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Factors Supporting and Inhibiting Adherence to HIV Medication Regimen in Women: A Qualitative Analysis of Patient Interviews

Adherence to antiretroviral therapy reduces morbidity and mortality; however rates of non-adherence are variable among women for unclear reasons. This study was a single-center qualitative analysis of interviews with 18 female HIV-positive non-adherent patients (defined by virologic failure) to expl...

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Autores principales: Fagbami, Oluwakemi, Oluwasanjo, Adetokunbo, Fitzpatrick, Carrie, Fairchild, Rebecca, Shin, Ann, Donato, Anthony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4483537/
https://www.ncbi.nlm.nih.gov/pubmed/26157537
http://dx.doi.org/10.2174/1874613601509010045
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author Fagbami, Oluwakemi
Oluwasanjo, Adetokunbo
Fitzpatrick, Carrie
Fairchild, Rebecca
Shin, Ann
Donato, Anthony
author_facet Fagbami, Oluwakemi
Oluwasanjo, Adetokunbo
Fitzpatrick, Carrie
Fairchild, Rebecca
Shin, Ann
Donato, Anthony
author_sort Fagbami, Oluwakemi
collection PubMed
description Adherence to antiretroviral therapy reduces morbidity and mortality; however rates of non-adherence are variable among women for unclear reasons. This study was a single-center qualitative analysis of interviews with 18 female HIV-positive non-adherent patients (defined by virologic failure) to explore psychosocial factors impacting adherence. Factors identified were categorized as promoting, inhibiting or having no effect on adherence. Three themes, characterized as social factors, illness factors and other societal pressures, were identified. Medical systems support, family support and compliance for children were most commonly identified as promoting adherence, while psychiatric comorbidities, lack of medical systems support and side effects were identified most often as inhibitors of adherence. While stigma was frequently identified, it was not seen as a barrier to adherence. Enhancing relationships between patients and their providers as well as their community support systems are critical avenues to pursue in improving compliance. Interventions to promote compliance are important avenues of future research.
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spelling pubmed-44835372015-07-08 Factors Supporting and Inhibiting Adherence to HIV Medication Regimen in Women: A Qualitative Analysis of Patient Interviews Fagbami, Oluwakemi Oluwasanjo, Adetokunbo Fitzpatrick, Carrie Fairchild, Rebecca Shin, Ann Donato, Anthony Open AIDS J Article Adherence to antiretroviral therapy reduces morbidity and mortality; however rates of non-adherence are variable among women for unclear reasons. This study was a single-center qualitative analysis of interviews with 18 female HIV-positive non-adherent patients (defined by virologic failure) to explore psychosocial factors impacting adherence. Factors identified were categorized as promoting, inhibiting or having no effect on adherence. Three themes, characterized as social factors, illness factors and other societal pressures, were identified. Medical systems support, family support and compliance for children were most commonly identified as promoting adherence, while psychiatric comorbidities, lack of medical systems support and side effects were identified most often as inhibitors of adherence. While stigma was frequently identified, it was not seen as a barrier to adherence. Enhancing relationships between patients and their providers as well as their community support systems are critical avenues to pursue in improving compliance. Interventions to promote compliance are important avenues of future research. Bentham Open 2015-05-15 /pmc/articles/PMC4483537/ /pubmed/26157537 http://dx.doi.org/10.2174/1874613601509010045 Text en © Fagbami et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Fagbami, Oluwakemi
Oluwasanjo, Adetokunbo
Fitzpatrick, Carrie
Fairchild, Rebecca
Shin, Ann
Donato, Anthony
Factors Supporting and Inhibiting Adherence to HIV Medication Regimen in Women: A Qualitative Analysis of Patient Interviews
title Factors Supporting and Inhibiting Adherence to HIV Medication Regimen in Women: A Qualitative Analysis of Patient Interviews
title_full Factors Supporting and Inhibiting Adherence to HIV Medication Regimen in Women: A Qualitative Analysis of Patient Interviews
title_fullStr Factors Supporting and Inhibiting Adherence to HIV Medication Regimen in Women: A Qualitative Analysis of Patient Interviews
title_full_unstemmed Factors Supporting and Inhibiting Adherence to HIV Medication Regimen in Women: A Qualitative Analysis of Patient Interviews
title_short Factors Supporting and Inhibiting Adherence to HIV Medication Regimen in Women: A Qualitative Analysis of Patient Interviews
title_sort factors supporting and inhibiting adherence to hiv medication regimen in women: a qualitative analysis of patient interviews
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4483537/
https://www.ncbi.nlm.nih.gov/pubmed/26157537
http://dx.doi.org/10.2174/1874613601509010045
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