Illness perceptions, social support and antiretroviral medication adherence in people living with HIV in the greater Accra region, Ghana

<p>With the development of the antiretroviral therapy, the number of the people with HIV is increasing; therefore, identifying the factors affecting HIV is of great importance. This study aimed to investigate the relationship between the antiretroviral medication adherence and the rate of CD4 with depression and social support in the people with HIV. The research method was a descriptive study kind of correlation. The statistical population included all patients with HIV in Shiraz, of whom, 220 people who had referred to the Behavioral Diseases Consultation Center were selected using the available sampling method. Philips et al.’s Social Support Questionnaire, Beck's Depression Questionnaire II, and ACTG Medication Adherence Questionnaire were used as the research tools. Results were analyzed using the stepwise regression and stepwise hierarchical multiple regression. Regression analysis showed that social support and depression variables could predict totally 47% (P<0.001) of changes of medication adherence variable, and depression could predict only 2% (P<0.01) of rate variance of CD4.</p>

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An evaluation of impact of social support and care-giving on medication adherence of people living with HIV/AIDS

Medicine ◽

10.1097/md.0000000000011488 ◽

2018 ◽

Vol 97 (28) ◽

pp. e11488 ◽

Cited By ~ 1

Author(s):

Xing-Ming Li ◽

Xiao-Qing Yuan ◽

Alon Rasooly ◽

Scottie Bussell ◽

Jun-Jie Wang ◽

...

Keyword(s):

Social Support ◽

Medication Adherence ◽

People Living With Hiv ◽

Care Giving ◽

Living With Hiv ◽

Hiv Aids

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Qualitative Comparison of Barriers to Antiretroviral Medication Adherence Among Perinatally and Behaviorally HIV-Infected Youth

Qualitative Health Research ◽

10.1177/1049732317697674 ◽

2017 ◽

Vol 27 (8) ◽

pp. 1177-1189 ◽

Cited By ~ 19

Author(s):

Errol L. Fields ◽

Laura M. Bogart ◽

Idia B. Thurston ◽

Caroline H. Hu ◽

Margie R. Skeer ◽

...

Keyword(s):

Medication Adherence ◽

Comparative Method ◽

Qualitative Comparison ◽

Antiretroviral Medication ◽

Antiretroviral Medication Adherence ◽

Constant Comparative Method ◽

Perinatally Infected ◽

Youth Living With Hiv ◽

Living With Hiv ◽

Common Barriers

Medication adherence among youth living with HIV (28%–69%) is often insufficient for viral suppression. The psychosocial context of adherence barriers is complex. We sought to qualitatively understand adherence barriers among behaviorally infected and perinatally infected youth and develop an intervention specific to their needs. We conducted in-depth interviews with 30 youth living with HIV (aged 14–24 years) and analyzed transcripts using the constant comparative method. Barriers were influenced by clinical and psychosocial factors. Perinatally infected youth barriers included reactance, complicated regimens, HIV fatigue, and difficulty transitioning to autonomous care. Behaviorally infected youth barriers included HIV-related shame and difficulty initiating medication. Both groups reported low risk perception, medication as a reminder of HIV, and nondisclosure, but described different contexts to these common barriers. Common and unique barriers emerged for behaviorally infected and perinatally infected youth reflecting varying HIV experiences and psychosocial contexts. We developed a customizable intervention addressing identified barriers and their psychosocial antecedents.

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