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Factors influencing adherence to antiretroviral therapy among HIV/AIDS patients in the Ga West Municipality, Ghana
OBJECTIVES: Antiretroviral therapy (ART) is used to suppress the HIV viral load but requires optimal adherence to be effective. This study examined the factors influencing ART adherence among HIV-positive clients in the Ga West Municipality, Ghana using the Health Belief Model (HBM). METHODS: A faci...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9216268/ https://www.ncbi.nlm.nih.gov/pubmed/35755462 http://dx.doi.org/10.1016/j.ijregi.2022.04.009 |
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author | Addo, Mavis Kessewa Aboagye, Richard Gyan Tarkang, Elvis Enowbeyang |
author_facet | Addo, Mavis Kessewa Aboagye, Richard Gyan Tarkang, Elvis Enowbeyang |
author_sort | Addo, Mavis Kessewa |
collection | PubMed |
description | OBJECTIVES: Antiretroviral therapy (ART) is used to suppress the HIV viral load but requires optimal adherence to be effective. This study examined the factors influencing ART adherence among HIV-positive clients in the Ga West Municipality, Ghana using the Health Belief Model (HBM). METHODS: A facility-based cross-sectional design was adopted among 397 HIV clients aged 18 years and above. Data were collected using an interviewer-administered questionnaire and analysed using Stata version 16.0. Binary logistic regression was performed at the P < 0.05 level. RESULTS: Adherence to ART was 44.6%. Clients who took less than 30 minutes to reach ART sites were 59% less likely to adhere to ART (odds ratio (OR) 0.41, 95% confidence interval (CI) 0.20–0.82). Clients who thought they lost income when they went to obtain their ART refill were more likely to adhere to ART (OR 1.71, 95% CI 1.04–2.83), as were those who developed side effects (OR 1.74, 95% CI 1.05–2.89) (perceived barriers). Clients who had confidence in their ability to take their medications (self-efficacy) (OR 1.86, 95% CI 1.05–3.31) and those who received reminders from health workers (cues to action) (OR 1.91, 95% CI 1.04–3.53) were more likely to adhere to ART. CONCLUSIONS: Interventions should focus on increasing client confidence in adhering to ART. Providers should be empowered to provide reminders to patients. |
format | Online Article Text |
id | pubmed-9216268 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-92162682022-06-24 Factors influencing adherence to antiretroviral therapy among HIV/AIDS patients in the Ga West Municipality, Ghana Addo, Mavis Kessewa Aboagye, Richard Gyan Tarkang, Elvis Enowbeyang IJID Reg Original Report OBJECTIVES: Antiretroviral therapy (ART) is used to suppress the HIV viral load but requires optimal adherence to be effective. This study examined the factors influencing ART adherence among HIV-positive clients in the Ga West Municipality, Ghana using the Health Belief Model (HBM). METHODS: A facility-based cross-sectional design was adopted among 397 HIV clients aged 18 years and above. Data were collected using an interviewer-administered questionnaire and analysed using Stata version 16.0. Binary logistic regression was performed at the P < 0.05 level. RESULTS: Adherence to ART was 44.6%. Clients who took less than 30 minutes to reach ART sites were 59% less likely to adhere to ART (odds ratio (OR) 0.41, 95% confidence interval (CI) 0.20–0.82). Clients who thought they lost income when they went to obtain their ART refill were more likely to adhere to ART (OR 1.71, 95% CI 1.04–2.83), as were those who developed side effects (OR 1.74, 95% CI 1.05–2.89) (perceived barriers). Clients who had confidence in their ability to take their medications (self-efficacy) (OR 1.86, 95% CI 1.05–3.31) and those who received reminders from health workers (cues to action) (OR 1.91, 95% CI 1.04–3.53) were more likely to adhere to ART. CONCLUSIONS: Interventions should focus on increasing client confidence in adhering to ART. Providers should be empowered to provide reminders to patients. Elsevier 2022-04-28 /pmc/articles/PMC9216268/ /pubmed/35755462 http://dx.doi.org/10.1016/j.ijregi.2022.04.009 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Report Addo, Mavis Kessewa Aboagye, Richard Gyan Tarkang, Elvis Enowbeyang Factors influencing adherence to antiretroviral therapy among HIV/AIDS patients in the Ga West Municipality, Ghana |
title | Factors influencing adherence to antiretroviral therapy among HIV/AIDS patients in the Ga West Municipality, Ghana |
title_full | Factors influencing adherence to antiretroviral therapy among HIV/AIDS patients in the Ga West Municipality, Ghana |
title_fullStr | Factors influencing adherence to antiretroviral therapy among HIV/AIDS patients in the Ga West Municipality, Ghana |
title_full_unstemmed | Factors influencing adherence to antiretroviral therapy among HIV/AIDS patients in the Ga West Municipality, Ghana |
title_short | Factors influencing adherence to antiretroviral therapy among HIV/AIDS patients in the Ga West Municipality, Ghana |
title_sort | factors influencing adherence to antiretroviral therapy among hiv/aids patients in the ga west municipality, ghana |
topic | Original Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9216268/ https://www.ncbi.nlm.nih.gov/pubmed/35755462 http://dx.doi.org/10.1016/j.ijregi.2022.04.009 |
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