Original Research

Perceptions of women enrolled in a cardiovascular disease screening and prevention in HIV study

Sherika Hanley, Galaletsang J. Ndlazi, Stacy T. Maddocks, Verusia Chetty
South African Family Practice | Vol 65, No 1 : Part 2| a5554 | DOI: https://doi.org/10.4102/safp.v65i1.5554 | © 2023 Sherika Hanley, Galaletsang J. Ndlazi, Stacy T. Maddocks, Verusia Chetty | This work is licensed under CC Attribution 4.0
Submitted: 12 April 2022 | Published: 24 April 2023

About the author(s)

Sherika Hanley, Umlazi Clinical Research Site, Centre of the AIDS Research Programme in South Africa, Durban, South Africa; and, Department of Family Medicine, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
Galaletsang J. Ndlazi, Department of Physiotherapy, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
Stacy T. Maddocks, Department of Physiotherapy, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa; and, Department of Physical Therapy, University of British Columbia, Vancouver,, Canada
Verusia Chetty, Department of Physiotherapy, School of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

Abstract

Background: The ISCHeMiA (integration of cardiovascular disease screening and prevention in the human immunodeficiency virus [HIV] management plan for women of reproductive age) study is an ongoing, 3-year, prospective, quasi-experimental study comparing usual care to a primary health care intervention plan guided by the World Health Organization Package of Essential Non-Communicable (WHO-PEN) disease interventions. Sixty eight percent of women were overweight or obese at baseline in the ISCHeMiA study, many of whom reported nonadherence to interventions at 6 months post enrolment. This study explores the perceptions of women living with HIV (WHIV) towards their participation in the ISCHeMiA study to understand the barriers and facilitators to lifestyle modification interventions for cardiovascular disease (CVD) risk prevention.

Methods: A qualitative enquiry using semistructured interviews was conducted with 30 overweight WHIV at one year post-enrolment in the WHO-PEN intervention arm of the ISCHeMiA study. Data were transcribed verbatim following the interviews and analysed using conventional content analysis.

Results: Four major themes emerged from the data, namely perceived body image, benefits barriers and recommendations to improve adherence to WHO-PEN lifestyle modification management.

Conclusion: Women in the ISCHeMiA study believed that HIV associated stigma hindered access to care. Financial limitations and the lack of social support posed barriers to adherence to programme participation. They were further challenged by poor body image perception. Participants believed that such interventions offered them hope and feelings of improved well-being. Women recommended that lifestyle modification interventions such as those studied in the ISCHeMiA study should include partners and family to improve adherence through social support.

 


Keywords

cardiovascular disease screening and prevention; women with HIV; WHO-PEN; body image; South Africa

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