Universität zu Köln

Milz, Ruth U., Husstedt, Ingo-W., Reichelt, Doris and Evers, Stefan (2016). Control beliefs and health locus of control in Ugandan, German and migrated sub-Saharan African HIV infected individuals. J. Psychosomat. Res., 83. S. 22 - 27. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 1879-1360

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Abstract

Objectives: Little is known about the influence of control beliefs on antiretroviral drug adherence in patients who migrated from sub-Saharan Africa to Europe. The aim of this study was to explore the differences in health locus of control and control beliefs between HIV infected patients from sub-Saharan Africa with and without a lifetime experience of migration. Methods: A sample of 62 HIV infected consecutive patients referred to the HIV clinics at the University Hospital of Munster (Germany) and at the Rubaga Hospital Kampala (Uganda) were enrolled into this study. We compared three groups of patients: sub-Saharan African migrants, German patients, and local Ugandan patients. We used the German health and illness related control beliefs questionnaire (KKG), the Competence and control beliefs questionnaire (FKK), and the Powe Fatalism Inventory-HIV/AIDS-Version (PFI-HIV/AIDS-Version) and translated these scales into English and Luganda. In addition, the patients' sociodemographic, acculturation, clinical, and immunological data were registered. Results: Significant results were shown in HIV related external locus of control between migrated sub-Saharan African and local Ugandan patients compared to German patients. General control beliefs showed no significant differences. In the PFI-HIV-Version, there was a significant difference between migrated sub-Saharan African and Ugandan patients compared to German patients. Conclusions: Our data suggest that the experience of migration does not influence the locus of control. Compared to German HIV patients, African patients in general showed a significantly higher external health locus of control which might have implications for drug adherence. (C) 2016 Elsevier Inc. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Milz, Ruth U. UNSPECIFIED UNSPECIFIED UNSPECIFIED Husstedt, Ingo-W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Reichelt, Doris UNSPECIFIED UNSPECIFIED UNSPECIFIED Evers, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-279913
DOI:	10.1016/j.jpsychores.2016.02.005
Journal or Publication Title:	J. Psychosomat. Res.
Volume:	83
Page Range:	S. 22 - 27
Date:	2016
Publisher:	PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication:	OXFORD
ISSN:	1879-1360
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; ANTIRETROVIRAL THERAPY; PROTEASE INHIBITORS; DRUG-RESISTANCE; ADHERENCE; PREDICTORS; HIV/AIDS; EFFICACY; FATALISM; PEOPLE Multiple languages Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27991