Factors contributing to antiretroviral drug adherence among adults living with HIV or AIDS in a Kenyan rural community
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Factors contributing to antiretroviral drug adherence among adults living with HIV or AIDS in a Kenyan rural community | |
| Creator | Kioko, Mary T. Pertet, Anne M. | |
| Description | Background: Antiretroviral (ARV) adherence of ≥ 95% is recommended for suppressing HIV. However, studies have shown that the ≥ 95% recommended level is rarely achieved.Objective: This cross-sectional community-based study sought to assess factors contributing to ARV drug adherence among adults living with HIV or AIDS.Setting: The study was conducted in a rural community in Machakos County, Kenya.Methods: The questions used for the study were adapted from the Patient Medicine Adherence Questionnaire (PMAQ), a tool grounded in the Health Belief Model. Adherence to ARV was measured using self-reports and pill counts. The perception social support was measured with a 5-point Likert scale, whereas the type and the number of side effects experienced were recorded using ‘yes’ and ‘no’ questions. We used the chi-square test to test associations and binary logistic regression to assess factors explaining dose adherence to ARV.Results: The levels of adherence of 86% using self-reports were significantly higher (p 0.001) than the pill count of 58.6%. The immediate family was rated high in providing social support (3.7 ± 0.6) followed by social support groups (3.1 ± 0.8). A binary logistic regression analysis was conducted to predict ARV adherence (adherent, non-adherent) using social support, side effects and marital status as explanatory variables. The Wald criterion demonstrated that marital status (p = 0.019) and burden of side effects (p ≤ 0.001) made a significant contribution to the prediction of ARV adherence.Conclusion: The burden of side effects and being a divorcee are primary predictors of ARV adherence. | |
| Publisher | AOSIS | |
| Date | 2017-07-31 | |
| Identifier | 10.4102/phcfm.v9i1.1343 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 9, No 1 (2017); 7 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/1343/2165
https://phcfm.org/index.php/phcfm/article/view/1343/2164
https://phcfm.org/index.php/phcfm/article/view/1343/2166
https://phcfm.org/index.php/phcfm/article/view/1343/2127
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