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Patient and provider perspectives on barriers to myocardial infarction care among persons with human immunodeficiency virus in Tanzania: A qualitative study.
Prattipati, Sainikitha; Tarimo, Tumsifu G; Kweka, Godfrey L; Mlangi, Jerome J; Samuel, Dorothy; Sakita, Francis M; Tupetz, Anna; Bettger, Janet P; Thielman, Nathan M; Temu, Gloria; Hertz, Julian T.
Afiliación
  • Prattipati S; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Tarimo TG; Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
  • Kweka GL; Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
  • Mlangi JJ; Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
  • Samuel D; Majengo Care and Treatment Centre, Moshi, Tanzania.
  • Sakita FM; Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
  • Tupetz A; Kilimanjaro Christian Medical Centre University College, Moshi, Tanzania.
  • Bettger JP; Duke Global Health Institute, Duke University, Durham, NC, USA.
  • Thielman NM; Department of Emergency Medicine, Duke University School of Medicine, Durham, NC, USA.
  • Temu G; Department of Health and Rehabilitation Sciences, Temple University College of Public Health, Philadelphia, PA, USA.
  • Hertz JT; Duke Global Health Institute, Duke University, Durham, NC, USA.
Int J STD AIDS ; 35(1): 18-24, 2024 Jan.
Article en En | MEDLINE | ID: mdl-37703080
INTRODUCTION: People with HIV (PLWH) have an increased risk myocardial infarction (MI), and evidence suggests that MI is under-diagnosed in Tanzania. However, little is known about barriers to MI care among PLWH in the region. METHODS: In this qualitative study grounded in phenomenology, semi-structured interviews were conducted in northern Tanzania. Purposive sampling was used to recruit a diverse group of providers who care for PLWH and patients with HIV and electrocardiographic evidence of prior MI. Emergent themes were identified via inductive thematic analysis. RESULTS: 24 physician and patient participants were interviewed. Most participants explained MI as caused by emotional shock and were unaware of the association between HIV and increased MI risk. Providers described poor provider training regarding MI, high out-of-pocket costs, and lack of diagnostic equipment and medications. Patients reported little engagement with and limited knowledge of cardiovascular care, despite high engagement with HIV care. Most provider and patient participants indicated that they would prefer to integrate cardiovascular care with routine HIV care. CONCLUSIONS: PLWH face many barriers to MI care in Tanzania. There is a need for multifaceted interventions to educate providers and patients, improve access to MI diagnosis, and increase engagement with cardiovascular care among this population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Infarto del Miocardio Tipo de estudio: Qualitative_research Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Int J STD AIDS Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Infarto del Miocardio Tipo de estudio: Qualitative_research Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Int J STD AIDS Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido