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- Title
Self-Reported Adherence to Antiretroviral Therapy (ART) Among Women Engaged in Commercial Sex Work in Southern Uganda.
- Authors
Kiyingi, Joshua; Nabunya, Proscovia; Kizito, Samuel; Nabayinda, Josephine; Nsubuga, Edward; Bahar, Ozge Sensoy; Jennings Mayo-Wilson, Larissa; Namuwonge, Flavia; Nattabi, Jennifer; Magorokosho, Natasja; Tozan, Yesim; Witte, Susan S.; Ssewamala, Fred M.
- Abstract
We examined the correlates of self-reported adherence to antiretroviral therapy (ART) among women engaged in commercial sex work (WESW) in Uganda. We used baseline data from a longitudinal study, which recruited 542 WESW in Southern Uganda. We used nested regression models to determine the individual and family, and economic level correlates of self-reported adherence. Study findings show that older age (OR = 1.07, 95% CI = 1.013, 1.139), secondary education (OR = 2.01, 95% CI = 1.306, 3.084), large household size (OR = 1.08, 95% CI = 1.020, 1.136), high family cohesion (OR = 1.06, 95% CI = 1.052, 1.065), and high financial self-efficacy (OR = 1.07, 95% CI = 1.006, 1.130) were associated with good self-reported adherence to ART. Married women (OR=-0.39, 95% CI = 0.197, 0.774), depression (OR = 0.85, 95% CI = 0.744, 0.969), alcohol use (OR = 0.72, 95% CI = 0.548, 0.954), ever been arrested (OR = 0.58, 95% CI = 0.341, 0.997), and high household assets ownership (OR = 0.48, 95% CI = 0.313, 0.724) were associated with poor self-reported adherence to ART. Findings suggest a need to adopt a multi-level approach to address gaps in ART adherence among WESW.
- Subjects
UGANDA; HIV prevention; HIV infections; CONFIDENCE intervals; SELF-evaluation; SEX work; ANTIRETROVIRAL agents; REGRESSION analysis; SOCIOECONOMIC factors; COMPARATIVE studies; SOCIAL cohesion; SELF-efficacy; DRUGS; PSYCHOLOGY of women; DESCRIPTIVE statistics; MENTAL depression; ALCOHOL drinking; QUALITY of life; RESEARCH funding; PATIENT compliance; SOCIODEMOGRAPHIC factors; ODDS ratio; FAMILY relations; NEEDS assessment; LONGITUDINAL method
- Publication
AIDS & Behavior, 2023, Vol 27, Issue 3, p1004
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-022-03837-9