Centre for Behavioural Medicine, UCL School of Pharmacy, BMA House, Tavistock Square, London, WC1H 9JP, UK.
Department of Psychological Sciences, Birkbeck, University of London, London, UK.
AIDS Behav. 2019 Sep;23(9):2514-2521. doi: 10.1007/s10461-019-02670-x.
To inform the development of interventions to increase uptake and adherence to antiretroviral therapy (ART), we explored perceptions of ART in semi-structured interviews with 52 men and women from UK black African and black Caribbean communities. Verbatim transcripts were analyzed using framework analysis. Perceptions of ART could be grouped into two categories: doubts about the personal necessity for ART and concerns about potential adverse effects. Doubts about necessity stemmed from feeling well, doubts about the efficacy of ART, religious beliefs and the belief that treatment was futile because it could not cure HIV. Concerns about adverse effects included the fear that attending HIV services and taking treatment would lead to disclosure of HIV, feeling overwhelmed at the prospect of starting treatment soon after diagnosis, fears about side effects and potential long-term effects, and physical repulsion. The findings will facilitate the development of interventions to increase uptake and adherence to ART.
为了为提高抗逆转录病毒疗法（ART）的接受度和依从性的干预措施提供信息，我们对来自英国黑非洲和加勒比黑人社区的 52 名男性和女性进行了半结构化访谈，探讨了他们对 ART 的看法。对逐字记录进行了框架分析。对 ART 的看法可以分为两类：对个人接受 ART 的必要性的怀疑，以及对潜在不良反应的担忧。对必要性的怀疑源于感觉良好，对 ART 疗效的怀疑，宗教信仰以及认为治疗无效，因为它无法治愈 HIV。对不良反应的担忧包括担心参加 HIV 服务和接受治疗会导致 HIV 暴露，担心在诊断后不久就开始治疗会不知所措，担心副作用和潜在的长期影响，以及身体上的排斥。这些发现将有助于制定干预措施，以提高对 ART 的接受度和依从性。
