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Psychosocial correlates of adherence...

Kamau, Thomas M.

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Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya./
作者:	Kamau, Thomas M.
面頁冊數:	190 p.
附註:	Source: Dissertation Abstracts International, Volume: 71-08, Section: B, page: 4797.
Contained By:	Dissertation Abstracts International71-08B.
標題:	African Studies. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3415843
ISBN:	9781124105208

Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya.
Kamau, Thomas M.

Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya. - 190 p.

Source: Dissertation Abstracts International, Volume: 71-08, Section: B, page: 4797.

Thesis (Ph.D.)--Seton Hall University, 2010.

Antiretroviral therapy (ART) dramatically slows the progression of HIV/AIDS, reduces incidences of opportunistic infections, and significantly extends the survival time of people living with HIV. The proportion of men and women living with HIV who are being prescribed ART has exponentially grown from less than 10% in 2003 to over 75% in 2009. However, nonadherence to the ART may result in virologic failure to suppress HIV adequately, which may cause development of drug resistant strains. Consequently, the benefits of ART may be lost. Furthermore, HIV strains may be sexually transmitted from those who are nonadherent to other persons.

ISBN: 9781124105208Subjects--Topical Terms:

1669436
African Studies.

Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya.
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245 1 0 $a Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya.
300 $a 190 p.
500 $a Source: Dissertation Abstracts International, Volume: 71-08, Section: B, page: 4797.
500 $a Adviser: Valerie P. Olson.
502 $a Thesis (Ph.D.)--Seton Hall University, 2010.
520 $a Antiretroviral therapy (ART) dramatically slows the progression of HIV/AIDS, reduces incidences of opportunistic infections, and significantly extends the survival time of people living with HIV. The proportion of men and women living with HIV who are being prescribed ART has exponentially grown from less than 10% in 2003 to over 75% in 2009. However, nonadherence to the ART may result in virologic failure to suppress HIV adequately, which may cause development of drug resistant strains. Consequently, the benefits of ART may be lost. Furthermore, HIV strains may be sexually transmitted from those who are nonadherent to other persons.
520 $a This study sought to determine whether individuals' perceptions of availability of social support and coping self-efficacy influence adherence to ART in people living with HIV in Kenya. A cross-sectional study design using questionnaires was conducted at nine comprehensive care and treatment centers managed by a major healthcare provider serving populations in the central metropolitan city of Nairobi, Kenya.
520 $a Data were collected from a convenience sample (N = 354) of men and women who were prescribed ART. The Interpersonal Support Evaluation List (ISEL), Coping Self-Efficacy (CSE) Scale, and Adult Clinical Trial Group (ACTG) Adherence Questionnaires were used to collect data.
520 $a Social support and coping self-efficacy were predictive of adherence to ART. The composite measure of social support accounted for 24.2%. Tangible and emotional dimensions of social support were the strongest predictor variables for adherence to ART among the four dimensions of social support. Although coping self-efficacy (CSE) was a significant predictor of adherence to ART, it ceased being a significant predictor when the effect of social support on adherence to ART was controlled.
520 $a Social support was predictive of CSE, accounting for 13.2% of variance in CSE. Emotional, informational, and belonging support were statistically significant predictors of CSE, but tangible support was not. A model with the three significant dimensions of support accounted for about 14% of variation in CSE. Thus, significant relations exist between social support, CSE, and adherence to ART, as measured by self-report for the previous 4 days. Implications, limitations, and future directions are discussed.
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