Interaction of social support and depressive symptoms on antiretroviral therapy adherence among people living with HIV in South Africa

Health SA Gesondheid

 
 
Field Value
 
Title Interaction of social support and depressive symptoms on antiretroviral therapy adherence among people living with HIV in South Africa
 
Creator Luthuli, Muziwandile Q. John-Langba, Johannes
 
Subject — ART adherence; depressive symptoms; HIV; social support; South Africa
Description Background: Depression consistently emerges as a significant predictor of poor antiretroviral therapy (ART) adherence among adult people living with human immunodeficiency virus (PLHIV). However, a gap exists regarding how social support and depressive symptoms can interact to influence ART adherence among adult PLHIV in South Africa (SA).Aim: To investigate the interaction between social support and depressive symptoms on ART adherence among adult PLHIV.Setting: A tertiary hospital in Durban, KwaZulu-Natal province of SA.Methods: Utilising a quantitative cross-sectional research design along with time location sampling technique (TLS); the study recruited 201 adult patients enrolled in an ART programme.Results: The results indicated that depressive symptoms were significantly associated with ART adherence with and without the interaction (B = -0.105; odds ratios [OR] 0.901; 95% confidence intervals [CI] = 0.827, 0.981; p = 0.016), while social support was not significantly associated with ART adherence (B = 0.007; OR 1.007; 95%CI = 0.989, 1.025; p = 0.475). However, a statistically significant interaction was found between social support and depressive symptoms (B = -0.006; OR 0.994; 95%CI = 0.989, 1.000; p = 0.037) on ART adherence.Conclusion: Based on the results, depressive symptoms significantly influenced ART adherence. However, social support did not buffer the adverse effects of clinical depression associated with poor ART adherence.Contribution: This study provides an evidence-based approach to address gaps in the mental health and social well-being of PLHIV in the context of ART adherence.
 
Publisher AOSIS Publishing
 
Contributor National Research Foundation (NRF)
Date 2024-06-06
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/hsag.v29i0.2271
 
Source Health SA Gesondheid; Vol 29 (2024); 10 pages 2071-9736 1025-9848
 
Language eng
 
Relation
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Rights Copyright (c) 2024 Muziwandile Q. Luthuli, Johannes John-Langba https://creativecommons.org/licenses/by/4.0
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