Correlates of HIV treatment adherence self-efficacy among adolescents and young adults living with HIV in southwestern Uganda.
Adherence to antiretroviral therapy (ART) among adolescents and young adults living with HIV (AYLHIV) in sub-Saharan Africa is sub-optimal compared to younger children and older adults. Adherence self-efficacy is one of the intrapersonal factors most strongly correlated with ART adherence. The role...
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Format: | Article |
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Public Library of Science (PLoS)
2024-01-01
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Series: | PLOS Global Public Health |
Online Access: | https://doi.org/10.1371/journal.pgph.0003600 |
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author | Scholastic Ashaba Charles Baguma Patricia Tushemereirwe Denis Nansera Samuel Maling Brian C Zanon Alexander C Tsai |
author_facet | Scholastic Ashaba Charles Baguma Patricia Tushemereirwe Denis Nansera Samuel Maling Brian C Zanon Alexander C Tsai |
author_sort | Scholastic Ashaba |
collection | DOAJ |
description | Adherence to antiretroviral therapy (ART) among adolescents and young adults living with HIV (AYLHIV) in sub-Saharan Africa is sub-optimal compared to younger children and older adults. Adherence self-efficacy is one of the intrapersonal factors most strongly correlated with ART adherence. The role of adherence self-efficacy in ART adherence among AYLHIV is not well studied in Uganda. We enrolled 300 AYLHIV between October and December 2021 from an HIV clinic in southwestern Uganda. We collected information on adherence self-efficacy, HIV stigma, depression, self-management, and social skills. We used linear regression to estimate the association between adherence self-efficacy and the covariates of interest. At multivariable adjustment self-management (b = 0.29, 95% CI 0.23-0.35, p<0.001) and social skills (b = 0.16, 95% CI 0.08-0.24; p<0.001) were statistically significantly associated with adherence self-efficacy. The findings imply that interventions directed at enhancing self-management and social skills in AYLHIV may increase adherence self-efficacy and, potentially, HIV outcomes among AYLHIV. |
format | Article |
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institution | Matheson Library |
issn | 2767-3375 |
language | English |
publishDate | 2024-01-01 |
publisher | Public Library of Science (PLoS) |
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spelling | doaj-art-82ea1138c3c1423f9da683e33d4f5f4c2025-07-21T05:47:09ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-0149e000360010.1371/journal.pgph.0003600Correlates of HIV treatment adherence self-efficacy among adolescents and young adults living with HIV in southwestern Uganda.Scholastic AshabaCharles BagumaPatricia TushemereirweDenis NanseraSamuel MalingBrian C ZanonAlexander C TsaiAdherence to antiretroviral therapy (ART) among adolescents and young adults living with HIV (AYLHIV) in sub-Saharan Africa is sub-optimal compared to younger children and older adults. Adherence self-efficacy is one of the intrapersonal factors most strongly correlated with ART adherence. The role of adherence self-efficacy in ART adherence among AYLHIV is not well studied in Uganda. We enrolled 300 AYLHIV between October and December 2021 from an HIV clinic in southwestern Uganda. We collected information on adherence self-efficacy, HIV stigma, depression, self-management, and social skills. We used linear regression to estimate the association between adherence self-efficacy and the covariates of interest. At multivariable adjustment self-management (b = 0.29, 95% CI 0.23-0.35, p<0.001) and social skills (b = 0.16, 95% CI 0.08-0.24; p<0.001) were statistically significantly associated with adherence self-efficacy. The findings imply that interventions directed at enhancing self-management and social skills in AYLHIV may increase adherence self-efficacy and, potentially, HIV outcomes among AYLHIV.https://doi.org/10.1371/journal.pgph.0003600 |
spellingShingle | Scholastic Ashaba Charles Baguma Patricia Tushemereirwe Denis Nansera Samuel Maling Brian C Zanon Alexander C Tsai Correlates of HIV treatment adherence self-efficacy among adolescents and young adults living with HIV in southwestern Uganda. PLOS Global Public Health |
title | Correlates of HIV treatment adherence self-efficacy among adolescents and young adults living with HIV in southwestern Uganda. |
title_full | Correlates of HIV treatment adherence self-efficacy among adolescents and young adults living with HIV in southwestern Uganda. |
title_fullStr | Correlates of HIV treatment adherence self-efficacy among adolescents and young adults living with HIV in southwestern Uganda. |
title_full_unstemmed | Correlates of HIV treatment adherence self-efficacy among adolescents and young adults living with HIV in southwestern Uganda. |
title_short | Correlates of HIV treatment adherence self-efficacy among adolescents and young adults living with HIV in southwestern Uganda. |
title_sort | correlates of hiv treatment adherence self efficacy among adolescents and young adults living with hiv in southwestern uganda |
url | https://doi.org/10.1371/journal.pgph.0003600 |
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