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- Title
The role of family factors in antiretroviral therapy (ART) adherence self-efficacy among HIV-infected adolescents in southern Uganda.
- Authors
Nabunya, Proscovia; Bahar, Ozge Sensoy; Chen, Bin; Dvalishvili, Daji; Damulira, Christopher; Ssewamala, Fred M
- Abstract
<bold>Background: </bold>Adolescents living with HIV in sub-Saharan Africa are a vulnerable group at the intersection of poverty and health disparities. The family is a vital microsystem that provides financial and emotional support to achieve optimal antiretroviral therapy (ART) adherence. In this study, we explore the association between family factors and ART adherence self-efficacy, a significant psychological concept playing a critical role in ART adherence.<bold>Methods: </bold>Data from an NIH-funded study called Suubi + Adherence, an economic empowerment intervention for HIV positive adolescents (average age = 12.4 years) in southern Uganda was analyzed. We conducted multilevel regression analyses to explore the protective family factors, measured by family cohesion, child-caregiver communication and perceived child-caregiver support, associated with ART adherence self-efficacy.<bold>Results: </bold>The average age was 12.4 years and 56.4% of participants were female. The average household size was 5.7 people, with 2.3 children> 18 years. Controlling for sociodemographic and household characteristics, family cohesion (β = 0.397, p = 0.000) and child-caregiver communication (β = 0.118, p = 0.026) were significantly associated with adherence self-efficacy to ART.<bold>Conclusion: </bold>Findings point to the need to strengthen family cohesion and communication within families if we are to enhance adherence self-efficacy among adolescents living with HIV.<bold>Trial Registration: </bold>This trial was registered with ClinicalTrials.gov (registration number: NCT01790373) on 13 February 2013.
- Publication
BMC Public Health, 2020, Vol 20, Issue 1, p340
- ISSN
1471-2458
- Publication type
journal article
- DOI
10.1186/s12889-020-8361-1