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nte
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Vo
l.
5
,
No
.
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,
Dec
em
b
er
201
6
,
p
p
.
4
79
~
48
3
I
SS
N:
2252
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8806
479
J
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he R
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f
Being
P
o
sitiv
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H
IV/
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ID
S
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HIV
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IDS
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m
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p
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e
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ll
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u
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li
ty
o
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li
f
e
.
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e
o
p
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li
v
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g
w
it
h
HI
V
/
A
IDS
a
re
a
t
risk
f
o
r
d
e
v
e
lo
p
in
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m
e
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tal
h
e
a
lt
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ro
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su
c
h
a
s
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e
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n
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iet
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h
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o
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h
a
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c
o
m
p
li
a
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e
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HIV
m
e
d
ica
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s.
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h
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ime
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to
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th
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m
e
a
n
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g
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/A
IDS
a
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v
a
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h
is
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se
d
a
n
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l
a
p
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ro
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h
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ta
w
e
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c
o
ll
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c
ted
b
y
in
-
d
e
p
th
in
terv
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w
s
a
m
o
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g
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p
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ip
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n
ts
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h
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p
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e
d
HIV
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p
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siti
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h
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m
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s
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x
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(
2
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f
re
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m
m
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f
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g
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tru
st
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IV
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ise
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a
t
li
v
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w
it
h
HI
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is
n
o
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e
a
s
y
.
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y
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d
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ro
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th
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o
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h
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m
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ro
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ty
o
f
li
f
e
.
K
ey
w
o
r
d
:
HI
V/A
I
D
S
P
ain
P
h
en
o
m
e
n
o
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y
Su
f
f
er
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rig
h
t
©
2
0
1
6
In
stit
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te o
f
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d
v
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d
E
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g
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g
a
n
d
S
c
ien
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.
Al
l
rig
h
ts
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rv
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d
.
C
o
r
r
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s
p
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A
uth
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r
:
R
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L
estar
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Dep
ar
t
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s
in
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,
Un
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B
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1.
I
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V/A
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s
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ld
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P
L
W
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)
ex
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b
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p
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p
s
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f
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s
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s
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a,
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f
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h
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y
f
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l
w
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,
d
ep
r
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o
r
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r
r
itated
[
1
]
.
P
r
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lo
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g
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m
e
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tal
h
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p
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b
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s
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[
3
-
4
]
.
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h
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co
n
d
itio
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s
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n
th
e
ir
h
ea
lth
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m
a
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te
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HI
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p
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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N
:
2
2
5
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-
8806
I
J
P
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Vo
l.
5
,
No
.
4
,
Dec
em
b
er
20
1
6
:
4
79
–
48
3
480
an
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etc.
T
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h
ad
e
x
p
lan
atio
n
s
ab
o
u
t
th
e
s
t
u
d
y
p
u
r
p
o
s
e.
R
ec
r
u
it
m
en
t
o
f
p
ar
ticip
an
ts
s
till
co
n
tin
u
ed
u
n
tild
ata
s
at
u
r
ated
w
a
s
ac
h
ie
v
ed
.
E
th
ical
ap
p
r
o
v
al
w
a
s
g
ai
n
ed
f
r
o
m
t
h
e
Hea
lth
P
o
ly
tec
h
n
ic
Ma
lan
g
,
Mi
n
i
s
tr
y
o
f
Hea
l
th
o
f
R
ep
u
b
li
c
o
f
I
n
d
o
n
es
ia
R
e
v
ie
w
B
o
ar
d
,
A
p
r
il
201
6
(
R
eg
.
No
.
:
077
/
KE
P
K
/
-
P
OL
KE
SM
A
/
2016)
.
W
r
itten
ap
p
r
o
v
al
f
r
om
t
h
e
s
i
te
w
as a
ls
o
o
b
tain
ed
.
Data
w
er
e
co
llected
b
et
w
ee
n
Ma
y
an
d
J
u
l
y
2
0
1
6
.
P
ar
ticip
a
n
ts
w
er
e
in
ter
v
ie
w
ed
in
W
est
J
av
an
ese
lan
g
u
a
g
e
at
th
eir
h
o
m
es
b
y
r
e
s
ea
r
ch
er
w
h
o
is
f
lu
e
n
t
in
t
h
e
l
an
g
u
a
g
e.
P
r
io
r
to
in
ter
v
ie
w
,
c
o
n
s
en
t
w
a
s
o
b
tain
ed
af
ter
t
h
e
r
esear
c
h
er
s
e
x
p
lai
n
e
d
ab
o
u
t
th
e
r
esear
ch
an
d
p
r
o
c
ed
u
r
es
.
T
h
e
y
w
er
e
in
f
o
r
m
ed
t
h
e
y
co
u
ld
w
i
th
d
r
a
w
f
r
o
m
t
h
e
s
t
u
d
y
at
an
y
ti
m
e.
T
h
e
o
p
en
-
e
n
d
ed
in
ter
v
ie
w
g
u
id
e
w
as
d
ev
e
lo
p
ed
b
y
th
e
a
u
t
h
o
r
s
.
I
n
ter
v
ie
w
s
la
s
ted
1
0
0
to
1
2
0
m
i
n
u
tes,
w
er
e
d
ig
i
tall
y
a
u
d
io
r
ec
o
r
d
ed
an
d
tr
an
s
cr
ib
ed
v
er
b
ati
m
i
n
W
es
t
J
av
a
n
ese
L
a
n
g
u
a
g
e.
T
h
e
q
u
esti
o
n
s
g
u
id
e
u
s
ed
ar
e
p
r
esen
ted
to
let
p
ar
ticip
an
ts
ex
p
r
es
s
th
e
m
s
el
v
es
f
r
ee
l
y
i
n
t
h
eir
o
w
n
w
o
r
d
s
:
1.
C
an
y
o
u
tell
m
e
at
t
h
e
f
ir
s
t ti
m
e,
h
o
w
d
o
y
o
u
f
ee
l
w
h
en
y
o
u
n
o
w
th
at
y
o
u
w
er
e
HI
V
p
o
s
iti
v
e?
;
2.
W
h
at
w
er
e
y
o
u
f
ee
li
n
g
at
t
h
at
ti
m
e?
3.
Do
y
o
u
k
n
o
w
w
h
a
t is HI
V/
A
I
DS a
t th
at
ti
m
e?
4.
W
h
at
w
a
s
g
o
i
n
g
th
r
o
u
g
h
y
o
u
r
m
i
n
d
b
ef
o
r
e
k
n
o
w
i
n
g
th
e
d
iag
n
o
s
is
?
5.
Ho
w
d
id
y
o
u
b
r
ea
k
t
h
e
n
e
w
s
t
o
o
th
er
p
eo
p
le,
s
u
ch
as
y
o
u
r
f
a
m
il
y
?
6.
C
an
y
o
u
d
escr
ib
e
h
o
w
t
h
e
p
er
s
o
n
r
ea
cted
to
th
e
n
e
w
s
?
7.
W
h
at
d
id
y
o
u
f
ee
l a
f
ter
t
h
at?
8.
W
h
at
w
e
n
t t
h
r
o
u
g
h
y
o
u
r
m
in
d
af
ter
th
at?
9.
Ho
w
d
id
it f
ee
l i
f
y
o
u
d
id
n
o
t te
ll a
n
y
o
n
e
ab
o
u
t
y
o
u
r
s
tat
u
s
?
10.
W
h
at
w
a
s
g
o
i
n
g
th
r
o
u
g
h
y
o
u
r
m
i
n
d
w
h
e
n
y
o
u
ch
o
s
e
n
o
t to
tell a
n
y
o
n
e
ab
o
u
t
y
o
u
r
s
tat
u
s
?
11.
W
h
at
m
ea
n
i
n
g
d
o
es
y
o
u
r
ex
p
e
r
ien
ce
h
a
v
e
f
o
r
y
o
u
?
P
ar
ticip
an
ts
r
an
g
ed
in
a
g
e
f
r
o
m
25
to
4
4
y
ea
r
s
,
m
o
r
e
th
a
n
7
0
%
w
er
e
f
e
m
ale.
O
n
e
w
as
s
i
n
g
le
an
d
s
i
x
w
er
e
m
ar
r
ied
.
Six
o
f
t
h
e
wo
m
e
n
w
er
e
e
m
p
lo
y
ed
a
n
d
o
n
e
w
as
u
n
e
m
p
lo
y
ed
.
Fi
v
e
p
ar
ticip
an
ts
h
ad
a
n
ele
m
e
n
tar
y
ed
u
ca
t
io
n
,
o
n
e
w
a
s
g
r
ad
u
ated
f
r
o
m
h
i
g
h
s
c
h
o
o
l a
n
d
o
n
e
p
ar
ticip
an
t n
e
v
er
h
ad
a
f
o
r
m
al
ed
u
ca
tio
n
.
Data
w
er
e
an
al
y
ze
d
u
s
i
n
g
Va
n
Ma
n
en
’
s
(
1
9
9
0
)
h
er
m
e
n
e
u
ti
c
p
h
en
o
m
en
o
lo
g
ical
m
et
h
o
d
w
it
h
i
n
t
h
e
f
o
llo
w
in
g
t
h
r
ee
p
r
o
ce
s
s
es
:
(
1
)
t
h
e
h
o
li
s
tic,
(
2
)
th
e
s
elec
ti
v
e
a
n
d
(
3
)
th
e
d
etailed
p
r
o
ce
s
s
.
I
n
t
h
e
h
o
li
s
tic
p
r
o
ce
s
s
,
r
esear
ch
ca
p
tu
r
ed
th
e
m
ea
n
i
n
g
s
o
f
t
h
e
w
h
o
le
te
x
t.
I
n
t
h
e
s
e
lectiv
e
s
tep
,
es
s
en
t
ial
p
h
r
ases
w
er
e
p
u
lled
o
u
t
as
th
e
k
e
y
w
o
r
d
s
.
I
n
th
e
d
etailed
p
r
o
ce
s
s
,
all
d
ata
w
er
e
an
al
y
s
e
d
u
n
til all
t
h
e
m
es
w
er
e
id
en
tifi
ed
[
5
]
.
T
r
u
s
t
w
o
r
th
in
e
s
s
i
n
q
u
a
litati
v
e
s
tu
d
y
r
ef
er
s
to
v
alid
it
y
a
n
d
r
eliab
ilit
y
.
Val
id
it
y
m
ea
n
s
t
h
e
ac
cu
r
ac
y
o
f
th
e
id
ea
in
t
h
e
tr
an
s
cr
ip
ts
r
e
f
le
cts
w
h
at
ac
t
u
all
y
h
ap
p
e
n
ed
.
R
eliab
ilit
y
m
ea
n
s
th
a
t
th
e
s
tu
d
y
r
esu
lts
w
o
u
ld
also
b
e
o
b
tain
ed
if
d
if
f
er
en
t
r
esear
ch
er
s
r
ep
ea
ted
th
e
s
tu
d
y
.
C
r
ed
ib
ilit
y
is
o
n
e
o
f
t
h
e
m
o
s
t
i
m
p
o
r
tan
t
in
d
icato
r
s
f
o
r
estab
lis
h
in
g
tr
u
s
t
w
o
r
th
i
n
es
s
.
T
o
en
s
u
r
e
t
h
e
cr
ed
ib
ilit
y
o
f
r
esear
ch
f
i
n
d
in
g
s
,
r
esear
ch
er
s
r
ep
ea
ted
co
n
tact
w
it
h
p
ar
ticip
an
ts
a
n
d
p
ee
r
d
eb
r
ief
in
g
(
allo
w
in
g
t
i
m
e
f
o
r
f
ee
d
b
ac
k
an
d
d
is
cu
s
s
io
n
o
f
p
ar
ticip
an
ts
f
ee
li
n
g
s
)
r
eg
ar
d
in
g
th
e
d
ata
co
llected
,
an
aly
s
is
a
n
d
in
ter
p
r
etatio
n
[
6
]
.
I
n
th
is
s
tu
d
y
r
ef
le
x
i
v
it
y
w
as
en
s
u
r
ed
b
y
w
r
iti
n
g
n
o
tes
i
n
p
o
r
to
f
o
l
io
w
h
ic
h
co
n
s
i
s
ted
o
f
ex
p
er
ien
ce
s
t
h
r
o
u
g
h
o
u
t
th
e
s
tu
d
y
p
r
o
ce
s
s
.
I
n
v
e
s
ti
g
ato
r
tr
ian
g
u
latio
n
u
s
ed
in
t
h
i
s
s
tu
d
y
d
u
r
in
g
d
ata
in
ter
p
r
etatio
n
.
3.
RE
SU
L
T
S
A
ND
AN
AL
Y
SI
S
3
.
1
.
E
x
perienci
ng
m
e
nta
l su
f
f
er
i
ng
P
ar
ticip
an
ts
ex
p
r
ess
HI
V/
A
I
DS
as
a
s
u
f
f
er
in
g
p
r
o
ce
s
s
,
i
t
is
a
n
u
n
p
leasa
n
t
f
ee
li
n
g
.
T
h
is
t
h
e
m
e
ex
tr
ac
ted
f
r
o
m
s
ev
er
al
s
u
b
-
th
e
m
es:
f
ee
lin
g
u
n
ea
s
y
,
f
ee
li
n
g
s
o
r
r
o
w
,
f
ee
lin
g
a
w
f
u
l,
f
e
elin
g
h
elp
les
s
a
n
d
d
ep
r
ess
ed
,
d
en
y
in
g
m
y
co
n
d
itio
n
s
.
U
n
ea
s
y
f
ee
l
in
g
e
x
p
r
ess
ed
b
y
t
h
e
p
ar
ticip
a
n
ts
a
s
f
ea
r
.
T
h
e
f
ea
r
w
a
s
ex
p
r
ess
ed
as
a
f
ea
r
o
f
tr
a
n
s
m
itti
n
g
d
i
s
ea
s
e,
w
o
r
r
ied
w
it
h
t
h
eir
co
n
d
itio
n
s
an
d
d
ea
t
h
;
f
e
elin
g
w
o
r
r
ied
ab
o
u
t
p
eo
p
le
j
u
d
g
m
en
ts
.
O
n
e
o
f
t
h
e
th
o
u
g
h
t
s
ex
p
er
ien
ce
d
b
y
P
L
W
H
A
co
m
es
f
r
o
m
f
ea
r
w
it
h
p
eo
p
le
j
u
d
g
m
e
n
ts
w
h
e
n
d
is
clo
s
i
n
g
t
h
e
co
n
d
itio
n
[
7
]
.
I
t w
as e
x
p
r
ess
ed
b
y
p
ar
ticip
an
t’
s
s
t
ate
m
e
n
t:
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
SS
N:
2252
-
8806
P
a
in
a
n
d
S
u
ffer
in
g
:
Th
e
R
ea
lit
y
o
f B
ein
g
P
o
s
itive
w
ith
HI
V
/AI
DS
(
R
etn
o
Les
ta
r
i)
481
“
T
h
e
f
ir
s
t to
k
n
o
w
s
o
h
e
s
aid
t
h
at
i
f
s
t
u
c
k
co
n
ta
g
io
u
s
,
is
n
o
t t
h
e
f
ir
s
t ti
m
e
I
w
as a
ls
o
af
r
aid
o
f
m
y
s
e
lf
,
af
r
aid
o
f
tr
an
s
m
i
tti
n
g
”
(
De
mi
)
.
“
O
Go
d
!
I
h
av
e
a
d
is
ea
s
e
lik
e
t
h
i
s
,
I
w
a
s
g
o
in
g
to
d
ie,
j
u
s
t
let
me
alo
n
e
”
(
K
a
d
i
).
Fear
is
a
f
ee
lin
g
in
d
u
ce
d
b
y
a
p
er
ce
iv
ed
o
f
d
an
g
er
,
f
ee
lin
g
s
w
h
ic
h
p
ar
ticip
an
ts
d
escr
ib
ed
as
a
f
ea
r
o
f
th
eir
o
w
n
d
ea
t
h
.
Kn
o
w
i
n
g
th
a
t
th
e
y
w
er
e
p
o
s
itiv
e
w
i
th
HI
V
/A
I
D
S
w
as
v
er
y
p
ai
n
f
u
l,
t
h
e
y
w
er
e
w
o
r
r
ied
w
it
h
th
eir
o
w
n
co
n
d
itio
n
s
,
t
h
eir
j
o
b
an
d
th
e
lo
s
s
o
f
t
h
eir
li
f
e.
An
o
th
er
s
u
b
th
e
m
e
s
ar
e
f
ee
li
n
g
s
o
r
r
o
w
,
it
is
a
f
ee
li
n
g
o
f
s
ad
n
ess
,
it
is
a
s
ad
co
n
d
itio
n
.
I
t
w
a
s
s
tated
b
y
p
ar
ticip
an
t’
s
s
tate
m
e
n
t:
“
W
h
e
n
I
k
n
e
w
t
h
e
f
ir
s
t ti
m
e
th
at
i
g
o
t
HI
V,
i
w
as
f
ee
l sad
,
d
ef
i
n
itel
y
s
ad
”(
P
u
n
a
).
Feelin
g
a
w
f
u
l,
h
elp
les
s
an
d
d
ep
r
ess
ed
w
er
e
s
tated
b
y
p
ar
ticip
an
ts
,
as
t
h
e
y
t
h
o
u
g
h
t
it
co
u
ld
n
o
t
h
ap
p
en
ed
:
“A
t
f
ir
s
t,
i
j
u
s
t
f
ee
l
a
w
f
u
l,
i
f
ee
l
as
h
a
m
ed
w
it
h
m
y
s
el
f
”
(
Dem
i
)
.
“
I
t
f
ee
ls
li
k
e.
.
it
is
th
e
e
n
d
o
f
th
e
w
o
r
ld
,
j
u
s
t..
j
u
s
t c
an
n
o
t b
e
tr
ea
ted
,
it is
all
o
v
er
”
(
Tu
b
a
).
PL
W
HA
f
ee
l
d
ep
r
es
s
ed
b
y
th
e
co
n
d
itio
n
s
as
t
h
e
y
t
h
o
u
g
h
t
t
h
at
th
e
ir
lif
e
h
as
e
n
d
ed
.
D
ep
r
ess
io
n
ca
n
m
ak
e
HI
V
d
is
ea
s
e
p
r
o
g
r
ess
f
a
s
ter
as
P
L
W
H
A
o
f
te
n
r
ef
u
s
ed
to
g
et
tr
ea
t
m
e
n
t
a
n
d
th
e
y
th
i
n
k
t
h
at
t
h
i
s
d
is
ea
s
e
ca
n
n
o
t b
e
tr
ea
ted
.
Den
y
in
g
th
e
co
n
d
itio
n
s
w
as
a
n
o
th
er
f
ee
l
in
g
w
h
ic
h
e
x
p
r
es
s
e
d
b
y
p
ar
ticip
an
ts
:
“
I
f
ee
l
an
g
r
y
,
I
j
u
s
t
ca
n
n
o
t
b
eliev
e
th
e
d
iag
n
o
s
i
s
”
(
N
ima
)
.
Den
ial
e
x
p
r
ess
ed
a
s
t
h
e
f
ir
s
t
e
m
o
t
io
n
al
r
e
s
p
o
n
s
e
wh
en
P
L
W
H
A
k
n
e
w
ab
o
u
t
b
ein
g
HI
V
p
o
s
iti
v
e.
B
ei
n
g
d
en
ial
i
n
to
o
lo
n
g
co
u
ld
p
r
ev
en
t
p
ar
ticip
an
ts
f
r
o
m
ta
k
in
g
b
etter
m
o
v
e
m
e
n
ts
.
T
h
er
ef
o
r
e,
h
ea
lth
p
r
o
f
ess
io
n
al
s
s
h
o
u
ld
g
i
v
e
t
h
eir
s
u
p
p
o
r
t to
m
o
tiv
a
te
P
L
W
H
A
to
ac
ce
p
t th
eir
co
n
d
itio
n
.
P
L
W
A
m
ig
h
t
f
ee
l
alo
n
e,
f
e
ar
o
f
d
ea
t
h
a
n
d
d
ep
r
ess
ed
at
ti
m
es.
Mo
o
d
ch
an
g
es,
p
ar
ticu
lar
l
y
d
ep
r
ess
io
n
co
m
m
o
n
l
y
h
ap
p
en
ed
in
i
n
d
i
v
id
u
al
s
w
i
th
HI
V/
AI
DS,
an
d
i
ts
p
r
ev
a
len
ce
w
as
s
ig
n
if
ican
t
l
y
h
i
g
h
er
a
m
o
n
g
P
L
W
H
A
[
8
]
.
Dep
r
ess
io
n
co
u
ld
in
ter
f
er
e
w
it
h
HI
V
tr
ea
t
m
e
n
t
an
d
o
f
te
n
u
n
d
er
d
iag
n
o
s
ed
.
Dep
r
ess
io
n
is
a
s
ig
n
if
ican
t
p
r
ed
icto
r
o
f
n
o
n
co
m
p
lian
ce
to
m
ed
icat
io
n
tr
ea
t
m
en
t
[
9
]
.
T
h
er
ef
o
r
e,
d
e
p
r
ess
io
n
an
d
o
th
er
p
s
y
ch
o
lo
g
ical
is
s
u
e
s
s
h
o
u
ld
b
e
tr
ea
ted
b
y
h
ea
lt
h
ca
r
e
p
r
o
f
es
s
io
n
al
s
.
3
.
2
.
B
e
f
re
e
f
r
o
m
m
ent
a
l s
uff
er
in
g
P
ar
ticip
an
ts
also
h
o
p
e
th
at
t
h
e
y
w
an
t
to
b
e
f
r
ee
f
r
o
m
th
is
s
u
f
f
er
in
g
p
r
o
ce
s
s
.
T
h
e
y
w
an
ted
t
o
liv
e
lik
e
n
o
r
m
al
p
eo
p
le.
T
h
is
th
e
m
e
was
d
ev
elo
p
ed
b
y
t
w
o
s
u
b
-
th
e
m
es:
w
an
ted
to
b
e
f
r
ee
f
r
o
m
m
en
tal
an
d
p
h
y
s
ical
p
r
o
b
lem
s
; a
n
d
h
o
p
ed
f
o
r
s
o
cial
s
u
p
p
o
r
t.
I
t
w
as e
x
p
r
ess
ed
b
y
th
e
s
tate
m
e
n
ts
:
“
I
h
o
p
e
th
at
i c
a
n
li
v
e
lik
e
n
o
r
m
al
p
eo
p
le,
h
ea
lth
y
as
u
s
u
al”
(
T
u
b
a)
.
“
I
s
til
l
w
an
t to
li
v
e,
I
w
a
n
t to
l
o
o
k
af
ter
m
y
k
id
s
”
(
Ka
y
a)
.
“
I
w
a
n
ted
to
g
et
b
etter
,
I
w
an
t
ed
to
ch
ec
k
m
y
co
n
d
itio
n
s
an
d
g
et
th
e
tr
ea
t
m
e
n
t”
(
Ka
y
a)
.
P
o
s
itiv
e
ex
p
ec
tatio
n
s
ar
e
i
m
p
o
r
tan
t
co
m
p
o
n
e
n
t
i
n
t
h
e
tr
ea
t
m
e
n
t
o
f
HI
V/
A
I
D
S
.
Ho
p
e
ca
n
b
e
a
p
o
w
er
f
u
l
s
tr
e
n
g
th
f
o
r
p
eo
p
le
li
v
in
g
w
it
h
HI
V.
I
t c
an
e
n
co
u
r
a
g
e
th
e
m
to
p
lan
f
o
r
th
e
tr
ea
t
m
en
t
[
1
0
]
.
3
.
3
.
T
rus
t
t
he
H
I
V
/
AID
S
d
is
ea
s
e
i
s
n
ot
c
o
nta
g
io
us
a
nd
t
here
i
s
a
h
o
pe
t
o
l
iv
e
P
ar
ticip
an
ts
b
elie
v
ed
t
h
at
HI
V
/A
I
D
S i
s
n
o
t c
o
n
tag
io
u
s
as
d
o
cto
r
an
d
n
u
r
s
e
s
to
ld
to
t
h
e
m
t
h
at
th
e
y
d
o
n
o
t
h
a
v
e
to
b
e
af
r
aid
ab
o
u
t
t
h
e
d
is
ea
s
e.
PL
W
H
A
s
ta
ted
th
at
af
ter
k
n
o
w
i
n
g
t
h
e
co
n
d
it
io
n
o
f
t
h
e
d
is
ea
s
e,
t
h
e
y
ex
p
ec
t
to
r
ec
ei
v
e
m
ed
ical
a
s
s
i
s
tan
ce
,
in
f
o
r
m
at
io
n
ab
o
u
t
t
h
e
d
is
ea
s
e
a
n
d
e
m
o
t
io
n
al
s
u
p
p
o
r
t
[
1
0
]
.
P
ar
ticip
an
ts
f
elt
t
h
at
en
co
u
r
a
g
i
n
g
a
p
o
s
itiv
e
asp
ec
t
ab
o
u
t
HI
V/
A
I
D
S
d
is
ea
s
e
co
u
ld
cr
ea
te
a
c
er
tain
m
i
n
d
-
s
et
to
m
ai
n
tai
n
in
g
t
h
eir
h
o
p
e
lev
el.
T
h
is
th
e
m
e
w
a
s
d
ev
elo
p
ed
f
r
o
m
s
u
b
-
t
h
e
m
es:
tr
u
s
t
HI
V/
A
I
DS
is
n
o
t
co
n
tag
io
u
s
an
d
th
er
e
is
a
h
o
p
e
to
liv
e.
I
t
w
a
s
ex
p
r
ess
ed
b
y
t
h
e
s
tate
m
e
n
ts
:
“u
m
m
m
m
.
.
.
y
e
s
,
i k
n
o
w
t
h
at
t
h
is
d
is
ea
s
e
i
s
n
o
t c
o
n
ta
g
io
u
s
,
d
o
cto
r
t
o
ld
m
e
lik
e
t
h
at”
(
De
m
i
)
.
“
P
lease.
.
p
lease
s
it
h
er
e,
n
ex
t
to
m
e,
I
to
ld
ev
er
y
o
n
e
to
d
o
s
o
,
i
am
o
k
,
y
o
u
w
ill
b
e
f
in
e
w
it
h
m
e”
(
T
u
b
a)
.
Af
ter
p
ar
ticip
an
ts
r
ec
ei
v
ed
ad
eq
u
ate
in
f
o
r
m
atio
n
r
eg
ar
d
in
g
HI
V/A
I
D
a
n
d
m
o
ti
v
atio
n
f
r
o
m
co
m
p
ete
n
t
h
ea
lt
h
ca
r
e
p
r
o
f
ess
io
n
al
s
,
t
h
e
y
u
n
d
er
s
ta
n
d
th
at
t
h
er
e
is
a
p
o
s
s
ib
ilit
y
o
f
a
b
etter
f
u
t
u
r
e
an
d
h
o
p
e
[
1
1
]
.
I
n
f
ac
t,
A
I
DS
-
N
GO
p
r
o
f
es
s
io
n
al
s
o
f
f
er
ed
s
ev
er
alser
v
ices
f
o
r
P
L
W
HA
to
p
er
f
o
r
m
ac
ti
v
itie
s
at
g
r
o
u
p
s
o
f
s
o
ciall
y
v
u
l
n
er
ab
le
in
d
i
v
id
u
a
ls
to
r
ed
u
ce
s
tig
m
a
o
f
b
ei
n
g
p
o
s
iti
v
e
w
i
th
HI
V/
A
I
D
S.
T
h
e
se
ac
ti
v
it
ies
o
f
A
I
D
S
-
NGO
s
ar
e
b
ased
o
n
d
ail
y
b
asic
n
ee
d
s
w
h
ich
f
o
cu
s
ed
o
n
e
m
p
o
w
er
m
en
t
,
k
n
o
w
led
g
e
a
n
d
s
k
ills
.
T
h
e
ai
m
o
f
th
e
s
e
ac
ti
v
itie
s
w
a
s
to
i
m
p
r
o
v
e
th
e
h
ea
l
th
s
ta
t
u
s
,
q
u
alit
y
o
f
li
f
e
an
d
d
r
u
g
co
m
p
lian
ce
[
1
2
]
.
Ho
w
e
v
er
,
th
e
s
e
ac
tiv
ities
r
eq
u
ir
e
g
r
e
at
ef
f
o
r
t
an
d
d
ed
icatio
n
f
r
o
m
h
ea
lth
ca
r
e
p
r
o
f
es
s
io
n
als
to
m
ai
n
tai
n
an
d
ev
al
u
at
e
th
e
m
.
P
L
W
H
A
en
co
u
r
ag
ed
t
h
at
t
h
eir
h
elp
in
c
l
u
d
e
ab
o
u
t
leg
al
as
s
is
tan
ce
,
e
m
p
lo
y
m
e
n
t a
n
d
h
ea
lth
ca
r
e
[
1
3
]
.
3
.
4
.
P
er
f
o
r
m
ing
a
ct
iv
it
ies t
o
i
m
p
ro
v
e
t
he
qu
a
lity
o
f
life
P
er
f
o
r
m
i
n
g
ac
tiv
it
ies
a
m
o
n
g
P
L
W
HA
ca
n
i
m
p
r
o
v
e
th
eir
h
ea
lt
h
s
tat
u
s
.
Hea
lth
p
r
o
f
es
s
i
o
n
als
also
m
o
tiv
a
ted
p
ar
ticip
an
ts
to
ch
ec
k
t
h
eir
co
n
d
itio
n
at
co
m
m
u
n
it
y
in
te
g
r
ated
h
ea
lth
ce
n
ter
.
T
h
e
s
tate
m
e
n
t
s
ex
p
r
ess
ed
as f
o
llo
w
s
:
“y
es,
t
h
e
y
to
ld
m
e
to
co
m
e
to
t
h
e
h
ea
lt
h
ce
n
ter
ea
ch
w
ee
k
,
s
o
i h
av
e
to
g
o
t
h
er
e”
(
T
u
b
a)
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8806
I
J
P
HS
Vo
l.
5
,
No
.
4
,
Dec
em
b
er
20
1
6
:
4
79
–
48
3
482
“
I
j
u
s
t
w
a
n
t
to
b
e
h
ea
lt
h
y
,
s
o
I
h
av
e
to
g
o
to
t
h
er
e,
I
h
a
v
e
t
o
b
e
ch
ec
k
ed
,
I
w
o
u
ld
n
o
t
g
iv
e
u
p
w
it
h
th
is
co
n
d
itio
n
”
(
Ka
y
a)
.
T
h
er
e
is
also
v
o
lu
n
teer
s
w
h
ic
h
also
P
L
W
HA
i
n
co
m
m
u
n
it
y
t
h
at
s
u
p
p
o
r
t
th
ese
p
ar
ticip
an
ts
to
g
et
a
b
etter
lif
e,
th
i
s
w
as
s
tated
b
y
:
“
I
d
o
,
I
h
elp
o
th
er
p
eo
p
le
w
it
h
HI
V,
s
o
th
e
y
k
n
o
w
t
h
at
th
e
y
ar
e
n
o
t
alo
n
e,
I
d
o
h
av
e
HI
V,
y
o
u
s
ee
,
I
a
m
alr
i
g
h
t”
(
Ka
y
a)
.
“
I
h
elp
ed
m
y
f
r
ie
n
d
an
d
s
u
g
g
e
s
t th
e
m
to
g
et
m
ed
icatio
n
s
.
.
.
.
”
(
B
u
n
a)
.
T
h
er
e
w
er
e
h
ig
h
lev
el
s
o
f
s
t
ig
m
a
a
n
d
d
is
cr
i
m
i
n
atio
n
to
w
ar
d
s
P
L
W
H
A
w
h
ic
h
lead
s
to
t
h
e
f
ee
li
n
g
s
o
f
f
ea
r
an
d
s
u
f
f
er
in
g
.
P
ar
ticip
an
ts
in
th
is
s
t
u
d
y
b
elie
v
ed
th
at
m
ai
n
tai
n
in
g
d
ail
y
ac
ti
v
itie
s
co
u
ld
p
r
o
m
o
te
th
ei
r
m
en
tal
an
d
p
h
y
s
ical
w
ell
-
b
ein
g
.
P
r
ev
io
u
s
s
tu
d
y
e
x
p
lo
r
ed
th
at
d
aily
r
o
u
ti
n
e
ac
ti
v
i
ties
ca
n
tr
an
s
f
o
r
m
P
L
W
H
A
lif
e
[
1
4
]
.
P
L
W
HA
h
as
b
ee
n
m
o
tiv
ated
b
y
h
ea
lth
p
r
o
f
e
s
s
io
n
als
to
g
o
to
th
e
h
ea
lt
h
ce
n
ter
f
o
r
tr
ea
t
m
en
t.
I
t
w
a
s
r
ev
ea
led
th
at
th
e
s
u
p
p
o
r
ts
g
iv
en
b
y
h
ea
lt
h
w
o
r
k
er
s
s
tr
o
n
g
l
y
in
f
l
u
en
ce
t
h
eir
d
ec
is
io
n
s
a
n
d
ac
tio
n
s
o
f
P
L
W
H
A
to
d
is
clo
s
e
t
h
e
ir
co
n
d
itio
n
a
n
d
g
ai
n
ap
p
r
o
p
r
iate
tr
ea
t
m
en
t.
S
elf
-
d
is
clo
s
u
r
e
h
elp
s
p
eo
p
le
liv
i
n
g
w
it
h
HI
V
r
ec
eiv
e
e
m
o
tio
n
al
s
u
p
p
o
r
t,
ac
ce
s
s
to
tr
ea
t
m
en
t
an
d
ca
r
e
[
1
5
]
.
I
n
f
ac
il
itat
i
n
g
d
is
clo
s
u
r
e
,
a
c
o
u
n
s
e
llo
r
o
r
h
ea
l
th
ca
r
e
p
r
o
f
ess
io
n
al
s
s
h
o
u
ld
u
n
d
er
s
tan
d
ab
o
u
t
th
e
ir
m
e
n
tal
h
ea
lt
h
co
n
d
itio
n
an
d
also
p
r
o
v
id
es
in
f
o
r
m
a
tio
n
,
s
u
p
p
o
r
t
r
eg
ar
d
in
g
HI
V/
A
I
D
S t
r
ea
t
m
en
t [
1
6
]
.
A
cc
ep
ti
n
g
t
h
eir
co
n
d
itio
n
s
,
m
ai
n
tai
n
in
g
t
h
eir
liv
e
s
w
it
h
HI
V
an
d
s
ee
k
in
g
th
e
ac
ce
p
ta
n
ce
o
f
t
h
ei
r
fa
m
ilies
an
d
f
r
ie
n
d
s
h
elp
s
t
h
e
m
to
b
e
p
r
o
-
ac
ti
v
e
a
n
d
ch
o
o
s
in
g
to
li
v
e
b
etter
.
T
h
e
s
t
u
d
y
s
h
o
w
ed
t
h
at
HI
V
-
p
o
s
itiv
e
p
eo
p
le
f
in
d
a
r
elief
af
ter
r
ev
ea
li
n
g
t
h
eir
co
n
d
itio
n
.
P
r
o
v
id
in
g
e
m
o
tio
n
al
s
u
p
p
o
r
t
ca
n
h
elp
p
eo
p
le
liv
i
n
g
w
i
th
HI
V
r
ec
ei
v
e
th
e
ir
co
n
d
itio
n
s
,
r
ed
u
c
ed
f
ee
l
in
g
s
o
f
f
ea
r
a
n
d
is
o
lated
f
r
o
m
s
o
ciet
y
.
4.
CO
NCLU
SI
O
N
P
eo
p
le
liv
in
g
w
it
h
HI
V
/
A
I
DS
h
a
v
e
s
e
v
er
al
m
e
n
tal
h
ea
l
th
p
r
o
b
le
m
s
,
s
u
c
h
as
d
ep
r
ess
io
n
a
n
d
an
x
ie
t
y
U
n
d
er
s
ta
n
d
in
g
th
e
ex
p
er
ien
ce
a
m
o
n
g
p
eo
p
le
w
it
h
HI
V
is
i
m
p
o
r
tan
t
to
g
u
id
e
a
ctio
n
s
in
t
h
e
h
ea
lt
h
p
r
ac
tice
to
s
u
p
p
o
r
t
th
em
d
u
r
i
n
g
t
h
eir
s
u
f
f
er
i
n
g
s
tag
e
.
Hea
lt
h
ca
r
e
p
r
o
f
ess
io
n
al
s
h
a
v
e
to
ex
p
an
d
th
eir
r
o
le
to
m
o
tiv
a
te
th
e
s
e
p
atien
t
s
f
o
r
a
b
etter
q
u
alit
y
o
f
lif
e.
T
h
e
r
esu
lts
w
er
e
id
en
tifie
d
in
th
i
s
s
t
u
d
y
,
p
eo
p
le
liv
in
g
w
it
h
HI
V
h
a
v
e
ex
p
er
ien
ce
e
s
in
m
e
n
t
al
s
u
f
f
er
in
g
,
a
n
d
h
o
w
e
v
er
th
e
y
w
a
n
ted
to
b
e
f
r
ee
f
r
o
m
m
en
t
al
s
u
f
f
er
i
n
g
.
T
h
ese
p
eo
p
le
tr
u
s
t
th
e
HI
V
/
A
I
D
S
d
is
ea
s
e
is
n
o
t
co
n
ta
g
io
u
s
an
d
t
h
er
e
is
a
h
o
p
e
f
o
r
th
e
m
to
liv
e
an
d
p
er
f
o
r
m
i
n
g
ac
tiv
i
ties
to
i
m
p
r
o
v
e
th
e
q
u
ali
t
y
o
f
lif
e.
T
h
e
p
r
o
ce
s
s
o
f
r
ev
ea
lin
g
HI
V/
A
I
DS
co
n
d
itio
n
s
all
o
w
ed
u
s
to
d
escr
ib
e
b
etter
u
n
d
er
s
tan
d
i
n
g
o
f
th
e
p
h
en
o
m
e
n
o
n
e
s
p
ec
iall
y
in
li
g
h
t o
f
d
elib
er
ate
p
u
b
lic
m
is
co
n
c
ep
tio
n
s
ab
o
u
t H
I
V/
A
I
DS d
is
e
ase.
ACK
NO
WL
E
D
G
E
M
E
NT
S
W
e
w
o
u
ld
li
k
e
to
e
x
p
r
ess
o
u
r
s
p
ec
ial
t
h
an
k
s
to
all
o
f
t
h
e
p
ar
ticip
an
ts
f
o
r
s
h
ar
i
n
g
th
eir
ex
p
er
ien
ce
s
.
W
e
also
r
ec
eiv
ed
s
u
p
p
o
r
t
f
r
o
m
C
o
m
m
u
n
it
y
I
n
te
g
r
ated
Hea
lth
C
en
ter
,
Sch
o
o
l
o
f
H
ea
lth
Scie
n
ce
s
i
n
I
n
d
r
a
m
a
y
u
an
d
Sc
h
o
o
l o
f
Nu
r
s
in
g
i
n
Facu
lt
y
o
f
Me
d
icin
e,
B
r
a
w
ij
a
y
a
U
n
iv
er
s
it
y
.
RE
F
E
R
E
NC
E
S
[1
]
S
.
R.
C
h
a
u
d
o
ir,
e
t
a
l.
,
“
Un
d
e
rs
tan
d
i
n
g
HIV
d
isc
lo
su
re
:
A
re
v
iew
a
n
d
a
p
p
li
c
a
ti
o
n
o
f
th
e
sisc
l
o
su
re
p
r
o
c
e
ss
e
s
m
o
d
e
l,
”
S
o
c
ia
l
S
c
ien
c
e
&
M
e
d
ici
n
e
,
v
o
l
/i
ss
u
e
:
72
(
10
)
,
p
p
.
1
6
1
8
-
1
6
2
9
,
2
0
1
1
.
[2
]
G
.
Ro
u
lea
u
,
e
t
a
l.
,
“
Disc
lo
s
u
re
e
x
p
e
rien
c
e
in
a
c
o
n
v
e
n
ien
c
e
sa
m
p
le
o
f
q
u
e
b
e
c
-
b
o
r
n
w
o
m
e
n
li
v
in
g
w
it
h
HIV
:
A
p
h
e
n
o
m
e
n
o
lo
g
ica
l
stu
d
y
,”
BM
C
W
o
me
n
'
s He
a
lt
h
,
v
o
l/
issu
e
:
1
2
(
3
7
)
,
p
p
.
1
-
11
,
2
0
1
2
.
[3
]
S
.
E.
S
t
u
tt
e
rh
e
im
,
e
t
a
l.
,
“
Disc
lo
su
re
o
f
HIV
sta
tu
s to
h
e
a
lt
h
c
a
re
p
ro
v
id
e
rs
in
th
e
Ne
th
e
rlan
d
s:
A
q
u
a
li
tativ
e
stu
d
y
,
”
J
o
u
rn
a
l
o
f
th
e
Asso
c
ia
ti
o
n
o
f
Nu
r
se
s in
AIDS
C
a
re
,
v
o
l
/i
ss
u
e
:
2
7(
4
)
,
p
p
.
4
8
5
-
4
9
4
,
2
0
1
6
.
[4
]
J.
D.
P
.
Bird
a
n
d
D.
R.
Vo
isin
,
“
Yo
u
’re
a
n
o
p
e
n
targ
e
t
to
b
e
a
b
u
s
e
d
”
:
A
q
u
a
li
tativ
e
stu
d
y
o
f
stig
m
a
a
n
d
HIV
se
lf
-
d
isc
lo
su
re
a
m
o
n
g
b
lac
k
m
e
n
w
h
o
h
a
v
e
se
x
w
it
h
m
e
n
,
”
Ame
ric
a
n
J
o
u
rn
a
l
o
f
Pu
b
li
c
He
a
lt
h
,
v
o
l/
iss
u
e
:
1
0
3
(1
2
)
,
p
p
.
2
1
9
3
-
2
1
9
9
,
2
0
1
3
.
[5
]
D.
F
.
P
o
li
t
a
n
d
C.
T
.
Be
c
k
,
“
Nu
rsin
g
Re
se
a
r
c
h
:
G
e
n
e
ra
ti
n
g
a
n
d
As
se
ss
in
g
Ev
id
e
n
c
e
f
o
r
Nu
rsin
g
P
ra
c
ti
c
e
,”
Nin
th
e
d
it
io
n
,
L
ip
p
in
c
o
tt
W
il
li
a
n
&
W
i
l
k
in
s.
P
h
i
lad
e
lp
h
ia
,
p
p
.
1
5
2
-
5
2
2
,
2
0
1
2
.
[6
]
S
.
G
.
Je
a
n
f
re
a
u
a
n
d
L
.
J
a
c
k
,
“
A
p
p
ra
isin
g
Qu
a
li
tativ
e
Re
se
a
rc
h
in
He
a
lt
h
Ed
u
c
a
ti
o
n
:
G
u
id
e
li
n
e
s
f
o
r
P
u
b
li
c
He
a
lt
h
Ed
u
c
a
to
rs,”
He
a
l
th
Pro
mo
t
Pra
c
,
v
o
l/
issu
e
:
1
1
(5
)
,
p
p
.
6
1
2
-
6
1
7
,
2
0
1
0
.
[7
]
A
.
E.
A
rr
e
y
,
e
t
a
l.
,
“
It’s
m
y
s
e
c
r
e
t”:
F
e
a
r
o
f
d
isc
lo
su
re
a
m
o
n
g
S
u
b
-
S
a
h
a
ra
n
Af
ric
a
n
m
ig
ra
n
t
w
o
m
e
n
li
v
in
g
w
it
h
HIV
/
A
IDS
in
Be
lg
iu
m
,
”
PL
o
S
O
NE
,
v
o
l/
issu
e
:
1
0
(
3
)
,
p
p
.
1
-
22
,
2
0
1
5
.
[8
]
J.
S
.
M
e
rli
n
,
e
t
a
l
.
,
“
T
w
o
P
a
in
s
T
o
g
e
th
e
r:P
a
ti
e
n
t
P
e
rsp
e
c
ti
v
e
s
o
n
P
sy
c
h
o
lo
g
ica
l
A
sp
e
c
ts
o
f
Ch
ro
n
ic
P
a
in
w
h
il
e
L
iv
in
g
w
it
h
HIV
,”
P
L
o
S
ONE
,
v
o
l/
issu
e
:
9
(
1
1
)
,
p
p
.
e
1
1
1
7
6
5
,
2
0
1
4
.
[9
]
R.
Ka
n
t,
“
A
Co
m
p
a
ra
ti
v
e
S
tu
d
y
o
f
P
h
e
n
o
m
e
n
o
lo
g
y
o
f
De
p
re
ss
i
o
n
b
e
tw
e
e
n
T
h
e
HIV
P
o
sitv
e
P
a
t
i
e
n
ts
A
tt
e
n
d
in
g
HIV
Cli
n
ic
a
n
d
T
h
e
P
a
ti
e
n
ts
A
tt
e
n
d
in
g
P
sy
c
h
iatr
y
OP
D,”
Glo
b
a
l
J
o
u
rn
a
l
f
o
r
Res
e
a
rc
h
A
n
a
lys
is
,
v
o
l/
issu
e
:
3
(
6
),
p
p
.
1
5
5
-
1
5
6
,
2
0
1
4
.
[1
0
]
S.
Ya
d
a
v
,
“
P
e
rc
e
iv
e
d
so
c
ial
su
p
p
o
rt,
h
o
p
e
,
a
n
d
q
u
a
li
ty
o
f
li
f
e
o
f
p
e
rso
n
s
li
v
in
g
w
it
h
HIV
/A
IDS:
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1
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
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SS
N:
2252
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8806
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a
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HI
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483
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1
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J.
R.
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tclif
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n
d
K.
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k
,
“
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ter
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w
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HIV
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S
,”
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li
t
a
ti
v
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o
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.
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t
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“
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.
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t
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lew
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.
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t
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l.
,
“
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w
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n
z
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a
rc
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.
M
.
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l.
,
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a
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t
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tu
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d
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r
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ra
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n
y
a
:
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q
u
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li
tativ
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stu
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y
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C
Pu
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li
c
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e
a
lt
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v
o
l.
13
,
p
p
.
1
1
1
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2
0
1
3
.
B
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g
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a
c
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lt
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e
d
i
c
in
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,
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iv
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rsity
o
f
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w
ij
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y
a
.
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r
sp
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lt
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h
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y
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r
p
u
b
li
c
a
ti
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2
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,
“
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re
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e
rs
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teg
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a
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ss
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v
e
in
d
e
m
e
n
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ts”
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w
h
ich
is
so
ld
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n
li
n
e
,
m
o
ti
v
a
ted
h
e
r
to
d
o
m
o
re
q
u
a
li
tativ
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e
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rc
h
in
n
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rsin
g
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h
e
b
e
li
e
v
e
s
th
a
t
q
u
a
li
tativ
e
re
se
a
rc
h
is
re
lev
a
n
t
to
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e
im
p
lem
e
n
ted
in
n
u
r
sin
g
f
ield
.
W
e
n
n
y
Nu
g
r
a
h
a
ti
Ca
r
sita
is
a
lec
tu
re
r
in
S
c
h
o
o
l
o
f
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a
lt
h
S
c
ien
c
e
s
in
In
d
ra
m
a
y
u
.
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r
sp
e
c
ialt
y
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in
m
e
n
tal
h
e
a
lt
h
n
u
rs
in
g
.
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h
e
re
c
e
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d
h
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b
a
c
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n
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th
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w
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sh
e
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rk
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t
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m
o
m
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t
.
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a
ste
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w
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s
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c
h
iev
e
d
f
ro
m
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h
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l
o
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rsin
g
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a
c
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ty
o
f
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e
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iv
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o
f
Bra
w
ij
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y
a
.
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h
e
to
o
k
h
e
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m
a
ste
r
sp
e
c
i
a
lt
y
in
m
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tal
h
e
a
lt
h
n
u
rsi
n
g
.
S
h
e
h
a
s se
v
e
ra
l
a
w
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rd
s f
ro
m
h
e
r
b
a
c
h
e
lo
r
a
n
d
h
e
r
m
a
ste
r
a
s h
ig
h
d
isti
n
c
ti
o
n
st
u
d
e
n
t
.
Evaluation Warning : The document was created with Spire.PDF for Python.