Department of Social and Public Health, Ohio University, Zanesville, 43701, USA.
AIDS Patient Care STDS. 2011 Sep;25(9):557-61. doi: 10.1089/apc.2011.0125. Epub 2011 Jul 21.
The purpose of this study was to evaluate the relationship between the coping self-efficacy (CSE) scale and adherence to HIV medication in men and women enrolled in a large HIV treatment program in Kenya. Data were collected from a sample of 354 volunteers attending Nazareth Hospital's nine satellite clinics located in parts of Nairobi, and the central province of Kenya. A social demographic survey, Adult Clinical Trials Group adherence questionnaire, and CSE scale were used to obtain information. Descriptive statistics and logistic regressions were performed to analyze data and to test study hypotheses. Females were less likely to be nonadherent than males: the odds of adherence for females were 3.7 of the odds of adherence for males. Controlling for gender, CSE was significant. Adherence to antiretroviral therapy can be partially explained by CSE. Efforts aimed at building self-efficacy are likely to improve and maintain adherence to HIV and other medication. Implications, limitations, and future directions are discussed.
本研究旨在评估应对自我效能（CSE）量表与肯尼亚大型 HIV 治疗计划中男性和女性对 HIV 药物治疗的依从性之间的关系。数据来自于在纳扎雷思医院九个卫星诊所（位于内罗毕和肯尼亚中部省份的部分地区）就诊的 354 名志愿者的样本。采用社会人口学调查、成人临床试验组依从性问卷和 CSE 量表来获取信息。描述性统计和逻辑回归用于分析数据和检验研究假设。女性比男性更不容易不依从：女性的依从率是男性的 3.7 倍。控制性别后，CSE 仍然具有统计学意义。对逆转录病毒治疗的依从性部分可以用 CSE 来解释。旨在增强自我效能的努力可能会改善和维持对 HIV 和其他药物的依从性。讨论了研究的意义、局限性和未来方向。
