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Introduction <p>The prevalence of both type 2 diabetes mellitus (T2DM) and obesity is increasing among people living with HIV (PLHIV) in sub-Saharan Africa. We examined the perceptions and management of these two conditions among PLHIV and healthcare workers in Côte D’Ivoire.</p> Method <p>From June to August 2022, we conducted semi-structured face-to-face interviews with PLHIV diagnosed with T2DM and/or obesity, as well as healthcare workers, in one of the major HIV clinics in Abidjan, Cote d’Ivoire. We explored topics such as experiences, perceptions and acceptability of the diagnosis and management of T2DM and obesity among PLHIV. Among healthcare workers, professional experience, professional relationships with patients diagnosed with T2DM/obesity, involvement in patient management and care provision were explored. Interviews were audio recorded and transcribed manually. Data were analysed using thematic analysis.</p> Results <p>A total of 15 PLHIV and 5 healthcare workers participated in semi-structured in-depth interviews. Perceptions towards T2DM and obesity were largely influenced by cultural factors, PLHIV reported negative perceptions of T2DM and positive perceptions of obesity. Both patients and healthcare providers considered the management of these conditions as sub-optimal. Patient-reported barriers to care for these metabolic disorders were mainly socio-economic and environmental, while healthcare workers emphasized patients' denial of their illness and the limited range of treatment options available at the clinic.</p> Conclusion <p>These results highlight the complexity surrounding the perceptions and management of T2DM and obesity among PLHIV in Abidjan, Côte d’Ivoire. In order to implement innovative and efficient intervention strategies to prevent and treat these metabolic conditions, cultural beliefs as well as socio-economic barriers must be addressed.</p>

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Perceptions and management of diabetes and obesity among people living with HIV in Côte d’Ivoire: a qualitative study

  • 期刊论文

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  • 发表日期：

    2025年2月11日

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  • Jean J. Koffi,
  • Marie K. Plaisy,
  • Joël Djaha,
  • Albert Minga,
  • Stephane N’goran,
  • Simon P. Boni,
  • Didier K. Ekouevi,
  • Raoul Moh,
  • Antoine Jaquet,
  • Noelle A. Benzekri,
  • Marcel Djimon Zannou,
  • Armel Poda,
  • Oliver Ezechi,
  • Eugene Messou,
  • Henri Chenal,
  • Kla Albert Minga,
  • Aristophane Tanon,
  • Moussa Seydi,
  • Ephrem Mensah,
  • Caroline Yonaba,
  • Lehila Bagnan Tossa,
  • Jocelyn Dame,
  • Sylvie Marie N’Gbeche,
  • Kouadio Kouakou,
  • Madeleine Amorissani Folquet,
  • François Tanoh Eboua,
  • Fatoumata Dicko Traore,
  • Agatha David,
  • Elom Takassi,
  • François Dabis,
  • Renaud Becquet,
  • Charlotte Bernard,
  • Karen Malateste,
  • Olivier Marcy,
  • Elodie Rabourdin,
  • Thierry Tiendrebeogo,
  • Désiré Dahourou,
  • Sophie Desmonde,
  • Julie Jesson,
  • Valeriane Leroy,
  • Jean-Claude Azani,
  • Eric Komena,
  • Maika Bengali,
  • Abdoulaye Cissé,
  • Guy Gnepa,
  • Apollinaire Horo,
  • Eulalie Kangah,
  • Corinne Moh,
  • Jeanne Eliam,
  • Ighovwerha Ofotokun,
  • Chris Martin,
  • Geoffrey Goettlieb,
  • Olivia Keiser,
  • Valériane Leroy

摘要

Introduction

The prevalence of both type 2 diabetes mellitus (T2DM) and obesity is increasing among people living with HIV (PLHIV) in sub-Saharan Africa. We examined the perceptions and management of these two conditions among PLHIV and healthcare workers in Côte D’Ivoire.

Method

From June to August 2022, we conducted semi-structured face-to-face interviews with PLHIV diagnosed with T2DM and/or obesity, as well as healthcare workers, in one of the major HIV clinics in Abidjan, Cote d’Ivoire. We explored topics such as experiences, perceptions and acceptability of the diagnosis and management of T2DM and obesity among PLHIV. Among healthcare workers, professional experience, professional relationships with patients diagnosed with T2DM/obesity, involvement in patient management and care provision were explored. Interviews were audio recorded and transcribed manually. Data were analysed using thematic analysis.

Results

A total of 15 PLHIV and 5 healthcare workers participated in semi-structured in-depth interviews. Perceptions towards T2DM and obesity were largely influenced by cultural factors, PLHIV reported negative perceptions of T2DM and positive perceptions of obesity. Both patients and healthcare providers considered the management of these conditions as sub-optimal. Patient-reported barriers to care for these metabolic disorders were mainly socio-economic and environmental, while healthcare workers emphasized patients' denial of their illness and the limited range of treatment options available at the clinic.

Conclusion

These results highlight the complexity surrounding the perceptions and management of T2DM and obesity among PLHIV in Abidjan, Côte d’Ivoire. In order to implement innovative and efficient intervention strategies to prevent and treat these metabolic conditions, cultural beliefs as well as socio-economic barriers must be addressed.