• Stigma Consciousness, Coping Strategies And Cd4 Counts Of Persons With Hiv/aids

  • CHAPTER FOUR -- [Total Page(s) 3]

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    • CHAPTER FOUR

      RESULTS

       

      To determine the level to which stigma consciousness, social support, information and problem copings contributed to immune system functioning measured using CD4 counts among PLWHA (People Living With HIV/AIDS), a 4–way analysis of variance statistic was performed using statistical package for social sciences (SPSS). Different levels of stigma consciousness (low and high), social support (low and high) and types of information coping (seeking and avoidance) and problem coping (focus and avoidance) were treated as independent variables while CD4 counts of PLWHA were measured as dependent variable. The results of data analysis that tested the propositions earlier stated for this study and their interpretations were presented in the sections that follow.




      The results of 4-way analysis of variance that tested the four hypotheses produced significant main effects in each case (See Table 2). Stigma consciousness produced significant main effect on the CD4 counts of people living with HIV/AIDS used in this study. Those who were of low stigma consciousness scored (M= 452.79; SD = 206.77) whereas those of high stigma consciousness had score (M=286.19; SD = 156.58), F(1,414)= 35.52, P= 001. Therefore, the hypothesis which stated that those people living with HIV/AIDS (PLWHA) who scored low in stigma consciousness scale would have higher immune system, as measured using CD4 counts, than those who scored high in stigma consciousness measure was confirmed.

       

      Also, similar statistic that tested the second proposition produced significant main effect. Those PLWHA who were high in social support scored (M = 437.49; SD = 197.03) as against their counterparts who scored low in social support and had CD4 counts score (M = 258.29, SD = 156.12), F(1,414) = 28.42, P = 001. Therefore, the prediction that those who scored high in social support measures would also score high in CD4 counts among PLWHA used in this study was upheld.

       

      Similarly, a significant difference was found between those who avoid information and those who seek information on their immune system as measured in CD4 counts. Those who avoid information scored (M = 251.93; SD = 149.53) less than those that seek information who scored (M = 409.74; SD = 202.18), F (1,414) = 37.76; P = 001. Thus, the hypothesis which proposed that those who seek information would score more than those who avoid information in CD4 counts was also confirmed.

       

      Finally, problem coping produced significant main effect on CD4 counts of PLWHA used in this study. Those who focus on problem scored (M = 387.65; SD = 200.42) more than those who avoid problem that scored (M = 348.41; SD = 204.58), F (1.414) = 3.81, P = 05. Therefore, the fourth hypothesis which stated that those who focus on problem would score more than those who avoid problem in CD4 counts among PLWHA was also confirmed. However, none of the interaction effects tested was significant (see Table 2).




      Notes

      SS = Type III sum of square

      df = degree of freedom

      Ms = Mean square

      F = ANOVA value

      Sig.= Significant; *S= significance for main effects; **n.s.= non

      significant interaction effects.

      P = Probability (.05)

      Lstigmac = levels of stigma consciousness

      Levsocsu = Levels of social support

      Typeoinf = Type of information coping

      Typeofpc = Type of problem coping.

       

      Interestingly, after entering treatment as a control measure, that is those who used drugs and those who did not use drug, three of the independent variables which included stigma consciousness, social support, information coping produced significant effects. Treatment itself was also significant but not problem coping (see Table 3). The interaction effects were still not significant, and were not include in the table of covariate.

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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---

         

      TABLE OF CONTENTS - [ Total Page(s): 1 ]     TABLE OF CONTENTSTITLE PAGE                      CERTIFICATION PAGE                DEDICATION                             ACKNOWLEDGEMENT                TABLE OF CONTENTS                 LIST OF ILLUSTRATIONS           ABSTRACT                             CHAPTER 1Introduction                             Statement of the probl ... 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 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---