The relationship between life satisfaction, personal health, quality of life, and medication adherence among adolescents living with HIV in southwestern Uganda.
Purpose: Adolescents living with HIV (ALHIV) are at high risk for adherence to antiretroviral (ART) treatment and poor health-seeking behaviors, both of which potentially compromise their quality of and satisfaction with life. This study, therefore, seeks to examine the relationship between physical...
| Publicado en: | Journal of Public Health: From Theory to Practice (2198-1833) Vol. 31; no. 7; pp. 1177 - 1185 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Jul2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=164434398&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 164434398 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 21981833 NENI jtl: Journal of Public Health: From Theory to Practice (2198-1833) issn: 21981833 maglogo: N pubinfo: dt: Jul2023 vid: 31 iid: 7 pid: 237 pub: Springer Nature artinfo: ui: 164434398 10.1007/s10389-021-01632-9 ppf: 1177 ppct: 8 formats: tig: atl: The relationship between life satisfaction, personal health, quality of life, and medication adherence among adolescents living with HIV in southwestern Uganda. aug: au: Byansi, William Nabunya, Proscovia Muwanga, Joelynn Mwebembezi, Abel Damulira, Christopher Mukasa, Barbara Zmachinski, Lily Nattabi, Jennifer Brathwaite, Rachel Namuwonge, Flavia Bahar, Ozge Sensoy Neilands, Torsten B. Mellins, Claude A. Ssewamala, Fred M. affil: Brown School, Washington University in St. Louis, One Brookings Drive, 63130, St. Louis, MO, USA International Center for Child Health and Development Field Office, Plot 23 Circular Rd, Masaka, Uganda Reach the Youth Uganda, Kampala, Uganda MildMay Uganda, Kampala, Uganda School of Medicine, University of California San Francisco, 550 16th Street, 94158, San Francisco, CA, USA Columbia University Medical Center, 630 West 168th Street, 10032, New York, NY, USA su: Uganda Satisfaction Health status indicators Quality of life Drugs Patient compliance Sociodemographic factors Adolescence HIV infections Antiretroviral agents Regression analysis Research funding Psychology of HIV-positive persons sug: subj: Satisfaction Health status indicators Quality of life Drugs Patient compliance Sociodemographic factors Adolescence Uganda Drugs and Druggists' Sundries Merchant Wholesalers Pharmaceuticals and pharmacy supplies merchant wholesalers Pharmaceutical and medicine manufacturing HIV infections Antiretroviral agents Regression analysis Research funding Psychology of HIV-positive persons keyword: Adolescents living with HIV ART adherence Life satisfaction Sub-Saharan Africa Adolescents living with HIV ART adherence Life satisfaction Sub-Saharan Africa ab: Purpose: Adolescents living with HIV (ALHIV) are at high risk for adherence to antiretroviral (ART) treatment and poor health-seeking behaviors, both of which potentially compromise their quality of and satisfaction with life. This study, therefore, seeks to examine the relationship between physical health, pediatric quality of life, life satisfaction, and medication adherence among ALHIV in southwestern Uganda. Methods: Baseline data from the Suubi+Adherence study, 2012–2018, that recruited 702 adolescents, aged 10–16 years, living with HIV in Uganda were analyzed. To account for overdispersion, negative binomial regression analyses were used to examine the impact of physical health, pediatric quality of life, and life satisfaction on self-reported medication adherence. We controlled for participants' socio-demographic factors. Results: Results indicated that after adjusting for socio-demographic characteristics, adolescents' reported satisfaction with life was associated with a decrease in the reported number of days missed taking medication by 41.2% (IRR (incidence risk ratio) = 0.588; p (p value) = 0.014). On the other hand, the low level of pediatric quality of life was associated with a 5% increase in the reported number of days missed taking medication (IRR = 1.055, p = 0.044). Personal health was not statistically significant in the model. Conclusion: Our study findings indicated that quality of life and life satisfaction are significantly associated with antiretroviral (ART) medication among ALHIV. Hence, strengthening existing support systems and creating additional support for optimal ART adherence and treatment outcomes for ALHIV in low-resource communities might be beneficial. Moreover, with the increasing HIV prevalence rates among adolescents, effective and comprehensive efforts that are responsive to the special needs of ALHIV must be developed to ensure optimal adherence to ART medication as it leads to low vertical infection and superinfection rates. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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