Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial Model
Objectives: This study explores the perceptions of adults living with HIV aged ≥50 years (recognized as older adults living with HIV—OALWH), primary caregivers and healthcare providers on the health challenges of ageing with HIV at Kilifi, a low literacy setting on the coast of Kenya.Methods: We uti...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-06-01
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| Series: | International Journal of Public Health |
| Subjects: | |
| Online Access: | https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605916/full |
| _version_ | 1797803356922576896 |
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| author | Patrick N. Mwangala Patrick N. Mwangala Patrick N. Mwangala Ryan G. Wagner Charles R. Newton Charles R. Newton Charles R. Newton Charles R. Newton Amina Abubakar Amina Abubakar Amina Abubakar Amina Abubakar |
| author_facet | Patrick N. Mwangala Patrick N. Mwangala Patrick N. Mwangala Ryan G. Wagner Charles R. Newton Charles R. Newton Charles R. Newton Charles R. Newton Amina Abubakar Amina Abubakar Amina Abubakar Amina Abubakar |
| author_sort | Patrick N. Mwangala |
| collection | DOAJ |
| description | Objectives: This study explores the perceptions of adults living with HIV aged ≥50 years (recognized as older adults living with HIV—OALWH), primary caregivers and healthcare providers on the health challenges of ageing with HIV at Kilifi, a low literacy setting on the coast of Kenya.Methods: We utilized the biopsychosocial model to explore views from 34 OALWH and 22 stakeholders on the physical, mental, and psychosocial health challenges of ageing with HIV in Kilifi in 2019. Data were drawn from semi-structured in-depth interviews, which were audio-recorded and transcribed. A framework approach was used to synthesize the data.Results: Symptoms of common mental disorders, comorbidities, somatic symptoms, financial difficulties, stigma, and discrimination were viewed as common. There was also an overlap of perceived risk factors across the physical, mental, and psychosocial health domains, including family conflicts and poverty.Conclusion: OALWH at the Kenyan coast are perceived to be at risk of multiple physical, mental, and psychosocial challenges. Future research should quantify the burden of these challenges and examine the resources available to these adults. |
| first_indexed | 2024-03-13T05:20:36Z |
| format | Article |
| id | doaj.art-d921b94791cf46018f22e7e2c1e6057e |
| institution | Directory Open Access Journal |
| issn | 1661-8564 |
| language | English |
| last_indexed | 2024-03-13T05:20:36Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | International Journal of Public Health |
| spelling | doaj.art-d921b94791cf46018f22e7e2c1e6057e2023-06-15T13:54:50ZengFrontiers Media S.A.International Journal of Public Health1661-85642023-06-016810.3389/ijph.2023.16059161605916Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial ModelPatrick N. Mwangala0Patrick N. Mwangala1Patrick N. Mwangala2Ryan G. Wagner3Charles R. Newton4Charles R. Newton5Charles R. Newton6Charles R. Newton7Amina Abubakar8Amina Abubakar9Amina Abubakar10Amina Abubakar11Centre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI), Kilifi, KenyaSchool of Public Health, University of the Witwatersrand, Johannesburg, South AfricaInstitute for Human Development, Aga Khan University, Nairobi, KenyaMRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaCentre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI), Kilifi, KenyaInstitute for Human Development, Aga Khan University, Nairobi, KenyaDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, United KingdomDepartment of Public Health, Pwani University, Kilifi, KenyaCentre for Geographic Medicine Research Coast, Kenya Medical Research Institute (KEMRI), Kilifi, KenyaInstitute for Human Development, Aga Khan University, Nairobi, KenyaDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, United KingdomDepartment of Public Health, Pwani University, Kilifi, KenyaObjectives: This study explores the perceptions of adults living with HIV aged ≥50 years (recognized as older adults living with HIV—OALWH), primary caregivers and healthcare providers on the health challenges of ageing with HIV at Kilifi, a low literacy setting on the coast of Kenya.Methods: We utilized the biopsychosocial model to explore views from 34 OALWH and 22 stakeholders on the physical, mental, and psychosocial health challenges of ageing with HIV in Kilifi in 2019. Data were drawn from semi-structured in-depth interviews, which were audio-recorded and transcribed. A framework approach was used to synthesize the data.Results: Symptoms of common mental disorders, comorbidities, somatic symptoms, financial difficulties, stigma, and discrimination were viewed as common. There was also an overlap of perceived risk factors across the physical, mental, and psychosocial health domains, including family conflicts and poverty.Conclusion: OALWH at the Kenyan coast are perceived to be at risk of multiple physical, mental, and psychosocial challenges. Future research should quantify the burden of these challenges and examine the resources available to these adults.https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605916/fullolder adultssub-Saharan AfricaHIVKenyabiopsychosocial challenges |
| spellingShingle | Patrick N. Mwangala Patrick N. Mwangala Patrick N. Mwangala Ryan G. Wagner Charles R. Newton Charles R. Newton Charles R. Newton Charles R. Newton Amina Abubakar Amina Abubakar Amina Abubakar Amina Abubakar Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial Model International Journal of Public Health older adults sub-Saharan Africa HIV Kenya biopsychosocial challenges |
| title | Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial Model |
| title_full | Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial Model |
| title_fullStr | Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial Model |
| title_full_unstemmed | Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial Model |
| title_short | Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial Model |
| title_sort | navigating life with hiv as an older adult on the kenyan coast perceived health challenges seen through the biopsychosocial model |
| topic | older adults sub-Saharan Africa HIV Kenya biopsychosocial challenges |
| url | https://www.ssph-journal.org/articles/10.3389/ijph.2023.1605916/full |
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