Adherence to antiretroviral therapy, stigma and behavioral risk factors in HIV-infected adolescents in Asia

Prasitsuebsai, Wasana; Sethaputra, Chuenkamol; Lumbiganon, Pagakrong; Hansudewechakul, Rawiwan; Chokephaibulkit, Kulkanya; Truong, Khanh Huu; Nguyen, Lam Van; Razali, Kamarul Azahar Mohd; Yusoff, Nik Khairulddin Nik; Fong, Moy Siew; Teeraananchai, Sirinya; Ananworanich, Jintanat; Durier, Nicolas

doi:10.1080/09540121.2018.1425363

Cited by 18 publications

(19 citation statements)

References 31 publications

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“…Some of our research results are similar to previous studies that show that the prevalence of sexual intercourse is higher in the following conditions: older age group(29), male (26, 29), low parental education (30), poor communication between parents and children about sexuality (31)(32)(33), and adolescents' agreement with sexual intercourse behavior (34,35). However, there are differences from other studies that state that adolescents whose sexual debut is at the age of less than 15 years are less likely to complete school (36).…”

Section: Discussionsupporting

confidence: 90%

Sexual Intercourse among Early Adolescents in Semarang, Central Java, Indonesia: Survey using Respondent-Driven Sampling (RDS)

Perestroika¹,

Prabandari²,

Wilopo³

2021

Preprint

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Background Sexual intercourse is a risky behavior among many earlier adolescents (10–14 years), some of whom might ultimately experience unsafe abortion. However, the prevalence of sexual intercourse among earlier adolescents in Indonesia is not known. Methods A cross-sectional behavioral survey was conducted from July to October 2019 among early adolescents who are prone to sexual intercourse (EAWAPTSI) in Semarang, Indonesia. A total of 180 EAWAPTSI aged 10–14 years old (115 boys and 65 girls) were recruited using respondent-driven sampling (RDS) in urban areas. A survey with the Open Data Kit (ODK) application was administered to the study participants. Results A total of 180 EAWAPTSI were enrolled, including original seeds. The majority of respondents were male and 14 years old. The RDS-adjusted sexual intercourse prevalence was 38.4% (95% CI: 27.8–49.1). The prevalence was higher among adolescents who were of older age, boys, enrolled in school, and under the care of their mother, had low parental education, discussed sexuality with their parents less frequently and agreed with this behavior at their age. Conclusions The conclusion of this study is that early adolescents have already been exposed to sexual activity. This finding suggests that education on healthy sexual behavior should be started before the age of early adolescence (10–14 years). Education should be comprehensive and address individual risk behaviors, not only to delay sexual debut but also to emphasize the importance of preventing sexually transmitted infections and adolescent pregnancy. In addition, parental involvement is needed. Therefore, it is necessary to increase communication about sexuality between children and parents.

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Section: Discussionsupporting

confidence: 90%

Sexual Intercourse among Early Adolescents in Semarang, Central Java, Indonesia: Survey using Respondent-Driven Sampling (RDS)

Perestroika¹,

Prabandari²,

Wilopo³

2021

Preprint

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“…Patients convinced to consider HIV/AIDS just as one of the chronic diseases are more likely to avoid behaviors affecting their drug intake. 25 For instances, some of them are conscious about their nutrition and safety of the food and drink they consume. Seventeen of the patients on ART reported that they do not eat uncooked food and drink untreated water.…”

Section: Resultsmentioning

confidence: 99%

“…Lack of disclosure because of fear of stigma and discrimination was also reported in several studies as a significant barrier for ART drug adherence. 25,31 The effects of lack of disclosure is very high in a community where awareness about HIV/AIDS is low. 29,32 Availability of free ART contributed to decreasing trends of stigma and discrimination, but a lot of awareness creation works are needed to achieve better adherence.…”

Section: Factors Affecting the Level Of Art Drug Adherencementioning

confidence: 99%

The Impact of Formal and Informal Institutions on ART Drug Adherence

Kumsa

Tucho

2019

J Int Assoc Provid AIDS Care

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A successful antiretroviral therapy (ART) drug adherence is achieved when patients follow their prescribed regimen. This is determined by patient’s motivation that is influenced by resources associated with the patient, society, and relevant institutions. The aim of this study is to assess the impact of formal and informal actors on patients’ ART drug adherence. A qualitative study approach was conducted through face-to-face in-depth interviews of HIV-infected patients and key informants. The analysis was guided by a salutogenic model focusing on generalized resistance resources and a sense of coherence. The finding shows that 76% of the study participants achieved the recommended 95% adherence level. Several resources attributed to individuals, society, and public institutions influencing patients’ day-to-day life and their drug adherence were identified. Patients who are able to use the available resources easily develop sense of coherence and follow their prescribed drug regimen. Therefore, encouraging HIV-infected patients through formal and informal actors can enhance ART drug adherence.

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“…People living with HIV (PLWH) usually experience self-blaming, social isolation, physical or verbal abuse, mistreating, and political discrimination. This decreases the likelihood of HIV status disclosure, causes adverse health effects such as depression or anxiety, and impacts treatment adherence [6–8]. Injecting drug users (IDU), female sex worker (FSW), and men who have sex with men (MSM) experience double stigma due to their HIV status and their considerably “illegal and immoral” behaviors.…”

Section: Introductionmentioning

confidence: 99%

Changing Sources of Stigma against Patients with HIV/AIDS in the Rapid Expansion of Antiretroviral Treatment Services in Vietnam

Tran

Than

Tran

et al. 2019

BioMed Research International

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Stigmatization against HIV/AIDS greatly hinders efforts to increase the accessibility and utilization of HIV/AIDS services to meet the 90-90-90 goal. This study assessed the stigmatization and discrimination experienced by people living with HIV (PLWH) across multiple social settings such as family, community, and healthcare facilities in Vietnam. A total of 1,016 patients (63.8% males, mean age = 35.4) participated in a cross-sectional study using a culturally tailored HIV stigma measure in three HIV-epidemic-concentrated cities in Vietnam. Zero-inflated Poisson models were used to examine factors associated with the number of types of stigma that patients experienced. 86.2% PLWH reported experiencing stigma against HIV/AIDS, more frequently from their community (62.8%) and family (30.2%) than from health care facilities (8%). The level of stigma from community reported by PLWH is associated with socioeconomic status (e.g., income, occupation). The poor and middle economic classes and unemployed patients reported more stigmatization and discrimination from the community. Across all settings, PLWH experienced fewer stigmatization over the course of ART indicating the benefits of rapidly expanded ART programs. PLWH reported more stigmatization and discrimination at the provincial level of the health administration. Those with the history of drug injection reported significantly less stigmatization from healthcare setting. More culturally tailored interventions to reduce stigmatization overall to improve the quality of life and health outcomes of PLWH should be warranted to achieve the 90-90-90 goal. Improving HIV-related knowledge of the general population and providing opportunities for PLWH to be reintegrated into should be considered. Using mass media with positive messages and images would also foster positive attitudes towards HIV/AIDS among the population and could potentially change social values. Continuous training of health staffs' attitude could minimize the occurrence of stigmatization and discrimination at healthcare facilities.

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Adherence to antiretroviral therapy, stigma and behavioral risk factors in HIV-infected adolescents in Asia

Cited by 18 publications

References 31 publications

Sexual Intercourse among Early Adolescents in Semarang, Central Java, Indonesia: Survey using Respondent-Driven Sampling (RDS)

Sexual Intercourse among Early Adolescents in Semarang, Central Java, Indonesia: Survey using Respondent-Driven Sampling (RDS)

The Impact of Formal and Informal Institutions on ART Drug Adherence

Changing Sources of Stigma against Patients with HIV/AIDS in the Rapid Expansion of Antiretroviral Treatment Services in Vietnam

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