The Psychosocial Factors that Influencing Antiretroviral Treatment Adherence

Abstract

The socio-cultural context of illness has become a major research area, and it has made significant contributions to our understanding of the socio-cultural dimensions of illness. In this article, we briefly trace the roots of a sociocultural approach to illness, and we present some of the key findings of socio-cultural organized under main themes. Adherence to antiretroviral therapy drugs in the treatment of HIV infection is complicated because of many psychosocial factors. The aim of the study was to investigate the psychosocial factors involved in noncompliance with ART among people infected with HIV in Alert Hospital in Ethiopia. To achieve its objective, the study utilized a qualitative method to gather direct, inductive and wealthy information from the participants. The study covered interviews with twenty participants. The participants were selected using purposive sampling technique. The collected data was categorized and analyzed thematically based on the research objective. The results of the study indicated that the major psychological and social factors such as stigma and discrimination, social support, substance abuse, subjective norms, belief system and perceived behavioral control, and various cultural factors may uniquely contribute to deeper and potential barriers to ART adherence. Evaluating changes in the level of knowledge health workers trained in adherence measurements and concerned bodies work for providing relevant and updated information about ART issues for the followers in a convincing way. Therefore, the study has concluded that health workers in all facilities that provide ART would be trained in adherence counseling through formal training.

Understanding the role of religious beliefs in adherence to antiretroviral therapy among Pentecostal Christians living with HIV in sub-Saharan Africa: a scoping review

“…Psycho-social factors have often been used to explain the adherence behaviors of people on chronic medications such as ART [29][30][31]. Some people's religious beliefs have been reported to affect how they deal with HIV and other psycho-social factors influencing their treatment adherence, such as believing in the ART, disclosing, and accepting their HIV status, HIV stigma and discrimination, depression, and anxiety [32][33][34].…”

Psychosocial and Personal Level Circumstances Associated with Antiretroviral Therapy Non-adherence among HIV Positive Antiretroviral Therapy User Clients in Debre Birhan Referral Hospital

“…Furthermore, Lee, Milloy, Walsh, Nguyen, Wood and Kerr, (2017), suggested psychosocial circumstances which is self-efficacy; that is, one's belief in their own ability to complete a certain task play paramount role in achieving adequate levels of adherence to medication. Similarly other study revealed major psychological and social factors such as stigma and discrimination, social support, substance abuse, subjective norms, belief system and perceived behavioral control, and various cultural factors may uniquely contribute to deeper and potential barriers to ART adherence ( Liranso, Singhe & Eyerus 2017).…”

“…According to study conducted by, Bukenya and others (2019) environmental, social, economic and behavioral experiences of people living with HIV with poor viral suppression explain their nonadherence to long term ART. Liranso and his colleagues (2017) study also revealed psychosocial circumstances which is self-efficacy to compliance; social support, subjective norms, belief system and perceived behavioral control, and various cultural factors may uniquely contribute to deeper and potential barriers to ART adherence ( Liranso, Singhe & Eyerus 2017).…”

Associated factors and virologic outcomes of cisgender groups among people living with HIV/AIDS attending a tertiary health facility in Rivers State, Nigeria

“…12,13 These factors can be broadly categorized into; socio-demographic, socio-cultural, socioeconomic, psycho-social and HIV-support services. 14,15 Moreover, the negative influences of these factors in the absence of good family and social support predispose HIVinfected patients on management to stigmatization or/and discrimination with resultant poor virologic outcomes. 14,16 Hence, assessing how these factors influence virologic outcomes will improve the quality of healthcare services and retention in care for PLWHA within treatment centres and community-based pharmacies.…”

“…14,15 Moreover, the negative influences of these factors in the absence of good family and social support predispose HIVinfected patients on management to stigmatization or/and discrimination with resultant poor virologic outcomes. 14,16 Hence, assessing how these factors influence virologic outcomes will improve the quality of healthcare services and retention in care for PLWHA within treatment centres and community-based pharmacies. 17,18 The virologic outcome of HIV-infected persons is one of the various ways of measuring adherence to HIV/AIDS management.…”