4
|
Sousa LRM, de Mesquita RF, Wiklander M, Eriksson LE, Gir E, Reis RK. Cultural Adaptation and Validation of the Barriers to HIV Testing Scale-Karolinska Version for Brazilian Men Who Have Sex With Men. J Assoc Nurses AIDS Care 2023; 34:481-498. [PMID: 37561660 PMCID: PMC10481927 DOI: 10.1097/jnc.0000000000000422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/12/2023]
Abstract
ABSTRACT The aim of this study was to perform the cultural adaptation and validation of the Barriers to HIV testing scale-Karolinska version for Brazilian men who have sex with men. A methodological study was conducted for cultural adaptation and validation of the scale. Reliability analyses, exploratory factor analysis, confirmatory factor analysis, and convergent and discriminant validity tests were performed. Four factors were extracted: F1, personal consequences; F2, structural barriers; F3, confidentiality; F4, economic consequences and individual concerns. Good fit indexes were obtained: (χ 2 )/GL (2.71); goodness of fit index (0.94); root-mean-square error of approximation (0.052; 90% CI [0.045-0.059]); Tucker-Lewis index (0.94); normed fit index (0.93); IFI (0.95); comparative fit index (0.95). Convergent validity results were greater than 0.7 for the four factors. The adapted version of the scale showed satisfactory reliability and validity for assessing barriers to HIV testing among men who have sex with men.
Collapse
Affiliation(s)
- Laelson Rochelle Milanês Sousa
- Laelson Rochelle Milanês Sousa, PhD, is a Postdoctoral Researcher, Ribeirão Preto School of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. Rafael Fernandes de Mesquita, PhD, is a Professor, Federal Institute of Education, Science and Technology of Piauí, Teresina, Brazil. Maria Wiklander, PhD, is a Psychologist, Associate Senior Lecturer, Division of Nursing, Department of Neurobiology, Care Sciences and Society Karolinska Institutet, Huddinge, Sweden. Lars E. Eriksson, RN, is an Associate Professor, Senior Lecturer, Department Director of Doctoral Education, Division of Innovative Care Research, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Solna, Sweden. Elucir Gir, PhD, MNSc.RN, is a Full Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, Vice Dean of University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil. Renata Karina Reis, PhD, MNSc.RN, is a Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Rafael Fernandes de Mesquita
- Laelson Rochelle Milanês Sousa, PhD, is a Postdoctoral Researcher, Ribeirão Preto School of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. Rafael Fernandes de Mesquita, PhD, is a Professor, Federal Institute of Education, Science and Technology of Piauí, Teresina, Brazil. Maria Wiklander, PhD, is a Psychologist, Associate Senior Lecturer, Division of Nursing, Department of Neurobiology, Care Sciences and Society Karolinska Institutet, Huddinge, Sweden. Lars E. Eriksson, RN, is an Associate Professor, Senior Lecturer, Department Director of Doctoral Education, Division of Innovative Care Research, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Solna, Sweden. Elucir Gir, PhD, MNSc.RN, is a Full Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, Vice Dean of University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil. Renata Karina Reis, PhD, MNSc.RN, is a Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Maria Wiklander
- Laelson Rochelle Milanês Sousa, PhD, is a Postdoctoral Researcher, Ribeirão Preto School of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. Rafael Fernandes de Mesquita, PhD, is a Professor, Federal Institute of Education, Science and Technology of Piauí, Teresina, Brazil. Maria Wiklander, PhD, is a Psychologist, Associate Senior Lecturer, Division of Nursing, Department of Neurobiology, Care Sciences and Society Karolinska Institutet, Huddinge, Sweden. Lars E. Eriksson, RN, is an Associate Professor, Senior Lecturer, Department Director of Doctoral Education, Division of Innovative Care Research, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Solna, Sweden. Elucir Gir, PhD, MNSc.RN, is a Full Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, Vice Dean of University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil. Renata Karina Reis, PhD, MNSc.RN, is a Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Lars E. Eriksson
- Laelson Rochelle Milanês Sousa, PhD, is a Postdoctoral Researcher, Ribeirão Preto School of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. Rafael Fernandes de Mesquita, PhD, is a Professor, Federal Institute of Education, Science and Technology of Piauí, Teresina, Brazil. Maria Wiklander, PhD, is a Psychologist, Associate Senior Lecturer, Division of Nursing, Department of Neurobiology, Care Sciences and Society Karolinska Institutet, Huddinge, Sweden. Lars E. Eriksson, RN, is an Associate Professor, Senior Lecturer, Department Director of Doctoral Education, Division of Innovative Care Research, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Solna, Sweden. Elucir Gir, PhD, MNSc.RN, is a Full Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, Vice Dean of University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil. Renata Karina Reis, PhD, MNSc.RN, is a Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Elucir Gir
- Laelson Rochelle Milanês Sousa, PhD, is a Postdoctoral Researcher, Ribeirão Preto School of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. Rafael Fernandes de Mesquita, PhD, is a Professor, Federal Institute of Education, Science and Technology of Piauí, Teresina, Brazil. Maria Wiklander, PhD, is a Psychologist, Associate Senior Lecturer, Division of Nursing, Department of Neurobiology, Care Sciences and Society Karolinska Institutet, Huddinge, Sweden. Lars E. Eriksson, RN, is an Associate Professor, Senior Lecturer, Department Director of Doctoral Education, Division of Innovative Care Research, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Solna, Sweden. Elucir Gir, PhD, MNSc.RN, is a Full Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, Vice Dean of University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil. Renata Karina Reis, PhD, MNSc.RN, is a Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Renata Karina Reis
- Laelson Rochelle Milanês Sousa, PhD, is a Postdoctoral Researcher, Ribeirão Preto School of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil. Rafael Fernandes de Mesquita, PhD, is a Professor, Federal Institute of Education, Science and Technology of Piauí, Teresina, Brazil. Maria Wiklander, PhD, is a Psychologist, Associate Senior Lecturer, Division of Nursing, Department of Neurobiology, Care Sciences and Society Karolinska Institutet, Huddinge, Sweden. Lars E. Eriksson, RN, is an Associate Professor, Senior Lecturer, Department Director of Doctoral Education, Division of Innovative Care Research, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Solna, Sweden. Elucir Gir, PhD, MNSc.RN, is a Full Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, Vice Dean of University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil. Renata Karina Reis, PhD, MNSc.RN, is a Professor, General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, University of São Paulo, Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| |
Collapse
|
6
|
Carlander C, Brännström J, Månsson F, Elvstam O, Albinsson P, Blom S, Mattsson L, Hovmöller S, Norrgren H, Mellgren Å, Svedhem V, Gisslén M, Sönnerborg A. Cohort profile: InfCareHIV, a prospective registry-based cohort study of people with diagnosed HIV in Sweden. BMJ Open 2023; 13:e069688. [PMID: 36931676 PMCID: PMC10030896 DOI: 10.1136/bmjopen-2022-069688] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/19/2023] Open
Abstract
PURPOSE The Swedish InfCareHIV cohort was established in 2003 to ensure equal and effective care of people living with HIV (PLHIV) and enable long-term follow-up. InfCareHIV functions equally as a decision support system as a quality registry, ensuring up-to-date data reported in real time. PARTICIPANTS InfCareHIV includes data on >99% of all people with diagnosed HIV in Sweden and up to now 13 029 have been included in the cohort. InfCareHIV includes data on HIV-related biomarkers and antiretroviral therapies (ART) and also on demographics, patient-reported outcome measures and patient-reported experience measures. FINDINGS TO DATE Sweden was in 2015 the first country to reach the UNAIDS (United Nations Programme on HIV/AIDS)/WHO's 90-90-90 goals. Late diagnosis of HIV infection was identified as a key problem in the Swedish HIV-epidemic, and low-level HIV viraemia while on ART associated with all-cause mortality. Increased HIV RNA load in the cerebrospinal fluid (CSF) despite suppression of the plasma viral load was found in 5% of PLHIV, a phenomenon referred to as 'CSF viral escape'. Dolutegravir-based treatment in PLHIV with pre-existing nucleoside reverse transcriptase inhibitor-mutations was non-inferior to protease inhibitor-based regimens. An increase of transmitted drug resistance was observed in the InfCareHIV cohort. Lower efficacy for protease inhibitors was not due to lower adherence to treatment. Incidence of type 2 diabetes and insulin resistance was high in the ageing HIV population. Despite ART, the risk of infection-related cancer as well as lung cancer was increased in PLHIV compared with HIV-negative. PLHIV were less likely successfully treated for cervical precancer and more likely to have human papillomavirus types not included in current HPV vaccines. Self-reported sexual satisfaction in PLHIV is improving and is higher in women than men. FUTURE PLANS InfCareHIV provides a unique base to study and further improve long-term treatment outcomes, comorbidity management and health-related quality of life in people with HIV in Sweden.
Collapse
Affiliation(s)
- Christina Carlander
- Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden
- Department of Medicine Huddinge, Karolinska Institute, Stockholm, Sweden
| | - Johanna Brännström
- Department of Medicine Huddinge, Karolinska Institute, Stockholm, Sweden
- Department of Infectious Diseases/Venhälsan, Södersjukhuset, Stockholm, Sweden
| | - Fredrik Månsson
- Department of Clinical Sciences, Lund University, Infectious Diseases Research Unit, Malmo, Sweden
| | - Olof Elvstam
- Department of Translational Medicine, Lund University, Lund, Sweden
- Department of Infectious Diseases, Växjö Central Hospital, Växjö, Sweden
| | - Pernilla Albinsson
- Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden
| | | | - Lena Mattsson
- Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden
| | - Sanne Hovmöller
- Department of Infectious Diseases, Sunderby Hospital, Lulea, Sweden
| | - Hans Norrgren
- Department of Clinical Sciences, Lund University Faculty of Science, Lund, Sweden
| | - Åsa Mellgren
- Department of Infectious Diseases, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Veronica Svedhem
- Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden
- Department of Medicine Huddinge, Karolinska Institute, Stockholm, Sweden
| | - Magnus Gisslén
- Department of Infectious Diseases, Institute of Biomedicine, University of Gothenburg Sahlgrenska Academy, Gothenburg, Sweden
- Department of Infectious Diseases, Region Västra Götaland, Sahlgrenska University Hospital, Gothenbrug, Sweden
| | - Anders Sönnerborg
- Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden
- Department of Medicine Huddinge, Karolinska Institute, Stockholm, Sweden
- Department of Laboratory Medicine, Karolinska Institute, Stockholm, Sweden
| |
Collapse
|
7
|
Sono-Setati ME, Mphekgwana PM, Mabila LN, Mbombi MO, Muthelo L, Matlala SF, Tshitangano TG, Ramalivhana NJ. Health System- and Patient-Related Factors Associated with COVID-19 Mortality among Hospitalized Patients in Limpopo Province of South Africa's Public Hospitals. Healthcare (Basel) 2022; 10:1338. [PMID: 35885864 PMCID: PMC9323663 DOI: 10.3390/healthcare10071338] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Revised: 07/11/2022] [Accepted: 07/13/2022] [Indexed: 01/08/2023] Open
Abstract
South Africa has recorded the highest COVID-19 morbidity and mortality compared to other African regions. Several authors have linked the least amount of death in African countries with under-reporting due to poor health systems and patients' health-seeking behaviors, making the use of clinical audits more relevant for establishing the root causes of health problems, and improving quality patient care outcomes. Clinical audits, such as mortality audits, have a significant role in improving quality health care services, but very little is documented about the outcomes of the audits. Therefore, the study sought to determine the health care system and patient-related factors associated with COVID-19 mortality by reviewing the COVID-19 inpatient mortality audit narration reports. This was a retrospective qualitative research approach of all hospitalized COVID-19 patients, resulting in death between the first and second COVID-19 pandemic waves. Thematic analysis employed inductive coding to identify themes from mortality audits from all 41 public hospitals in Limpopo Province, South Africa. Four themes with seventeen sub-themes emerged: sub-standard emergency medical care provided, referral system inefficiencies contributed to delays in access to health care services, the advanced age of patients with known and unknown comorbidities, and poor management of medical supplies and equipment, as a health system and patient-related factors that contributed to the high mortality of COVID-19 patients. There is a need to routinely conduct clinical audits to identify clinical challenges and make recommendations for health promotion, risk communication, and community engagement. We recommend reviewing and expanding the scope of practice for health-care providers during epidemics and pandemics that include aspects such as task-shifting.
Collapse
Affiliation(s)
- Musa E. Sono-Setati
- Department of Public Health Medicine, University of Limpopo, Private Bag X1106, Sovenga, Polokwane 0727, South Africa;
- Limpopo Department of Health, College Ave, Hospital Park, Polokwane 0699, South Africa;
| | - Peter M. Mphekgwana
- Research Administration and Development, University of Limpopo, Private Bag X1106, Sovenga, Polokwane 0727, South Africa
| | - Linneth N. Mabila
- Department of Pharmacy, University of Limpopo, Private Bag X1106, Sovenga, Polokwane 0727, South Africa;
| | - Masenyani O. Mbombi
- Department of Nursing, University of Limpopo, Private Bag X1106, Sovenga, Polokwane 0727, South Africa; (M.O.M.); (L.M.)
| | - Livhuwani Muthelo
- Department of Nursing, University of Limpopo, Private Bag X1106, Sovenga, Polokwane 0727, South Africa; (M.O.M.); (L.M.)
| | - Sogo F. Matlala
- Department of Public Health, University of Limpopo, Sovenga, Polokwane 0727, South Africa;
| | | | | |
Collapse
|