43 research outputs found
Disclosure of HIV Status to Adolescents Aged 10-15 Years Living with HIV in Kafue District of Lusaka Province in Zambia
No full textBackground: Disclosure of HIV status by caregivers to adolescents is low. This
affects access to HIV care and treatment by adolescents living with HIV. While
studies have been done to understand disclosure patterns, limited knowledge exists on
factors that facilitate and inhibit disclosure by caregivers to adolescents aged between
10 to 15 years in Kafue district. This study explored factors related to caregiver
disclosure of HIV-positive status to adolescents under their care.
Methods: This was an exploratory health facility-based qualitative study. Data was
collected through in-depth interviews with 30 caregivers of adolescents living with
HIV and health care providers. Data was coded using NVIVO and analysed using
latent content analysis approach.
Results: 17 out of 30 caregivers had informed the adolescents about their HIV status.
Reasons for disclosing the HIV status included inquiries by adolescents about reasons
for taking of medication, threats by adolescents not to take HIV medication, desire to
promote treatment self-efficacy amongst adolescents, maintaining/sustaining future
cordial relationships as well as facilitating adoption of safe sexual behaviour. Direct
conversations between caregivers and adolescents as well as assisted disclosure at the
health facility were the two strategies used. Factors that facilitated HIV disclosure
were adolescents ‘knowledge of HIV and caregiver’s knowledge of and experience
with HIV programs. Factors that inhibited disclosure of HIV status included fear of
psychological trauma by adolescents, perceived inability of adolescents to keep their
HIV status confidential which could attract HIV stigmatisation for the family, and
caregivers’ fear of being blamed by the adolescents for the infection.
Conclusions: There is a need to improve disclosure skills of caregivers, promote
assisted disclosure and establish adolescent-specific clinic days. Caregiver disclosure
of their own HIV status is also crucial to ensure acceptance of HIV status by
adolescents while efforts to address HIV stigma are still warranted
Disclosure of HIV status to Adolescents aged 10-15 years living with HIV in Kafue District of Lusaka Province in Zambia
No full textBackground: Disclosure of HIV status by caregivers to adolescents is low. This affects access to HIV care and treatment by adolescents living with HIV. While studies have been done to understand disclosure patterns, limited knowledge exists on factors that facilitate and inhibit disclosure by caregivers to adolescents aged between 10 to 15 years in Kafue district. This study explored factors related to caregiver disclosure of HIV-positive status to adolescents under their care.Methods: This was an exploratory health facility-based qualitative study. Data was collected through in-depth interviews with 30 caregivers of adolescents living with HIV and health care providers. Data was coded using NVIVO and analysed using latent content analysis approach.Results: 17 out of 30 caregivers had informed the adolescents about their HIV status. Reasons for disclosing the HIV status included inquiries by adolescents about reasons for taking of medication, threats by adolescents not to take HIV medication, desire to promote treatment self-efficacy amongst adolescents,maintaining/sustaining future cordial relationships as well as facilitating adoption of safe sexual behaviour. Direct conversations between caregivers and adolescents as well as assisted disclosure at the health facility were the two strategies used. Factors that facilitated HIV disclosure were adolescents ‘knowledge of HIV and caregiver’s knowledge of and experience with HIV programs. Factors that inhibited disclosure of HIV status included fear of psychological trauma by adolescents, perceived inability of adolescents to keep their HIV status confidential which could attract HIV stigmatisation for the family, and caregivers’ fear of being blamed by the adolescents for the infection.
Conclusions: There is a need to improve disclosure skills of caregivers, promote assisted disclosure and establish adolescent-specific clinic days. Caregiver disclosure of their own HIV status is also crucial to ensure acceptance of HIV status by adolescents while efforts to address HIV stigma are still warranted
Janet, Mafrey, Mable, and Robert Metcalf
No full textThis 1952 photograph taken by photographer Juanita Wilson shows Janet, Mafrey, Mable, and Robert Metcalf of Tennessee receiving trophy from Hubert Hayes in the Mountain Youth Jamboree. Founder and director of the Mountain Youth Jamboree, Hubert H. Hayes (1901-1964) auditioned and directed youth to perform in folk dance, music, and folk and ballad singing. The jamboree was held in the Asheville City Auditorium (now known as Thomas Wolfe Auditorium) from 1948 to 1973, and Hayes’ wife, Leona Trantham Hayes (1913-1989) continued to direct the program after his death in 1964. Hubert Hayes was an author, playwright, and alumni of Duke University
The medical social worker's participation in rehabilitation of tuberculosis patients, Veterans Administration Hospital, 1954
No full textThe meaning and measurement of body image disturbance in college women.
No full textThe present investigation consisted of two studies examining the theory and measurement of body image disturbance in normal-weighted women. Concerning measurement, the preliminary study verified the reliability of a paper-and-pencil method developed by the author for measuring body image distortion, the Body Size Distortion Questionnaire (BSDQ; Mable, 1985). Also, as this procedure utilizes self-report estimates of frame size, body weight, and height, the accuracy of these estimates was determined. The main study investigated the relationship of body image disturbance to personality variables relevant to body image problems and eating disorders: depression, interoceptive awareness, interpersonal distrust, bulimic attitudes, maturity fears, ineffectiveness, and perfectionism. One hundred and ninety-four normal-weighted college women completed the Eating Disorder Inventory (EDI; Garner, Olmsted, & Polivy, 1983), the Body Esteem Scale (BES; Franzoi & Shields, 1984), the Goldfarb Fear of Fat Scale (GFFS; Goldfarb, Dykens, & Gerrard, 1985), the Beck Depression Inventory (Beck et al., 1961), and the author's BSDQ. As well, all subjects were individually weighed on a scale upon completing the battery of personality and body image measures. The results were in concordance with previous findings that body image disturbance is a widespread problem in the general female population. The primary component of the disturbance seemed to be the woman's perception that she is overweight, more so than her measured degree of overweight. Results also showed that personality variables relevant to eating disorder phenomena were related to body image disturbance in this sample of normal women. Findings called into question the model that postulates that body image disturbance in eating-disordered women is the product of different personality variables than those associated with body image disturbance in normal women. In fact, important qualitative similarities were observed.Dept. of Psychology. Paper copy at Leddy Library: Theses & Major Papers - Basement, West Bldg. / Call Number: Thesis1989 .M225. Source: Dissertation Abstracts International, Volume: 50-03, Section: B, page: 1114. Thesis (Ph.D.)--University of Windsor (Canada), 1989
A comparative study of the academic achievement of children with and without kindergarten-experiences in the first grade
No full textA study of a formalized group experience and the effects of this experience on the personal and social adjustment of first and second grade girls, 1968
No full textA comparison of the relationships between reading ability and the arithmetic ability of a second grade, 1960
No full text“When am I going to stop taking the drug?” Enablers, barriers and processes of disclosure of HIV status by caregivers to adolescents in a rural district in Zambia
No full textBackground: Disclosure of adolescents\u27 own HIV status by caregivers is not only challenging but low. The reasons for this remain unclear despite efforts to examine and seek to understand disclosure patterns or factors that may either facilitate or inhibit this disclosure. This study explored the enablers, barriers and processes of disclosure of HIV status to adolescents by their caregivers in Kafue district of Zambia. Methods: A case study method was used to understand factors that facilitate or inhibit caregiver\u27s ability to disclose the HIV status of adolescents aged 10-15 years. Data collected through in-depth interviews with 30 caregivers as well as 6 key informants were analysed using thematic analysis. Results: Overall, 17 out of 30 (56.7 %) caregivers had informed the adolescents about their HIV status. Reasons for disclosing of the HIV status included inquiries by adolescents as to why they were taking medication, threats by adolescents not to take HIV medication, desire to promote treatment self-efficacy amongst adolescents as well as facilitating adoption of safe sexual behaviour among adolescents. The disclosure processes were conducted either at the home or at the clinic. Enabling factors for HIV disclosure were adolescents\u27 knowledge of HIV and caregivers\u27 knowledge of and experience with HIV programs. Barriers to disclosure of HIV status included fear of psychological trauma for the adolescents, perceived inability of adolescents to keep their HIV status confidential which could attract HIV stigmatisation for the family, and caregivers\u27, fear of being blamed by the adolescents for the infection, limited disclosure skills by caregivers as well as negative attitude by some HIV counsellors. Conclusions: Despite challenges associated with disclosure of adolescents\u27 own HIV status by caregivers, environments that facilitate this process exist and can be strengthened. Promoting HIV disclosure requires in-depth and context-specific understanding of the factors that enable and undermine this process. Limitations in this understanding may have played critical roles in past strategic implementation of locally driven and relevant interventions to improve disclosure of HIV status by caregivers to adolescents in Zambia
[Photograph 2012.201.B1156.0579]
No full textPhotograph used for a story in the Daily Oklahoman newspaper. Caption: "Mable Scott, Author of Cookbook
