Health care Providers' Perceptions About Overweight and Obesity Among People Living With Human Immunodeficiency Virus in Nigeria.
John Olajide OlawepoJennifer R PharrRaisa KabirAyodotun OlutolaPublished in: Qualitative health research (2021)
HIV infection was associated with significant weight loss before the advent of potent antiretroviral therapy (ART). Weight gain while on treatment was seen as a clinical indicator of treatment success. Perceptions of health care providers (HCPs) about obesity among people living with (PLHIV) were examined. We conducted 16 key informant interviews with HCPs in two states in southeastern Nigeria, which were then coded thematically. The respondents included seven physicians, four nurses, three adherence counselors, and two pharmacists. The analysis revealed three key themes: HCPs do not see excess weight gain as a problem; there are several challenges in managing obesity among PLHIV; and comorbidities play a role in the management of obesity among PLHIV. We conclude that obesity among PLHIV is an important clinical issue that HCPs need to address with the commencement of ART.
Keyphrases
- weight gain
- antiretroviral therapy
- weight loss
- human immunodeficiency virus
- healthcare
- hiv infected
- body mass index
- birth weight
- hiv positive
- bariatric surgery
- hiv infected patients
- hiv aids
- primary care
- roux en y gastric bypass
- hepatitis c virus
- insulin resistance
- metabolic syndrome
- gastric bypass
- high fat diet induced
- type diabetes
- glycemic control
- obese patients
- preterm birth
- smoking cessation
- anti inflammatory