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Factors associated with self-reported adherence to antiretroviral therapy in a Tanzanian setting.

Publication ,  Journal Article
Watt, MH; Maman, S; Golin, CE; Earp, JA; Eng, E; Bangdiwala, SI; Jacobson, M
Published in: AIDS care
March 2010

This study aimed to determine the level of antiretroviral adherence and factors associated with adherence among patients receiving free antiretroviral therapy (ART) at one clinic in Tanzania. Adult patients were recruited into the cross-sectional study and completed a survey that included self-reported adherence over four days and over one month. Less than 95% adherence on either measure was considered "poor." Factors associated with adherence in unadjusted analyses (alpha = 0.10) were included in a logistic regression model. A total of 340 patients participated in the study, and 5.9% (20/340) reported poor adherence. The final model found poor adherence associated with: being young (odds ratio (OR) = 4.03) or old (OR = 6.68); having lower perceived quality of patient-provider interaction (OR = 2.75); and ever missing a clinic appointment (OR = 3.13). Results highlight good adherence, but suggest the importance of addressing: (1) age-specific challenges of adherence through counseling and support; (2) client-focused care and quality of patient-provider interaction; and (3) clinic appointment reminder systems.

Duke Scholars

Published In

AIDS care

DOI

EISSN

1360-0451

ISSN

0954-0121

Publication Date

March 2010

Volume

22

Issue

3

Start / End Page

381 / 389

Related Subject Headings

  • Young Adult
  • Tanzania
  • Stereotyping
  • Social Support
  • Public Health
  • Professional-Patient Relations
  • Middle Aged
  • Medication Adherence
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Watt, M. H., Maman, S., Golin, C. E., Earp, J. A., Eng, E., Bangdiwala, S. I., & Jacobson, M. (2010). Factors associated with self-reported adherence to antiretroviral therapy in a Tanzanian setting. AIDS Care, 22(3), 381–389. https://doi.org/10.1080/09540120903193708
Watt, Melissa H., Suzanne Maman, Carol E. Golin, Jo Anne Earp, Eugenia Eng, Shrikant I. Bangdiwala, and Mark Jacobson. “Factors associated with self-reported adherence to antiretroviral therapy in a Tanzanian setting.AIDS Care 22, no. 3 (March 2010): 381–89. https://doi.org/10.1080/09540120903193708.
Watt MH, Maman S, Golin CE, Earp JA, Eng E, Bangdiwala SI, et al. Factors associated with self-reported adherence to antiretroviral therapy in a Tanzanian setting. AIDS care. 2010 Mar;22(3):381–9.
Watt, Melissa H., et al. “Factors associated with self-reported adherence to antiretroviral therapy in a Tanzanian setting.AIDS Care, vol. 22, no. 3, Mar. 2010, pp. 381–89. Epmc, doi:10.1080/09540120903193708.
Watt MH, Maman S, Golin CE, Earp JA, Eng E, Bangdiwala SI, Jacobson M. Factors associated with self-reported adherence to antiretroviral therapy in a Tanzanian setting. AIDS care. 2010 Mar;22(3):381–389.

Published In

AIDS care

DOI

EISSN

1360-0451

ISSN

0954-0121

Publication Date

March 2010

Volume

22

Issue

3

Start / End Page

381 / 389

Related Subject Headings

  • Young Adult
  • Tanzania
  • Stereotyping
  • Social Support
  • Public Health
  • Professional-Patient Relations
  • Middle Aged
  • Medication Adherence
  • Male
  • Humans