Arrivillaga Marcela, Springer Andrew E, Lopera Monica, Correa Diego, Useche Bernardo, Ross Michael W
Department of Public Health & Epidemiology, Health & Quality of Life Research Group, Pontificia Universidad Javeriana Cali, Cali, Colombia.
AIDS Care. 2012;24(7):929-35. doi: 10.1080/09540121.2011.647678. Epub 2012 Jan 24.
Studies on HIV/AIDS treatment adherence have been carried out in a limited number of geographic settings, but few studies have explored it in people of higher socioeconomic status in Latin America. This qualitative study explored and compared determinants of adherence behaviors among 52 HIV-positive Colombian women in medium and high socioeconomic positions (SPs). Findings indicated that the two SP groups reported high adherence behaviors related to taking medication, following a diet, and executing lifestyle changes in line with healthcare providers' recommendations. Nevertheless, differences were observed between the two groups. While women with a medium SP disclosed their diagnosis, were empowered, and had acceptable access to economic resources that resulted in favorable adherence, their better off counterparts tended to hide their status and made a conscious effort to keep their adherence behaviors in secret due to HIV-related stigma. More studies on adherence of people living with HIV/AIDS from high SPs should be conducted to better understand how psychosocial support can be provided and to advance the knowledge of how and why adherence practices in these groups are undertaken.
关于艾滋病毒/艾滋病治疗依从性的研究在有限的地理区域开展过，但在拉丁美洲，针对社会经济地位较高人群的此类研究较少。这项定性研究探讨并比较了52名社会经济地位处于中高水平的哥伦比亚艾滋病毒阳性女性的依从行为决定因素。研究结果表明，这两个社会经济地位组在按医嘱服药、遵循饮食及根据医疗服务提供者建议改变生活方式方面均表现出较高的依从行为。然而，两组之间仍存在差异。社会经济地位中等的女性公开了自己的诊断结果，有能力自主决策，且能获得可接受的经济资源，这促成了良好的依从性；而经济状况较好的女性则倾向于隐瞒自己的病情，并刻意对其依从行为保密，原因是存在与艾滋病毒相关的污名。应开展更多针对社会经济地位较高的艾滋病毒/艾滋病感染者依从性的研究，以更好地了解如何提供心理社会支持，并增进对这些群体依从行为方式及原因的认识。
