Publications des scientifiques de l'IRD

Desclaux Alice, Boye S. (2014). Perceptions of lipodystrophy among PLHIV after 10 years of antiretroviral therapy in Senegal. Bulletin de la Société de Pathologie Exotique, 107 (4), p. 246-241. ISSN 0037-9085.

Titre du document
Perceptions of lipodystrophy among PLHIV after 10 years of antiretroviral therapy in Senegal
Année de publication
2014
Type de document
Article
Auteurs
Desclaux Alice, Boye S.
Source
Bulletin de la Société de Pathologie Exotique, 2014, 107 (4), p. 246-241 ISSN 0037-9085
Nearly one-third of people living with HIV (PLHIV) and taking HAART develop lipodystrophy in Africa. This article aims to describe how they perceive these disorders and the determinants of these perceptions. It is based on a qualitative study using interviews conducted with 20 patients with clinical lipodystrophy in Dakar, Senegal. Not all of the interviewees complained, though some had clearly visible lipodystrophy. The hypertrophic form seems better tolerated when perceived as overweight, a sign of excess wealth. Atrophic forms sometimes go unnoticed in lean people, but others experience it as stigma, avoid appearing in public, and express significant suffering, especially when symptoms jeopardize their social status. Healthcare systems should take better account of lipodystrophy and its psychosocial effects because they weaken adherence and reduce patients' quality of life.
Plan de classement
Médecine [050MEDECI] ; Maladies sexuellement transmissibles [052MALTRA03] ; Sociologie et anthropologie de la santé [056SOCSAN]
Descripteurs
SIDA ; ANTHROPOLOGIE DE LA SANTE ; TRAITEMENT MEDICAL ; MEDICAMENT ; PATHOLOGIE ; PSYCHOLOGIE ; SYSTEME DE REPRESENTATIONS ; ENTRETIEN ; ANALYSE QUALITATIVE ; EFFET INDESIRABLE ; LIPODYSTROPHIE
Description Géographique
SENEGAL ; DAKAR
Localisation
Fonds IRD [F B010063372]
Identifiant IRD
fdi:010063372
Contact