HIV-Associated Neurocognitive Impairment Knowledge and Current Practices: A Survey of Frontline Healthcare Workers in South Africa.

Neurocognitive impairment (NCI) associated with the human immunodeficiency virus (HIV) remains prevalent amongst people living with HIV. Testing for HIV-associated NCI in routine clinical care is limited in South Africa and reasons for this are unclear. We conducted an online survey amongst healthca...

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Publicado en:Journal of Community Health Vol. 46; no. 3; pp. 538 - 545
Autores principales: Munsami, Adele, Gouse, Hetta, Nightingale, Sam, Joska, John A.
Formato: Artículo
Publicado: Springer Nature Jun2021
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2021
      vid: 46
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      pub: Springer Nature
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        150304454
        10.1007/s10900-020-00895-9
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        atl: HIV-Associated Neurocognitive Impairment Knowledge and Current Practices: A Survey of Frontline Healthcare Workers in South Africa.
      aug:
        au:
          Munsami, Adele
          Gouse, Hetta
          Nightingale, Sam
          Joska, John A.
        affil: HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
      su:
        South Africa
        Professions
        Mental illness
        HIV infections
        Cognition disorders
        Professional practice
        One-way analysis of variance
        Questionnaires
        Chi-squared test
      sug:
        subj:
          Professions
          Mental illness
          South Africa
          Professional Organizations
          HIV infections
          Cognition disorders
          Professional practice
          One-way analysis of variance
          Questionnaires
          Chi-squared test
      keyword:
        HIV
        HIV-associated neurocognitive disorders (HAND)
        Knowledge assessment
        Screening
        HIV
        HIV-associated neurocognitive disorders (HAND)
        Knowledge assessment
        Screening
      ab: Neurocognitive impairment (NCI) associated with the human immunodeficiency virus (HIV) remains prevalent amongst people living with HIV. Testing for HIV-associated NCI in routine clinical care is limited in South Africa and reasons for this are unclear. We conducted an online survey amongst healthcare workers (HCW) to assess HIV-associated NCI knowledge and current practices. The final sample included four hundred surveys (n=400). Chi-square analyses were used to explore HCW knowledge of HIV-associated NCI and screening tools. One-way ANOVA was used to compare mean responses between HCW categories. We observed low awareness of HIV-associated NCI terminology and screening tools. HCW seldom suspected NCI among patients and screening practices were uncommon. Referrals for further NCI investigations were never requested. HCW expressed a desire to receive further training to identify HIV associated NCI. The current study highlights the context of HIV-associated NCI knowledge and practices among front-line HIV HCW in resource-limited settings.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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