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2020, Number 4

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Rev Cuba Enf 2020; 36 (4)

Cross-cultural public policy and factors not adherent to HIV-aids HAART-Peru-Amazon ethnic group Kusu Pagata

Chávarry-Ysla PR, Febres-Suazo RR, Ynga-Chicoma MC, Calleja-Torres JC, Cabrera-Cabrera X
Full text How to cite this article

Language: Spanish
References: 11
Page: 1-9
PDF size: 381.55 Kb.


Key words:

shamanism, transcultural nursing, Indigenous population, public politics, acquired immunodeficiency syndrome, highly active antiretroviral therapy.

ABSTRACT

Introduction: One of the problems affecting Latin American indigenous peoples is the lack of epidemiological data regarding the prevalence of HIV-Aids, due to the fact that the information and surveillance systems do not register the ethnicity variable.
Objective: To propose a cross-cultural public policy to prevent factors associated with non-adherence to highly active antiretroviral therapy for HIV-Aids of the Amazon Kusu Pagata ethnic group.
Methods: Descriptive, cross-sectional study with 18 residents diagnosed with HIV-Aids in the Kusu Pagata community, Peru. 2018-2019. An expertly validated questionnaire and Cronbach's alpha reliability (0.71) were applied. The variable investigated was factors associated with non-adherence to antiretroviral therapy; the proposal was a public policy based on the Theory of Madeleine Leininger. Descriptive (mean, standard deviation) and inferential statistics (means comparison test for homogeneous Shapiro - Wilk variances and F-test for comparison of 1-tail variances) were used.
Results: The average age of the patient not adherent to the treatment was 21 years, significantly higher than that of the adherents (18.2) years. 80.00 % of those who went to the healer were non-adherent to the treatment, 50.00 % were adherent and went to the health facility. 64.00 % consumed treatments with products made with plants, those who were considered non-adherent to the pharmacological treatment, 71.00 % took other alternative treatments.
Conclusion: A cross-cultural public policy was proposed according to Madeleine Leininger's Theory to prevent factors associated with non-adherence to antiretroviral therapy for HIV-AIDS of the Amazon Kusu Pagata ethnic group.


REFERENCES

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  2. Palma-Pinedo, Helen y Reyes-Vega, Mary F. Barreras identificadas por el personal de salud para el tamizaje del virus de inmunodeficiencia humana en población indígena de la Amazonía peruana. Revista Peruana de Medicina Experimental y Salud Pública. 2018,35(4):610-9. DOI: https://doi.org/10.17843/rpmesp.2018.354.3855

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Rev Cuba Enf. 2020;36