Use of self-help groups by people living with HIV in Central America
Self-help groups (SHGs) for people living with HIV (PLHIV) are organizations created by the community to provide individuals with security, affection, improved self-esteem, and a sense of belonging. However, SHGs have also been used by the government to help implement HIV control policies. This study aimed to identify the characteristics associated with the use of SHGs by PLHIV and the routes and displacement patterns adopted by users. An analytical cross-sectional study was conducted based on data collected in six Central American countries during 2012. Using a list of SHGs, a random sampling was conducted in two stages. Firstly, the SHGs were selected. Then, the selected SHGs were visited and every third user who attended the SHG was surveyed. Logistic regression models were used to identify the characteristics associated with the use of SHGs and with attending the nearest SHGs. A spatial analysis was performed to identify the routes followed by users to reach the SHGs from their home communities. We found that the characteristics significantly associated with higher odds of SHG usage were country of residence and schooling level. The average and median distances traveled by users to attend SHGs were 20 and 5 kilometers, respectively. PLHIV do not use the SHGs closest to their locality, perhaps for fear of stigma and discrimination. We recommend that research on this topic use a mixed qualitative-quantitative methodology to better understand utilization decisions, user expectations, and the degree to which these are being met.
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Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
2022
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oai:scielo:S0102-311X20220009050122022-10-18Use of self-help groups by people living with HIV in Central AmericaSanchez-Dominguez,MarioLeyva-Flores,ReneInfante-Xibille,CésarTexcalac-Sangrador,Jose LuisLamadrid-Figueroa,Hector HIV Self-Help Groups Geographic Information Systems Self-help groups (SHGs) for people living with HIV (PLHIV) are organizations created by the community to provide individuals with security, affection, improved self-esteem, and a sense of belonging. However, SHGs have also been used by the government to help implement HIV control policies. This study aimed to identify the characteristics associated with the use of SHGs by PLHIV and the routes and displacement patterns adopted by users. An analytical cross-sectional study was conducted based on data collected in six Central American countries during 2012. Using a list of SHGs, a random sampling was conducted in two stages. Firstly, the SHGs were selected. Then, the selected SHGs were visited and every third user who attended the SHG was surveyed. Logistic regression models were used to identify the characteristics associated with the use of SHGs and with attending the nearest SHGs. A spatial analysis was performed to identify the routes followed by users to reach the SHGs from their home communities. We found that the characteristics significantly associated with higher odds of SHG usage were country of residence and schooling level. The average and median distances traveled by users to attend SHGs were 20 and 5 kilometers, respectively. PLHIV do not use the SHGs closest to their locality, perhaps for fear of stigma and discrimination. We recommend that research on this topic use a mixed qualitative-quantitative methodology to better understand utilization decisions, user expectations, and the degree to which these are being met.info:eu-repo/semantics/openAccessEscola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo CruzCadernos de Saúde Pública v.38 n.9 20222022-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2022000905012en10.1590/0102-311xen007922 |
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Sanchez-Dominguez,Mario Leyva-Flores,Rene Infante-Xibille,César Texcalac-Sangrador,Jose Luis Lamadrid-Figueroa,Hector |
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Sanchez-Dominguez,Mario Leyva-Flores,Rene Infante-Xibille,César Texcalac-Sangrador,Jose Luis Lamadrid-Figueroa,Hector Use of self-help groups by people living with HIV in Central America |
| author_facet |
Sanchez-Dominguez,Mario Leyva-Flores,Rene Infante-Xibille,César Texcalac-Sangrador,Jose Luis Lamadrid-Figueroa,Hector |
| author_sort |
Sanchez-Dominguez,Mario |
| title |
Use of self-help groups by people living with HIV in Central America |
| title_short |
Use of self-help groups by people living with HIV in Central America |
| title_full |
Use of self-help groups by people living with HIV in Central America |
| title_fullStr |
Use of self-help groups by people living with HIV in Central America |
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Use of self-help groups by people living with HIV in Central America |
| title_sort |
use of self-help groups by people living with hiv in central america |
| description |
Self-help groups (SHGs) for people living with HIV (PLHIV) are organizations created by the community to provide individuals with security, affection, improved self-esteem, and a sense of belonging. However, SHGs have also been used by the government to help implement HIV control policies. This study aimed to identify the characteristics associated with the use of SHGs by PLHIV and the routes and displacement patterns adopted by users. An analytical cross-sectional study was conducted based on data collected in six Central American countries during 2012. Using a list of SHGs, a random sampling was conducted in two stages. Firstly, the SHGs were selected. Then, the selected SHGs were visited and every third user who attended the SHG was surveyed. Logistic regression models were used to identify the characteristics associated with the use of SHGs and with attending the nearest SHGs. A spatial analysis was performed to identify the routes followed by users to reach the SHGs from their home communities. We found that the characteristics significantly associated with higher odds of SHG usage were country of residence and schooling level. The average and median distances traveled by users to attend SHGs were 20 and 5 kilometers, respectively. PLHIV do not use the SHGs closest to their locality, perhaps for fear of stigma and discrimination. We recommend that research on this topic use a mixed qualitative-quantitative methodology to better understand utilization decisions, user expectations, and the degree to which these are being met. |
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Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
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2022 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2022000905012 |
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