{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T22:21:09Z","timestamp":1790029269072,"version":"4.0.1"},"reference-count":53,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"vor","delay-in-days":308,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007861","name":"University of Gondar","doi-asserted-by":"publisher","award":["AC\/V\/02\/103\/2022"],"award-info":[{"award-number":["AC\/V\/02\/103\/2022"]}],"id":[{"id":"10.13039\/501100007861","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Self\u2010management (SM) is the gold standard of care and is the direct active participation of patients in their disease management. Condition\u2010specific factors, physical and social environment, individual and family, and the process of SM are factors that influence SM in people living with human immunodeficiency virus (PLHIV). Poor SM leads to high retroviral infection transmission, mortality, and morbidity.<\/jats:p><jats:p><jats:bold>Objective:<\/jats:bold> This study was aimed at assessing SM and its associated factors among PLHIV at the University of Gondar Comprehensive Specialized Hospital (UOGCSH), Northwest Ethiopia.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A cross\u2010sectional study was conducted using a systematic random sampling technique at the UOGCSH from May 20 to July 30, 2022. The data were collected using a previously validated tool and were entered and analyzed using Statistical Package for Social Sciences Version 25. A binary logistic regression analysis was used to identify factors associated with poor SM. The statistical significance was considered at a <jats:italic>p<\/jats:italic> value &lt;\u20090.05.<\/jats:p><jats:p><jats:bold>Result:<\/jats:bold> Of 419 PLHIV, the median (IQR) SM score was 39 (9), and above half (52.6%, 95% CI: 48%\u201357%) of them had poor SM. Being unemployed (AOR = 2.49, 95<jats:italic>%<\/jats:italic>CI = 1.19, 5.19), living alone (AOR = 2.16, 95<jats:italic>%<\/jats:italic>CI = 1.12, 4.17), unfamiliar with the management of HIV\u2010related symptoms (AOR = 3.59, 95<jats:italic>%<\/jats:italic>CI = 2.08, 6.20), poor social support (AOR = 3.02, 95<jats:italic>%<\/jats:italic>CI = 1.54, 5.93), poor self\u2010efficacy (AOR = 3.04, 95<jats:italic>%<\/jats:italic>CI = 1.83, 5.06), and unsupported by the adherence support group (AOR = 17.17, 95<jats:italic>%<\/jats:italic>CI = 8.37, 35.22) were significantly associated with poor SM.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> The majority of PLHIV had poor SM. This study supports the findings of individual family SM theory and previously published studies regarding factors affecting SM. The government, hospital, adherence support groups, and PLHIV should work on modifiable sociodemographic, condition\u2010specific, and process of SM to improve SM of PLHIV.<\/jats:p>","DOI":"10.1155\/2024\/5590331","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T06:07:07Z","timestamp":1730786827000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Self\u2010Management and Its Associated Factors Among People Living With HIV at University of Gondar Comprehensive Specialized Hospital: A Cross\u2010Sectional Study"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6027-7253","authenticated-orcid":false,"given":"Abdisa Gemedi","family":"Jara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3633-3902","authenticated-orcid":false,"given":"Masho Tigabe","family":"Tekle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8879-5893","authenticated-orcid":false,"given":"Faisel Dula","family":"Sema","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7711-4546","authenticated-orcid":false,"given":"Banchamlak Teferi","family":"Mekonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5209-0683","authenticated-orcid":false,"given":"Asrat Elias","family":"Ergena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9428-394X","authenticated-orcid":false,"given":"Amensisa Hailu","family":"Tesfaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saron Naji","family":"Gebremariam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2560-2951","authenticated-orcid":false,"given":"Rahel Belete","family":"Abebe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0421-4327","authenticated-orcid":false,"given":"Eyayaw Ashete","family":"Belachew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abenezer Melaku","family":"Tafese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5779-5671","authenticated-orcid":false,"given":"Eden Abetu","family":"Mehari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"key":"e_1_2_15_1_2","volume-title":"FACT SHEET on GLOBAL HIV statistics: ending the AIDS epidemic UNAIDS","author":"UNAIDS","year":"2022"},{"key":"e_1_2_15_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-024-02502-5"},{"key":"e_1_2_15_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/1744-8603-7-33"},{"key":"e_1_2_15_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.5.555"},{"key":"e_1_2_15_5_2","first-page":"226","article-title":"Behavioral contributions to rehabilitation and childhood asthma","volume":"37","author":"Creer T. 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