LETTER TO EDITOR
|Year : 2010 | Volume
| Issue : 1 | Page : 56-57
Assessment of social support in HIV-positive individuals attending a tertiary care center
Debashis Nath1, Naveet Wig1, Nitin Mishra1, Sajan Jiv Singh Nagpal1, Madhu Vajpayee2, Hemraj Pal3, CS Pandav4
1 Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
2 Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
3 Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
4 Center for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
|Date of Web Publication||3-Sep-2010|
Department of Medicine, 3rd Floor, Teaching Block, AIIMS, Ansari Nagar, New Delhi
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Nath D, Wig N, Mishra N, Nagpal SJ, Vajpayee M, Pal H, Pandav C S. Assessment of social support in HIV-positive individuals attending a tertiary care center. Indian J Sex Transm Dis 2010;31:56-7
|How to cite this URL:|
Nath D, Wig N, Mishra N, Nagpal SJ, Vajpayee M, Pal H, Pandav C S. Assessment of social support in HIV-positive individuals attending a tertiary care center. Indian J Sex Transm Dis [serial online] 2010 [cited 2020 Mar 29];31:56-7. Available from: http://www.ijstd.org/text.asp?2010/31/1/56/69007
Adult prevalence of human immunodeficiency virus (HIV) in India is 0.36%, amounting to approximately 2.5 million people living with HIV and acquired immunodeficiency syndrome.  Since the availability of Highly Active Anti-Retroviral Therapy HAART, improvement in quality of life (QOL) of patients has become a key issue in patient management.  A higher level of social support improves mental health, provides more days of vitality and, most importantly, better social support has been found to be associated with improved QOL.  In India, where 72.2% of the population lives in rural areas,  with joint families being more common than nuclear ones, it may prove to be a valuable tool along with HAART in the management of HIV-positive individuals. We present assessment of social support in such patients.
We studied a total of 82 HIV-positive individuals who were older than 18 years of age and who gave informed written consent. Of the 82 patients studied, 80% were males.
Social support score were assigned based on Dube's scale.5 The scale consisted of 34 items divided into four domains of: (1) social network eleven items), (2) financial support (eight items), (3) emotional support (ten items), (4) belief support (five items). Each item was scored on a five-point rating scale. Thus, four individual dimension scores were obtained by simply adding the item responses for each dimension. The greater the score, higher is the value of total social support. Because different dimensions of social support had different numbers of items and hence different mean scores, a transformed scored from 0 to 100 was obtained for comparison by dividing the difference between the mean value and the minimum possible value for the given dimension by the difference between the maximum and minimum possible value for the dimension.
The social support score was highest for belief support (87.65), followed by social network (55.38), emotional support (54.34) and financial support (54.25). Social support scores for the four dimensions are tabulated in [Table 1].
The belief support score was found to be considerably higher than other dimensions. Belief support shows patient's faith in God/religious guru, treating physician, nursing care and drugs/medical facilities. The highly religious nature of Indians with considerable faith in God and the treating physician can explain this result.
The belief support score only assessed patients' own faith and beliefs while all other domains' score also depended on contribution from family members/friends/relatives. This reflects the influence of stigma attached to the disease. Education of significant others in patients' life is therefore required to provide them with better social support and improved QOL.
| References|| |
|1.||National Aids Control Organization. Data on HIV prevalence, 2006. Available from: http://www.nacoonline.org/Quick_Links/HIV_Data/ [Last accessed on 2010 May 17]. |
|2.||Wu AW. Quality of life assessment comes of age in the era of highly active antiretroviral therapy. AIDS 2000;14:1449-51. [PUBMED] [FULLTEXT] |
|3.||Jia H, Uphold CR, Wu S, Chen GJ, Duncan PW. Predictors of changes in health-related quality of life among men with HIV infection in the HAART era. AIDS Patient Care and STDS 2005;19:395-405. [PUBMED] [FULLTEXT] |
|4.||Census of India. Data on rural and urban population (2001). Available from: http://www.censusindia.gov.in/Census_Data_2001/India_at_glance/rural.aspx . [Last accessed on 2010 May 17] |