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. 2025 Sep 8;78(3):e20240470. doi: 10.1590/0034-7167-2024-0470

Chart 3. Predisposing, disabling, precipitating, and reinforcing factors of the nursing diagnosis “ineffective health self-management” in individuals living with HIV.

Predisposing factor
01 Alcohol use
02 Illicit drug use
03 Stigma and social isolation
04 Low education level
05 Mental disorders
06 Low income
07 Barriers to accessing healthcare services
08 Lack of support network
09 Race (Black or Brown)
10 Denial of disease
11 Age < 40 years
12 Time since diagnosis < 2 years
13 Unhealthy environment
14 Male sex
15 Religion/beliefs opposing the therapeutic plan
Disabling factor
01 Side effects of ART
02 Forgetfulness
03 Fear of diagnosis disclosure
04 High medication burden
05 Quality of care and/or relationship with healthcare professionals
06 Self-centeredness
07 Food insecurity
08 HIV clinical stage (WHO)
09 Coinfection (hepatitis and tuberculosis)
10 Medication unavailability
Precipitating factor
01 Destabilizing situations
02 Change in therapeutic regimen
Reinforcing factor
01 Occupational activity
02 Treatment duration < 1 year
03 Absence/deficiency of public policies