Explaining the perspective of people living with HIV on health-promoting behaviours based on Pender's model: A directed content analysis.
Shahzad Pashaeypoor, Naeimeh Sarkhani, Soheileddin Salmani and 2 others
PMID 37327121WHAT IT FOUND
People living with HIV saw healthy habits as peace of mind and better control, but stigma, denial, hopelessness, fatigue, low income and insurance gaps blocked them; family, peers, social media and community resources helped.
Key findings
01Participants linked health-promoting behaviours with mental peace, better quality of life, and better disease control.
02They named barriers: insufficient education, denial of AIDS, hopelessness, fatigue or depression, and money or insurance limits.
03Support from family, open-minded friends, social media, and community resources were described as helping them pursue health-promoting behaviours.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 17 participants from one centre in Tehran were interviewed, so the themes may not apply to other settings or groups. The study reports perceptions and experiences, not measured behaviours, adherence, or health outcomes. Participants were required to have no psychological or mental disease and acute disorders were excluded, so people with severe mental health problems may be underrepresented. One researcher conducted and transcribed the interviews, and participants' willingness may have been affected by the COVID-19 pandemic.
Declared interests
The authors declared no competing interests. The funder named was Tehran University of Medical Sciences.
The easy way to misread this
Do not conclude that health-promoting behaviours improve HIV control or that nurse counselling works; this qualitative study reports perceptions from 17 people in one Tehran centre, not measured outcomes.