29Nov 2017

PERCEIVED SOCIAL SUPPORT AMONG CLIENTS USING ALCOHOL AND ILLICIT DRUGS AT THE COMPREHENSIVE CARE CENTRE AT THE COAST GENERAL HOSPITAL - KENYA: A DESCRIPTIVE CROSS-SECTIONAL STUDY.

  • School of Nursing Sciences, College of Health Sciences, University of Nairobi.
  • Department of Psychiatry, College of Health Sciences, University of Nairobi.
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Poor social support coupled with poor coping mechanisms among people with HIV infection may drive them to alcohol and illicit drug use to cope with the significant psychological challenges that HIV infection presents. In return, this affects adherence to Highly Active Antiretroviral Therapy and progression to Acquired Immune Deficiency Syndrome contributing to high mortality. The aim of the study was to explore perceived social support among clients using alcohol and illicit drugs at the Comprehensive Care Centre of the Coast General Hospital ? Mombasa. The CAGE ? AID (acronym for cut down, annoyed, guilty, eye opener ? adapted to include drug use) tool was used to screen for alcohol and illicit drugs use and clients who scored ≥2 were included in the study. Convenience sampling method was used whereby 235 respondents were consecutively enrolled. Patients with a CAGE-AID score of ≥2 who consented were subjected to a socio-demographic questionnaire and the multidimensional scale of perceived social support (MSPSS). Data analysis was done using Statistical Package for Social Sciences version 21.0. Descriptive statistics were used to examine demographic characteristics. An analysis of variance was done to determine the significance of associations between the population characteristics and the various dimensions of social support. The confidence interval was set at 95%, p value at <0.05.The findings of the study demonstrated inadequate social support among HIV/AIDS infected alcohol and illicit drugs users. Providing social support may decrease the risk of alcohol and illicit drugs use hence better health outcomes. Social support should be strengthened in comprehensive care.

  1. Ewing J.A., 1984. Detecting alcoholism. The CAGE questionnaire. JAMA, 252: 1905-7.
  2. Galvan, F. H.,et al, (2008). HIV stigma and social support among African Americans. AIDS Patient Care and STDs, 22(5), 423?36. doi:10.1089/apc.2007.0169
  3. Global Initiative on Psychiatry [GIP], 2006. Double stigma, double challenge: Mental health and HIV/AIDS in central and eastern Europe and the newly independent states. An advocacy and information document. Retrieved from http://www.gip-global.org
  4. Gore-Felton, C., & Koopman, C. (2008). Behavioral mediation of the relationship between psychosocial factors and HIV disease progression. Psychosomatic Medicine,70(5),569?74. doi:10.1097/PSY.0b013e318177353e
  5. Holtz, C. S., et al, (2012). Oaxacan women with HIV/AIDS: resiliency in the face of poverty, stigma, and social isolation. Women &Health,52(6),517?35. doi:10.1080/03630242.2012.690839
  6. Martinez P., et al, (2008) Alcohol use, depressive symptoms and the receipt of antiretroviral therapy in Southwest Uganda. AIDS Behav.2008; 12:605?612. doi: 10.1007/s10461-007-9312-x. [PMC free article][PubMed][Cross Ref]
  7. Kalichman, S.C., et al.(2007). Alcohol Use and Sexual Risks for HIV/AIDS in Sub-Saharan Africa: Systematic Review of Empirical Findings.
PrevSci,? 8: 141. doi:10.1007/s11121-006-0061-2
  1. Leserman, J.,et al,(2008). Stressful life events and adherence in HIV. AIDS patient care and STDs, 22(5),pp.403?11.Available at: http://www.pubmedcentral.nih.gov/article/2567910
  2. Levi-Minzi, M. A. and Surratt H. L. (2014) HIV stigma among substance abusing people living with HIV/AIDS: implications for HIV treatment.AIDS Patient Care STDS. 28(8): 442?451. doi:? 1089/apc.2014.0076PMCID: PMC4117265
  3. Muya A.N.,et al, 2014. Predictors of Nonadherence to Antiretroviral Therapy among HIV-Infected Adults in Dar es Salaam, Tanzania.J Int Assoc Provid AIDS Care,.14(2):163-71. doi: 10.1177/2325957414539193. Epub 2014 Jun 25.
  4. Olagunju A.T., et al, 2015. Late-life depression: Burden, severity and relationship with social support dimensions in a West African community.Arch GerontolGeriatr, 61(2):240-6. doi: 10.1016
  5. Sayles, J. N., et al, (2009). The association of stigma with self-reported access to medical care and antiretroviral therapy adherence in persons living with HIV/AIDS. Journal of General Internal Medicine, 24(10), 1101?8. doi:10.1007/s11606-009-1068-8
  6. Smith N.R.,et al, (2015). The influence of social support on ethnic differences in well-being and depression in adolescents: findings from the prospective Olympic Regeneration in East London (ORiEL) study. SocialPsychiatry&PsychiatryEpidemiology,50(11), 1701-1711
  7. Soboka M, et al, (2014) Alcohol use disorders and associated factors among people living with HIV who are attending services in south west Ethiopia. BMC Res Notes. 2014; 7: 828. Published online 2014 Nov 24. doi:?1186/1756-0500-7-828.PMCID: PMC4289332
  8. Ward, C. L., et al (2008). Prevalence and correlates of substance use among South African primary care clinic patients. Substance Use & Misuse, 43(10), 1395?410. doi:10.1080/10826080801922744
  9. Zhang, Y.-X et al (2014). Coping strategies for HIV-related stigma in Liuzhou, China. AIDS and Behavior, 18 Suppl 2, S212?20. doi:10.1007/s10461-013-0662-2
  10. Zimet G.D. et al., 1988.The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52, 30-41.
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[Maina Elizabeth, Wagoro Miriam, Kirui Angeline and Khasakhala Lincoln. (2017); PERCEIVED SOCIAL SUPPORT AMONG CLIENTS USING ALCOHOL AND ILLICIT DRUGS AT THE COMPREHENSIVE CARE CENTRE AT THE COAST GENERAL HOSPITAL - KENYA: A DESCRIPTIVE CROSS-SECTIONAL STUDY. Int. J. of Adv. Res. 5 (Nov). 1075-1082] (ISSN 2320-5407). www.journalijar.com

ELIZABETH WANJIRU MAINA
SCHOOL OF NURSING SCIENCES, UNVERSITY OF NAIROBI

DOI:

Article DOI: 10.21474/IJAR01/5868      
DOI URL: https://dx.doi.org/10.21474/IJAR01/5868

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