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Patient and provider perspectives on barriers to myocardial infarction care among persons with human immunodeficiency virus in Tanzania: A qualitative study.

Publication ,  Journal Article
Prattipati, S; Tarimo, TG; Kweka, GL; Mlangi, JJ; Samuel, D; Sakita, FM; Tupetz, A; Bettger, JP; Thielman, NM; Temu, G; Hertz, JT
Published in: Int J STD AIDS
January 2024

INTRODUCTION: People with HIV (PLWH) have an increased risk myocardial infarction (MI), and evidence suggests that MI is under-diagnosed in Tanzania. However, little is known about barriers to MI care among PLWH in the region. METHODS: In this qualitative study grounded in phenomenology, semi-structured interviews were conducted in northern Tanzania. Purposive sampling was used to recruit a diverse group of providers who care for PLWH and patients with HIV and electrocardiographic evidence of prior MI. Emergent themes were identified via inductive thematic analysis. RESULTS: 24 physician and patient participants were interviewed. Most participants explained MI as caused by emotional shock and were unaware of the association between HIV and increased MI risk. Providers described poor provider training regarding MI, high out-of-pocket costs, and lack of diagnostic equipment and medications. Patients reported little engagement with and limited knowledge of cardiovascular care, despite high engagement with HIV care. Most provider and patient participants indicated that they would prefer to integrate cardiovascular care with routine HIV care. CONCLUSIONS: PLWH face many barriers to MI care in Tanzania. There is a need for multifaceted interventions to educate providers and patients, improve access to MI diagnosis, and increase engagement with cardiovascular care among this population.

Duke Scholars

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Published In

Int J STD AIDS

DOI

EISSN

1758-1052

Publication Date

January 2024

Volume

35

Issue

1

Start / End Page

18 / 24

Location

England

Related Subject Headings

  • Tanzania
  • Qualitative Research
  • Public Health
  • Myocardial Infarction
  • Humans
  • HIV Infections
  • HIV
  • 3204 Immunology
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
 

Citation

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Prattipati, S., Tarimo, T. G., Kweka, G. L., Mlangi, J. J., Samuel, D., Sakita, F. M., … Hertz, J. T. (2024). Patient and provider perspectives on barriers to myocardial infarction care among persons with human immunodeficiency virus in Tanzania: A qualitative study. Int J STD AIDS, 35(1), 18–24. https://doi.org/10.1177/09564624231199507
Prattipati, Sainikitha, Tumsifu G. Tarimo, Godfrey L. Kweka, Jerome J. Mlangi, Dorothy Samuel, Francis M. Sakita, Anna Tupetz, et al. “Patient and provider perspectives on barriers to myocardial infarction care among persons with human immunodeficiency virus in Tanzania: A qualitative study.Int J STD AIDS 35, no. 1 (January 2024): 18–24. https://doi.org/10.1177/09564624231199507.
Prattipati S, Tarimo TG, Kweka GL, Mlangi JJ, Samuel D, Sakita FM, et al. Patient and provider perspectives on barriers to myocardial infarction care among persons with human immunodeficiency virus in Tanzania: A qualitative study. Int J STD AIDS. 2024 Jan;35(1):18–24.
Prattipati, Sainikitha, et al. “Patient and provider perspectives on barriers to myocardial infarction care among persons with human immunodeficiency virus in Tanzania: A qualitative study.Int J STD AIDS, vol. 35, no. 1, Jan. 2024, pp. 18–24. Pubmed, doi:10.1177/09564624231199507.
Prattipati S, Tarimo TG, Kweka GL, Mlangi JJ, Samuel D, Sakita FM, Tupetz A, Bettger JP, Thielman NM, Temu G, Hertz JT. Patient and provider perspectives on barriers to myocardial infarction care among persons with human immunodeficiency virus in Tanzania: A qualitative study. Int J STD AIDS. 2024 Jan;35(1):18–24.
Journal cover image

Published In

Int J STD AIDS

DOI

EISSN

1758-1052

Publication Date

January 2024

Volume

35

Issue

1

Start / End Page

18 / 24

Location

England

Related Subject Headings

  • Tanzania
  • Qualitative Research
  • Public Health
  • Myocardial Infarction
  • Humans
  • HIV Infections
  • HIV
  • 3204 Immunology
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services