

Southern United States: A literature review. AIDS

and Behavior.2017; 21, 12-26.

Salleh N.A.M., Richardson L., Kerr T., et al.

Longitudinal analysis of daily pill burden and the

likelihood of optimal adherence to antiretroviral

therapy among people living with HIV who use

drugs. Journal of Addiction Medicine.20018; 12,

-314.

Bhat U., Cherian A. V., Bhat A., et al. Factors

affecting psychosocial well-being and quality of

life among women living with HIV/AIDS. Nitte

University Journal of Health Science.2015; 5.

Ashton E., Vosvick M., Chesney M., et al. Social

support and maladaptive coping as predictors of

the change in physical health symptoms among

persons living with HIV/AIDS. AIDS Patient

Care and STDs, 2005; 19, 587-598.

Redman K., Karstaedt A. and Scheuermaier K.

Increased CD4 counts, pain, and depression are

correlates of lower sleep quality in treated HIV

positive patients with low baseline CD4 counts.

Brain, behavior, and immunity. 2018; 69, 548-555.

Chao L.-W., Szrek H., Leite R.,Ramlagan S. and

Peltzer K. Do Customers Flee From HIV? A

Survey of HIV Stigma and Its Potential Economic

Consequences on Small Businesses in Tshwane

(Pretoria), South Africa. AIDS and Behavior.

; 21, 217-226.

Mark G. and Smith A. P. Coping and Its Relation to

Gender, Anxiety, Depression, Fatigue, Cognitive

Difficulties, and Somatic Symptoms. 2018.

Schuster M.A., Collins R., Cunningham W.E. et

al. Perceived discrimination in clinical care in a

nationally representative sample of HIV infected

adults receiving health care. Journal of general

internal medicine. 2005; 20, 807-813.

Rushi ng W.A. The AIDS epi demi c: Soci al

dimensions of infectious disease, Routledge. 2018

Santiago L.E. Oral testimonies: the other face of

the HIV story. Puerto Rico Health Sciences

Journal, 1998; 17, 375-380.

Manhas C. Self-esteem and quality of life of

people living with HIV/AIDS. Journal of health

psychology.2014; 19(11), 1471-1479.

Li u S. a nd Zha ng L. Soc i omet e r t heor y.

Encyclopedia of evolutionary psychological

science. 2016; 1-4

Theory T.N. and Baumeister R. F. The nature

and function of self-esteem: Sociometer theory.

Advances in experimental social psychology.

Elsevier. 2000

Blascovich J and Tomaka J. Measures of selfe

s t e e m. I n: Robi n s on J P, S ha ve r PR a nd

Wrightsman LS (eds) Measures of Personality

and Social Psychological Attitudes (3rd edn). Ann

Arbor, MI: Institute for Social Research, 1993;

pp. 115–160.

Rosenberg M. Conceiving the Self. Malabar,FL:

Krieger.1986.

Lee, R. S., Kochman, A.,Sikkema, K. J. Internalized

stigma among people living with HIV-AIDS. AIDS

and Behavior. 2002; 6(4), 309-319

Olley BO, Adebayo KO, Ogunde MJ., Ishola A.

and Ogar AP. Psychosocial factors predicting the

severity of depression among treatment-seeking

HIV/AIDS patients: a multi-site Nigerian study.

Nigerian Journal of clinical practice. 2017;

(3):296-302.

Olley BO, Ogunde M J, Oso P O and Ishola A.

HIV-rel ated st igma and sel f-di sclosure: the

mediating and moderating role of anticipated

discrimination among people living with HIV/

AIDS in Akure Nigeria. AIDS Care. 2016; Jun

;28(6):726-30.

AbdoolKarim Q, Baxter C and Birx D, Prevention

of HIV in Adolescent Girls and Young Women:

Key to an AIDS-Free Generation. Journal of

Acquired Immune Deficiency Syndromes. 2017;

May 01; 75 Suppl 1:S17-S26.

Fa t i r e gun A. A. , Mof ol o r uns ho K. C. a nd

Osagbemi K. G. Quality of life of people living

with HIV/AIDS in Kogi State, Nigeria. Benin

Journal of postgraduate medicine, 2009; 11(1).

Olowookere S.A., Fatiregun A.A., Akinyemi J.O.,

Bamgboye A.E. and Osagbemi, G. K. Prevalence

and determinants of nonadherence to highly

active antiretroviral therapy among people living

with HIV/AIDS in Ibadan, Nigeria. The Journal

of Infection in Developing Countries. 2008 2(05),

-372.

Oke O.O., Akinboro A.O., Olanrewaju F.O., Oke

O.A. and Omololu A.S. Assessment of HIVrelated

stigma and determinants among people

living with HIV/AIDS in Abeokuta, Nigeria: A

cross-sectional study. SAGE Open Medicine.

, 7, p.2050312119869109.

Hackl K. L., Somlai A. M., Kelly J. A. and

Kalichman S. C. Women living with HIV/AIDS:

The dual chal lenge of bei ng a pati ent and

caregiver. Health and Social Work.1997, 22(1),

-62.

Kuehner C. Why is depression more common

among women than among men? The Lancet

Psychiatry. 2017, 4(2), 146-158.

Bello MU, Aliyu AA, Martin D, Juanil D. and

Kasim R. Real estate investment as a panacea

for economic instability in Nigeria: Evidence from

northeastern states of Nigeria. TraektoriâNauki=

Path of Science. 2017;3(8).

Meyer T. and Wildschut A. Artisan training could

assist youth employment (2016).