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Adherence to HIV/AIDS antiretroviral therapy among drug users: A qualitative study in Iran

BACKGROUND: The introduction of antiretroviral therapy has caused a remarkable decrease in the occurrence of diseases and mortality among HIV-positive patients, while this success has not been achieved among injection addicts due to a low adherence to antiretroviral medicine. This study aims at clar...

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Autores principales: Hosseini, Zahra, Eftkhar, Hasan, Nedjat, Saharnaz, Ebadi, Abbas, Abbasian, Ladan, Zamani, Fereshte, Aghamollaei, Teamur, Shojaeizade, Davood
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776558/
https://www.ncbi.nlm.nih.gov/pubmed/26985220
http://dx.doi.org/10.4103/1735-9066.174757
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author Hosseini, Zahra
Eftkhar, Hasan
Nedjat, Saharnaz
Ebadi, Abbas
Abbasian, Ladan
Zamani, Fereshte
Aghamollaei, Teamur
Shojaeizade, Davood
author_facet Hosseini, Zahra
Eftkhar, Hasan
Nedjat, Saharnaz
Ebadi, Abbas
Abbasian, Ladan
Zamani, Fereshte
Aghamollaei, Teamur
Shojaeizade, Davood
author_sort Hosseini, Zahra
collection PubMed
description BACKGROUND: The introduction of antiretroviral therapy has caused a remarkable decrease in the occurrence of diseases and mortality among HIV-positive patients, while this success has not been achieved among injection addicts due to a low adherence to antiretroviral medicine. This study aims at clarifying the important factors affecting adherence to treatment in addicts suffering from HIV. MATERIALS AND METHODS: In this qualitative research, data were gathered through in-depth interviews and field notes, and were interpreted through content analysis in the form of constant comparison. The participants were 16 drug addicts living with HIV/AIDS. Most of them had records of imprisonment and were receiving Highly Active Antiretroviral Therapy (HAART) drug treatments in the AIDS center of Imam Khomeini Hospital complex, affiliated to Tehran University of Medical Sciences. Sampling was started in a purposive method and was continued until data were saturated. RESULTS: Four main categories including psychological reactions, contradictory beliefs, perceived support, and individual and environmental barriers were extracted from the data, each having some sub-categories. CONCLUSIONS: The obtained results indicated that adherence to the treatment of HIV is not constant and mono-dimensional, but is a function of different factors. Hence, an individual having feeble adherence in a specific time and under specific circumstances may show desirable adherence under a different circumstance. Thus, treatment of addicts living with HIV/AIDS requires physical, psychological, and social attention along with drug treatments.
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spelling pubmed-47765582016-03-16 Adherence to HIV/AIDS antiretroviral therapy among drug users: A qualitative study in Iran Hosseini, Zahra Eftkhar, Hasan Nedjat, Saharnaz Ebadi, Abbas Abbasian, Ladan Zamani, Fereshte Aghamollaei, Teamur Shojaeizade, Davood Iran J Nurs Midwifery Res Original Article BACKGROUND: The introduction of antiretroviral therapy has caused a remarkable decrease in the occurrence of diseases and mortality among HIV-positive patients, while this success has not been achieved among injection addicts due to a low adherence to antiretroviral medicine. This study aims at clarifying the important factors affecting adherence to treatment in addicts suffering from HIV. MATERIALS AND METHODS: In this qualitative research, data were gathered through in-depth interviews and field notes, and were interpreted through content analysis in the form of constant comparison. The participants were 16 drug addicts living with HIV/AIDS. Most of them had records of imprisonment and were receiving Highly Active Antiretroviral Therapy (HAART) drug treatments in the AIDS center of Imam Khomeini Hospital complex, affiliated to Tehran University of Medical Sciences. Sampling was started in a purposive method and was continued until data were saturated. RESULTS: Four main categories including psychological reactions, contradictory beliefs, perceived support, and individual and environmental barriers were extracted from the data, each having some sub-categories. CONCLUSIONS: The obtained results indicated that adherence to the treatment of HIV is not constant and mono-dimensional, but is a function of different factors. Hence, an individual having feeble adherence in a specific time and under specific circumstances may show desirable adherence under a different circumstance. Thus, treatment of addicts living with HIV/AIDS requires physical, psychological, and social attention along with drug treatments. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4776558/ /pubmed/26985220 http://dx.doi.org/10.4103/1735-9066.174757 Text en Copyright: © Iranian Journal of Nursing and Midwifery Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Hosseini, Zahra
Eftkhar, Hasan
Nedjat, Saharnaz
Ebadi, Abbas
Abbasian, Ladan
Zamani, Fereshte
Aghamollaei, Teamur
Shojaeizade, Davood
Adherence to HIV/AIDS antiretroviral therapy among drug users: A qualitative study in Iran
title Adherence to HIV/AIDS antiretroviral therapy among drug users: A qualitative study in Iran
title_full Adherence to HIV/AIDS antiretroviral therapy among drug users: A qualitative study in Iran
title_fullStr Adherence to HIV/AIDS antiretroviral therapy among drug users: A qualitative study in Iran
title_full_unstemmed Adherence to HIV/AIDS antiretroviral therapy among drug users: A qualitative study in Iran
title_short Adherence to HIV/AIDS antiretroviral therapy among drug users: A qualitative study in Iran
title_sort adherence to hiv/aids antiretroviral therapy among drug users: a qualitative study in iran
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776558/
https://www.ncbi.nlm.nih.gov/pubmed/26985220
http://dx.doi.org/10.4103/1735-9066.174757
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