Correlates of Missed HIV Appointments in Low-resource Settings: a Study from Uganda
Loading...
Date
2021-03-31
Journal Title
Journal ISSN
Volume Title
Publisher
Routledge Taylor and Francis
Abstract
Alarming reports of antiretroviral treatment failure have recently emerged in sub-Saharan Africa. The onset
of virologic failure has multiple causes but suboptimal treatment adherence is one of the leading causes. This
study aimed to explore correlates of adherence to HIV appointments in community care patients living with HIV/
AIDS in Uganda.
Two hundred and ninety-five people living with HIV (median age 37.0 years; interquartile range 16.0;
female 67.8% [n = 200]) reported whether they had missed any of their four-weekly appointments during the past 24
weeks. They also completed the Internalized AIDS-Related Stigma Scale, Generalized Anxiety Disorder-7, the Patient
Health Questionnaire-9, the Alcohol-Use Disorders Identification Test, and the Physical Activity Vital Sign.
Thirty-three (11.2%) patients missed at least one of their six scheduled appointments in the 24-week
period. The adjusted odds ratio for missing at least one of six appointments was 3.03 (95% CI: 1.21–8.43, p = 0.01)
for those who were physically inactive, and 2.29 (95% CI: 0.93–5.63, p = 0.046) for those with depression.
Targeting future rehabilitation studies for PLHIV around feelings of depression and around physical
inactivity could be important in achieving optimal HIV treatment adherence.
Description
Keywords
Adherence, Alcohol, Anxiety, Depression, Physical activity