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Stigma Consciousness, Coping Strategies And Cd4 Counts Of Persons With Hiv/aids
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TABLE OF CONTENTS
TITLE PAGE
CERTIFICATION PAGE
DEDICATION
ACKNOWLEDGEMENT
TABLE OF CONTENTS
LIST OF ILLUSTRATIONS
ABSTRACT
CHAPTER 1
Introduction
Statement of the problem
Purpose of the study
Relevance of the study
CHAPTER 2:
Literature Review
Theoretical background
Immunocompetence model
The Nature of HIV/AIDS
Immune system, CD4 counts and HIV/AIDS
HIV/AIDS stigma
Psychological experiences of HIV/AIDS related stigma
Stigma consciousness
Coping strategies
Social support
Other coping strategies
Cognitive therapy as intervention measure
Empirical review
Summary
Hypotheses
CHAPTER 3:
Method
Participants
Instruments
Procedure
Design/method of data analysis
Follow up study
CHAPTER 4:
Results
CHAPTER 5:
Discussions
Implications of the study
Recommendations
Limitations of the study
Suggestions for further studies
References
Appendices
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ABSRACT - [ Total Page(s): 1 ]ABSTRACT
The study examined the
influence of stigma consciousness (a belief or feeling that one will be
negatively stereotyped by others) and coping strategies (social support,
information and problem) on the CD4 counts (measure of immune system) of People
Living With HIV/AIDS (PLWHA) in Anambra state. 430 PLWHA (men=148 &
women=282), age (M=35.73, SD=8.4) years served as participants. Three Anti
Retroviral Therapy (ART) sites were randomly selected from the three senatorial
zones of ... Continue reading---
APPENDIX A - [ Total Page(s): 1 ]APPENDIX A
QUESTIONNAIRES
INSTRUCTIONS
The statements below are intended to
collect information on your relationships
with other people including your
doctor. Please read each statement and decide
how you agree with the statement. The
information is for research purpose only
and shall not be used against you, so
be honest in your response. For each
statement, show your answer by
indicating to the right of the item the number
that describes your level of agreement.
T ... Continue reading---
APPENDIX C - [ Total Page(s): 1 ]APPENDIX CReliability test on social support scaleStatistics for Mean Variance Std Dev VariablesScale 45.3611 65.8373 8.1140 15Item Means Mean Minimum Maximum Range Max/Min Variance3.0241 1.7500 4.1111 2.3611 2.3492 .3727Item Variances Mean Minimum Maximum Range Max/Min Variance1.4874 .7071 2.3135 1.6063 3.2716 .1748Reliability Coefficients 15 itemsAlpha = .7084 Standardized item alpha = .6805Reliability****** Method 1 (space saver) will be used for this analysis ******R E L I A B I L I T Y A N ... Continue reading---
APPENDIX B - [ Total Page(s): 1 ]
APPENDIX BRELIABILITY TEST ON STIGMA CONSCIOUSNESS QUESTIONNAIRE
N ofStatistics for Mean Variance Std Dev VariablesScale 34.1522 46.7541 6.8377 10Item Means Mean Minimum Maximum Range Max/Min Variance3.4152 2.9565 3.6087 .6522 1.2206 .0400Item Variances Mean Minimum Maximum Range Max/Min Variance1.4292 1.0957 1.6870 .5913 1.5397 .0482Reliability Coefficie ... Continue reading---
APPENDIX D - [ Total Page(s): 1 ]APPENDIX DReliability test on information coping scaleN ofStatistics for Mean Variance Std Dev VariablesScale 18.1750 12.7635 3.5726 5Item Means Mean Minimum Maximum Range Max/Min Variance3.6350 3.2000 3.9750 .7750 1.2422 .0877Item Variances Mean Minimum Maximum Range Max/Min Variance1.2222 .8199 1.6513 .8314 2.0141 .1044Reliability Coefficients 5 itemsAlpha = .6515 Standardized item alpha = .6662Factor Analysis on information coping scale ... Continue reading---
APPENDIX E - [ Total Page(s): 1 ]APPENDIX EReliability test on problem coping scaleN ofStatistics for Mean Variance Std Dev VariablesScale 30.4688 19.6119 4.4285 8Item Means Mean Minimum Maximum Range Max/Min Variance3.8086 3.2500 4.2813 1.0313 1.3173 .1430Item Variances Mean Minimum Maximum Range Max/Min Variance1.1274 .5313 1.8710 1.3397 3.5218 .1722Reliability Coefficients 8 itemsAlpha = .6173 Standardized item alpha = .6148Factor Analysis on problem coping scale ... Continue reading---
APPENDIX F - [ Total Page(s): 1 ]APPENDIX F4-Way Analysis of Variance of stigma consciousness, social support, information & problem copings on CD4 Counts. ... Continue reading---
APPENDIX G - [ Total Page(s): 1 ]APPENDIX GANALYSIS OF COVARIATE (ANCOVA) RESULT OF STIGMA CONSCIOUSNESS, SOCIAL SUPPORT, INFORMATION COPING, PROBLEM COPING WITH TREATMENT AS COVAVRIATE. ... Continue reading---
APPENDIX H - [ Total Page(s): 1 ]APPENDIX HRESULTS OF MULTIVARIATE ANALYSIS OF VARIANCE OF COGNITIVE THERAPY ON STIGMA CONSCIOUSNESS, SOCIAL SUPPORT, INFORMATION, & PROBLEM COPINGS. ... Continue reading---
CHAPTER ONE - [ Total Page(s): 3 ]that can infest
anybody and decide to seek information on treatment, intervention, and supports
whereas others may perceive it as an end to life and become hopeless. According
to Carver (1998, as cited in Chukwudozie, 2008) such differences in perception
could be among the strongest determinants of how individuals fare in situations
of stressful or life-threatening experience, for example living with HIV/AIDS.
These may determine how PLWHA fare with regards to their health as measured by
... Continue reading---
CHAPTER TWO - [ Total Page(s): 5 ]not known whether
social support will influence health condition, that is, immune system among
people living with HIV/AIDS. Research is needed in this direction. Of course,
this is the interest of this study.
Other coping
strategies
Other coping
strategies for living with HIV/AIDS may include information coping and problem
coping. Evidence has shown that people who tend to actively seek information in
their environment are more likely to come to their doctor with more minor
c ... Continue reading---
CHAPTER THREE - [ Total Page(s): 3 ]information coping,
and problem coping at a stretch. Four-way analysis of variance is appropriate
statistic for a complex design study that adopts 2 X 2 X 2 X 2 - factorial
design.
In the second
analysis, analysis of covariate (ANCOVA) was used and treatment was entered as
a covariate. Hinkle, Wiersma and Jurs (1998) stated two assumptions and their
alternative for using ANCOVA as statistical control. The conditions are that
relationship between the dependent variable and indepe ... Continue reading---
CHAPTER FOUR - [ Total Page(s): 3 ]
x=results of non
significant interaction effects not included (see appendix G).
The results of
analysis of covariate revealed that treatment produce significant main effect
on CD4 counts of PLWHA, F(1,413) = 5.79, P =.02. Similarly, stigma
consciousness was significant in influencing CD4 counts of PLWHA, F(1,413) =
36.83, P = .001. Also, social support produced significant real effect on CD4
counts of PLWHA, F(1,413) = 28.35, P =.001. Information coping was also
significant, ... Continue reading---
CHAPTER FIVE - [ Total Page(s): 2 ]Furthermore, this
study found that there was strong evidence to support that problem coping
exerts influence on immunity of people living with HIV/AIDS. Those people
living with HIV/AIDS that focus on problem tended towards having more immunity
when their CD4 counts were compared with those who avoid problem. The
implication is that focusing on problem is beneficial to people living with
HIV/AIDS. People living with HIV/AIDS should focus on problem by following
plans of actions as provide ... Continue reading---
REFRENCES - [ Total Page(s): 3 ]Scott-Sheldon, L.A.J.,
Kalichman, S.C., Carey, M.P. & Fielder, R.L. (2008). Stress Management
Interventions for HIV + Adults: A meta-Analysis of Randomized Controlled
Trials, 1989 to 2006. Health Psychology, 27, 2, 129 – 139.
Seeman, T.E., &
Syme, S.L. (1989). Social networks and coronary artery disease: A comparison of
the structure and function of social relations as predictions of diseases.
Psychosomatic medicine, 49, 381 – 400.
Siegel, K., Howard,
L., ... Continue reading---