Multi-level Determinants of Clinic Attendance and Antiretroviral Treatment Adherence Among Fishermen Living with HIV/AIDS in Communities on Lake Victoria, Uganda.
This cross-sectional study assessed determinants of HIV clinic appointment attendance and antiretroviral treatment (ART) adherence among 300 male fisherfolk on ART in Wakiso District, Uganda. Multi-level factors associated with missed HIV clinic visits included those at the individual (age, AOR = 0....
| Publicado en: | AIDS & Behavior Vol. 23; no. 2; pp. 406 - 418 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134611408&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134611408 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Feb2019 vid: 23 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 134611408 134611408 134611408 10.1007/s10461-018-2207-1 134611408 ppf: 406 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Multi-level Determinants of Clinic Attendance and Antiretroviral Treatment Adherence Among Fishermen Living with HIV/AIDS in Communities on Lake Victoria, Uganda. aug: au: Sileo, K. M. Wanyenze, R. K. Kizito, W. Reed, E. Brodine, S. K. Chemusto, H. Musoke, W. Mukasa, B. Kiene, S. M. affil: Graduate School of Public Health, San Diego State University, San Diego, CA, USA sug: subj: HIV Infections Drug Therapy HIV Infections Psychosocial Factors Anti-Retroviral Agents Medication Compliance Evaluation Patient Compliance Human Uganda Male HIV-Positive Persons Cross Sectional Studies Appointments and Schedules Evaluation Interpersonal Relations Confidence Intervals Health Services Accessibility Stigma Age Factors Support, Psychosocial Socioeconomic Factors Descriptive Statistics Male ab: This cross-sectional study assessed determinants of HIV clinic appointment attendance and antiretroviral treatment (ART) adherence among 300 male fisherfolk on ART in Wakiso District, Uganda. Multi-level factors associated with missed HIV clinic visits included those at the individual (age, AOR = 0.98, 95% CI 0.97-0.99), interpersonal (being single/separated from partner, AOR: 1.25, 95% CI 1.01-1.54), normative (anticipated HIV stigma, AOR: 1.55, 95% CI 1.05-2.29) and physical/built environment-level (travel time to the HIV clinic, AOR: 1.11, 95% CI 1.02-1.20; structural-barriers to ART adherence, AOR: 1.27, 95% CI 1.04-1.56; accessing care on a landing site vs. an island, AOR: 1.35, 95% CI 1.08-1.67). Factors associated with ART non-adherence included those at the individual (age, β: − 0.01, η2 = 0.03; monthly income, β: − 0.01, η2 = 0.02) and normative levels (anticipated HIV stigma, β: 0.10, η2 = 0.02; enacted HIV stigma, β: 0.11, η2 = 0.02). Differentiated models of HIV care that integrate stigma reduction and social support, and reduce the number of clinic visits needed, should be explored in this setting to reduce multi-level barriers to accessing HIV care and ART adherence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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