Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare
Background: Interventions for Type 2 Diabetes reduction among older people aged more than 50 years living with HIV (PLWH) are pertinent as they face excess risks amid a growing population of ageing PLWH. Aim: To describe interventions for Type 2 Diabetes reduction among older people living with HIV...
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| Format: | Article |
| Language: | English |
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AOSIS
2024-03-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/5827 |
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| _version_ | 1849340086216294400 |
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| author | Nongiwe L. Mhlanga Thinavhuyo R. Netangaheni |
| author_facet | Nongiwe L. Mhlanga Thinavhuyo R. Netangaheni |
| author_sort | Nongiwe L. Mhlanga |
| collection | DOAJ |
| description | Background: Interventions for Type 2 Diabetes reduction among older people aged more than 50 years living with HIV (PLWH) are pertinent as they face excess risks amid a growing population of ageing PLWH.
Aim: To describe interventions for Type 2 Diabetes reduction among older people living with HIV in Harare Urban District
Setting: The study was conducted in a low socio-economic setting from five primary health care clinics in Harare urban District.
Methods: A qualitative multi-method approach was applied using an exploratory descriptive design and an integrative review literature. The exploratory descriptive study collected data from two purposively selected samples; (1) older PLWH and (2) nurses. Whittemore and Knafl’s framework was used for the integrative literature review with articles from 2013 to 2023 selected. Data source triangulation was applied using Braun and Clark’s content analysis framework. Ethical approval was obtained (14056739_CREC_CHS_2022).
Results: 23 older PLWH with mean age, 62 years, 9 nurses with an average of 6 years’ experience and 12 articles comprised the three data sources. Key themes that emerged were that, screening should include; assessment from a younger age; assessment of HIV and ART-specific risks; diagnostic testing of Type 2 diabetes tests at ART initiation and routinely. Health education should provide information on adequate physical activity parameters and increased consumption of fruits and vegetables. Metformin may be considered as a pharmacological intervention where lifestyle interventions fail.
Conclusion: The proposed interventions suggest measures to reduce Type 2 Diabetes and mitigate excess risks faced by older PLWH.
Contribution: Improved screening, health education and pharmacological interventions for older PLWH in primary health care settings enable Type 2 Diabetes reduction. |
| format | Article |
| id | doaj-art-9f8d8ddbe91c41bc94ff780bd20c84bb |
| institution | Kabale University |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj-art-9f8d8ddbe91c41bc94ff780bd20c84bb2025-08-20T03:43:58ZengAOSISSouth African Family Practice2078-61902078-62042024-03-01661e1e1210.4102/safp.v66i1.58274406Interventions for Type 2 Diabetes reduction among older people living with HIV in HarareNongiwe L. Mhlanga0Thinavhuyo R. Netangaheni1Department of Health Studies, College of Human Sciences, University of South Africa, PretoriaDepartment of Health Studies, College of Human Sciences, University of South Africa, PretoriaBackground: Interventions for Type 2 Diabetes reduction among older people aged more than 50 years living with HIV (PLWH) are pertinent as they face excess risks amid a growing population of ageing PLWH. Aim: To describe interventions for Type 2 Diabetes reduction among older people living with HIV in Harare Urban District Setting: The study was conducted in a low socio-economic setting from five primary health care clinics in Harare urban District. Methods: A qualitative multi-method approach was applied using an exploratory descriptive design and an integrative review literature. The exploratory descriptive study collected data from two purposively selected samples; (1) older PLWH and (2) nurses. Whittemore and Knafl’s framework was used for the integrative literature review with articles from 2013 to 2023 selected. Data source triangulation was applied using Braun and Clark’s content analysis framework. Ethical approval was obtained (14056739_CREC_CHS_2022). Results: 23 older PLWH with mean age, 62 years, 9 nurses with an average of 6 years’ experience and 12 articles comprised the three data sources. Key themes that emerged were that, screening should include; assessment from a younger age; assessment of HIV and ART-specific risks; diagnostic testing of Type 2 diabetes tests at ART initiation and routinely. Health education should provide information on adequate physical activity parameters and increased consumption of fruits and vegetables. Metformin may be considered as a pharmacological intervention where lifestyle interventions fail. Conclusion: The proposed interventions suggest measures to reduce Type 2 Diabetes and mitigate excess risks faced by older PLWH. Contribution: Improved screening, health education and pharmacological interventions for older PLWH in primary health care settings enable Type 2 Diabetes reduction.https://safpj.co.za/index.php/safpj/article/view/5827reductiontype 2 diabetesolder people living with hivinterventionsharare urban district |
| spellingShingle | Nongiwe L. Mhlanga Thinavhuyo R. Netangaheni Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare South African Family Practice reduction type 2 diabetes older people living with hiv interventions harare urban district |
| title | Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare |
| title_full | Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare |
| title_fullStr | Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare |
| title_full_unstemmed | Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare |
| title_short | Interventions for Type 2 Diabetes reduction among older people living with HIV in Harare |
| title_sort | interventions for type 2 diabetes reduction among older people living with hiv in harare |
| topic | reduction type 2 diabetes older people living with hiv interventions harare urban district |
| url | https://safpj.co.za/index.php/safpj/article/view/5827 |
| work_keys_str_mv | AT nongiwelmhlanga interventionsfortype2diabetesreductionamongolderpeoplelivingwithhivinharare AT thinavhuyornetangaheni interventionsfortype2diabetesreductionamongolderpeoplelivingwithhivinharare |