尼日利亚西南部奥索博一家三级医院中家庭动态对艾滋病毒/艾滋病感染者高效抗逆转录病毒治疗依从性的影响

Roles of family dynamics on adherence to highly active antiretroviral therapy among people living with HIV/AIDS at a tertiary hospital in Osogbo, south-west Nigeria.

作者信息

Afolabi B A, Afolabi M O, Afolabi A A, Odewale M A, Olowookere S A

机构信息

Department of Community Health, Faculty of Clinical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.

出版信息

Afr Health Sci. 2013 Dec;13(4):920-6. doi: 10.4314/ahs.v13i4.9.

DOI:10.4314/ahs.v13i4.9

PMID:24940313

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4056482/

Abstract

BACKGROUND

Adherence to highly active antiretroviral therapy (HAART) has been proven to be the only effective treatment for HIV/AIDS worldwide. Good adherence to HAART might require good family support.

OBJECTIVE

To determine the family dynamics and social support of people living with HIV/AIDS (PLWHA) and its roles on HAART adherence at an ARV treatment clinic in Osogbo, Nigeria.

METHOD

Descriptive cross-sectional study. Consenting PLWHA on HAART were interviewed using pre-tested semistructured questionnaire incorporating Perceived Social Support- Family Scale and Family APGAR. HAART adherence was measured using patient self report.

RESULTS

A total of 379 PLWHA were interviewed. Their mean age was 40.8 (SD=9.9) years. Most (60.7%) were females. More than half (55.7%) were currently married and the majority (72.1%) had secondary education and were Yoruba (86.3%). Most respondents (95.5%) were adherent to HAART. Over 90% were satisfied with support received from their family while 82.3% were treated like other family members. Most attributed their HAART adherence to the care and support received from their family.

CONCLUSION

Most PLWHA had good social support and were adherent to HAART.

摘要

背景

坚持高效抗逆转录病毒疗法（HAART）已被证明是全球治疗艾滋病毒/艾滋病的唯一有效方法。良好地坚持HAART可能需要良好的家庭支持。

目的

确定尼日利亚奥索博一家抗逆转录病毒治疗诊所中艾滋病毒/艾滋病感染者（PLWHA）的家庭动态和社会支持及其对HAART依从性的作用。

方法

描述性横断面研究。使用纳入了感知社会支持-家庭量表和家庭APGAR的预先测试的半结构化问卷对同意参与的接受HAART治疗的PLWHA进行访谈。使用患者自我报告来衡量HAART依从性。

结果

共访谈了379名PLWHA。他们的平均年龄为40.8（标准差=9.9）岁。大多数（60.7%）为女性。超过一半（55.7%）目前已婚，大多数（72.1%）接受过中等教育，且为约鲁巴族（86.3%）。大多数受访者（95.5%）坚持HAART治疗。超过90%的人对从家人那里获得的支持感到满意，82.3%的人被像其他家庭成员一样对待。大多数人将他们坚持HAART治疗归因于从家人那里获得的照顾和支持。