南非艾滋病毒感染者中老年人对传统治疗师的利用：世卫组织老年人福祉知识共享专家组研究。

Utilisation of traditional healers among older people living with HIV in South Africa: a WHO SAGE well-being of older people study.

机构信息

Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.

Department of Nursing, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

出版信息

AIDS Res Ther. 2023 Jun 24;20(1):40. doi: 10.1186/s12981-023-00537-9.

DOI:10.1186/s12981-023-00537-9

PMID:37355619

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10290787/

Abstract

BACKGROUND

Within the African region, there are an estimated 8 million people living with HIV (PLHIV) in South Africa. Seeking healthcare services from traditional healers (TH) is one of the alternative and complementary approaches to HIV/AIDS treatment. Identifying the associated factors of TH utilisation among older PLHIV is crucial in developing healthcare interventions that cater to the unique needs of this vulnerable group. This study investigated the factors associated with TH utilisation among older PLHIV.

METHODS

We studied 516 older PLHIV using data from the WHO SAGE Well-Being of Older People Study (2011-2013). Chi-square, bivariate and multivariate logistic regression were computed in STATA Version 14. The results were presented with both crude and adjusted odds ratio (AOR) and at 95% confidence interval (CI).

RESULTS

Of the 516 participants, 15.89% utilised TH. The major reason for TH utilisation among older PLHIV was the perception of receiving better healthcare services from TH (51.2%) and the flexibility to pay with goods instead of money (14.6%). The factors associated with TH utilisation were age [AOR = 0.05; CI 0.01, 0.37], being hypertensive [AOR = 2.07; CI 1.04, 4.11], and having more than four servings of fruits [AOR = 10.64; CI 2.95, 38.34]. TH utilisation was significantly lower among those who visited the clinic once or twice [AOR = 0.17; CI 0.05, 0.63], three to six times [AOR = 0.16; CI 0.05, 0.56], and more than 6 times [AOR = 0.09; CI 0.03, 0.34] compared to those who had no clinic visits.

CONCLUSION

In conclusion, a low proportion of TH utilisation was reported among older PLHIV in South Africa. TH utilisation is associated with age, hypertension status, frequency of clinic visits and fruit servings consumed. Our study suggests that being hypertensive was a motivating factor for older PLHIV to utilise TH. Therefore, it is imperative for the South African health department to integrate the services of TH into the mainstream health system to manage non-communicable diseases, particularly hypertension, among older PLHIV.

摘要

背景

在非洲地区，南非估计有 800 万艾滋病毒感染者（PLHIV）。寻求传统治疗师（TH）的医疗服务是艾滋病毒/艾滋病治疗的替代和补充方法之一。确定老年 PLHIV 使用 TH 的相关因素对于制定满足这一弱势群体独特需求的医疗保健干预措施至关重要。本研究调查了老年 PLHIV 使用 TH 的相关因素。

方法

我们使用世界卫生组织 SAGE 老年人健康研究（2011-2013 年）的数据研究了 516 名老年 PLHIV。在 STATA 版本 14 中计算了卡方检验、双变量和多变量逻辑回归。结果以粗比值比（OR）和调整比值比（AOR）和 95%置信区间（CI）呈现。

结果

在 516 名参与者中，有 15.89%使用了 TH。老年 PLHIV 使用 TH 的主要原因是认为从 TH 获得更好的医疗服务（51.2%）和用商品而不是钱支付的灵活性（14.6%）。与 TH 使用相关的因素是年龄[AOR=0.05；CI 0.01,0.37]、高血压[AOR=2.07；CI 1.04,4.11]和食用超过四份水果[AOR=10.64；CI 2.95,38.34]。与仅就诊一次或两次[AOR=0.17；CI 0.05,0.63]、就诊三到六次[AOR=0.16；CI 0.05,0.56]和就诊六次以上[AOR=0.09；CI 0.03,0.34]的人相比，就诊次数较多的人使用 TH 的可能性显著降低。