A Social-Ecological View of Barriers and Facilitators for HIV Treatment Adherence: Interviews with Puerto Rican HIV Patients
Identifieur interne : 001902 ( Main/Exploration ); précédent : 001901; suivant : 001903A Social-Ecological View of Barriers and Facilitators for HIV Treatment Adherence: Interviews with Puerto Rican HIV Patients
Auteurs : Eida M. Castro [États-Unis] ; Lydia E. Santiago [États-Unis] ; Julio C. Jiménez [États-Unis] ; Daira Dávila-Vargas [États-Unis] ; Milagros C. Rosal [États-Unis]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Abstract
To identify perceived barriers and facilitators for HAART adherence among people living with HIV/AIDS in Southern Puerto Rico using a Social Ecological framework.
Individual in-depths interviews were conducted with 12 HIV patients with a history of HAART non-adherence. Interviews were audio-taped and transcribed. Content analysis was performed for each transcribed interview by three independent coders using a codebook. Using Atlas TI, super-codes and families were generated to facilitate the categorization tree as well as grounded analyses and density estimates
Most participants reported a monthly income of $500 or less (n = 7), a high school education level (n = 7), being unemployed (n = 9) and being recipients of government health insurance (n = 11). Three out of six women reported living alone with their children and most men informed living with their parents or other relatives (n = 4). For the grounded analyses, the top four sub-categories linked to high number of quotations were mental health barriers (G = 32) followed by treatment regimen (G = 28), health system (G = 24) and interpersonal relations (G = 16). The top four sub-categories linked to high number of codes are treatment regimen (D = 4), health status perception (D = 3), interpersonal relations (D = 3) and health system (D = 3).
The results of this study suggest the interconnection of HIV treatment adherence barriers at various system levels. Future studies on HIV treatment barriers should explore these interactions and investigate the possible synergistic effect on non-adherent behavior
Url:
DOI: 10.1371/journal.pone.0125582
PubMed: 26422049
PubMed Central: 4589346
Affiliations:
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Castro</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Clinical Psychology Programs, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clinical Psychology Programs, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico</wicri:regionArea><wicri:noRegion>Puerto Rico</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Psychiatry Department, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Psychiatry Department, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico</wicri:regionArea><wicri:noRegion>Puerto Rico</wicri:noRegion></affiliation></author><author><name sortKey="Santiago, Lydia E" sort="Santiago, Lydia E" uniqKey="Santiago L" first="Lydia E." last="Santiago">Lydia E. 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Castro</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Clinical Psychology Programs, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clinical Psychology Programs, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico</wicri:regionArea><wicri:noRegion>Puerto Rico</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Psychiatry Department, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Psychiatry Department, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico</wicri:regionArea><wicri:noRegion>Puerto Rico</wicri:noRegion></affiliation></author><author><name sortKey="Santiago, Lydia E" sort="Santiago, Lydia E" uniqKey="Santiago L" first="Lydia E." last="Santiago">Lydia E. Santiago</name><affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>University of Puerto Rico Medical Science Campus School of Nursing, San Juan, Puerto Rico, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Puerto Rico Medical Science Campus School of Nursing, San Juan, Puerto Rico</wicri:regionArea><wicri:noRegion>Puerto Rico</wicri:noRegion></affiliation></author><author><name sortKey="Jimenez, Julio C" sort="Jimenez, Julio C" uniqKey="Jimenez J" first="Julio C." last="Jiménez">Julio C. Jiménez</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Clinical Psychology Programs, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clinical Psychology Programs, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico</wicri:regionArea><wicri:noRegion>Puerto Rico</wicri:noRegion></affiliation></author><author><name sortKey="Davila Vargas, Daira" sort="Davila Vargas, Daira" uniqKey="Davila Vargas D" first="Daira" last="Dávila-Vargas">Daira Dávila-Vargas</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Clinical Psychology Programs, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Clinical Psychology Programs, Ponce School of Medicine and Health Sciences, Ponce, Puerto Rico</wicri:regionArea><wicri:noRegion>Puerto Rico</wicri:noRegion></affiliation></author><author><name sortKey="Rosal, Milagros C" sort="Rosal, Milagros C" uniqKey="Rosal M" first="Milagros C." last="Rosal">Milagros C. Rosal</name><affiliation wicri:level="2"><nlm:aff id="aff004"><addr-line>University of Massachusetts Medical School, Worcester, Division of Preventive and Behavioral Medicine, Massachusetts, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Massachusetts Medical School, Worcester, Division of Preventive and Behavioral Medicine, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Purpose</title><p>To identify perceived barriers and facilitators for HAART adherence among people living with HIV/AIDS in Southern Puerto Rico using a Social Ecological framework.</p></sec><sec id="sec002"><title>Patients and Methods</title><p>Individual in-depths interviews were conducted with 12 HIV patients with a history of HAART non-adherence. Interviews were audio-taped and transcribed. Content analysis was performed for each transcribed interview by three independent coders using a codebook. Using Atlas TI, super-codes and families were generated to facilitate the categorization tree as well as grounded analyses and density estimates</p></sec><sec id="sec003"><title>Results</title><p>Most participants reported a monthly income of $500 or less (n = 7), a high school education level (n = 7), being unemployed (n = 9) and being recipients of government health insurance (n = 11). Three out of six women reported living alone with their children and most men informed living with their parents or other relatives (n = 4). For the grounded analyses, the top four sub-categories linked to high number of quotations were mental health barriers (G = 32) followed by treatment regimen (G = 28), health system (G = 24) and interpersonal relations (G = 16). The top four sub-categories linked to high number of codes are treatment regimen (D = 4), health status perception (D = 3), interpersonal relations (D = 3) and health system (D = 3).</p></sec><sec id="sec004"><title>Conclusion</title><p>The results of this study suggest the interconnection of HIV treatment adherence barriers at various system levels. Future studies on HIV treatment barriers should explore these interactions and investigate the possible synergistic effect on non-adherent behavior</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Russell, S" uniqKey="Russell S">S Russell</name></author><author><name sortKey="Seeley, J" uniqKey="Seeley J">J Seeley</name></author><author><name sortKey="Ezati, E" uniqKey="Ezati E">E Ezati</name></author><author><name sortKey="Wamai, N" uniqKey="Wamai N">N Wamai</name></author><author><name sortKey="Were, W" uniqKey="Were W">W Were</name></author><author><name sortKey="Bunnell, R" uniqKey="Bunnell R">R Bunnell</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Nachega, Jb" uniqKey="Nachega J">JB Nachega</name></author><author><name sortKey="Marconi, Vc" uniqKey="Marconi V">VC Marconi</name></author><author><name sortKey="Van Zyl, Gu" uniqKey="Van 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George</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Waller, J" uniqKey="Waller J">J Waller</name></author><author><name sortKey="Marlow, La" uniqKey="Marlow L">LA Marlow</name></author><author><name sortKey="Wardle, J" uniqKey="Wardle J">J Wardle</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="États-Unis"><noRegion><name sortKey="Castro, Eida M" sort="Castro, Eida M" uniqKey="Castro E" first="Eida M." last="Castro">Eida M. Castro</name></noRegion><name sortKey="Castro, Eida M" sort="Castro, Eida M" uniqKey="Castro E" first="Eida M." last="Castro">Eida M. Castro</name><name sortKey="Davila Vargas, Daira" sort="Davila Vargas, Daira" uniqKey="Davila Vargas D" first="Daira" last="Dávila-Vargas">Daira Dávila-Vargas</name><name sortKey="Jimenez, Julio C" sort="Jimenez, Julio C" uniqKey="Jimenez J" first="Julio C." last="Jiménez">Julio C. Jiménez</name><name sortKey="Rosal, Milagros C" sort="Rosal, Milagros C" uniqKey="Rosal M" first="Milagros C." last="Rosal">Milagros C. Rosal</name><name sortKey="Santiago, Lydia E" sort="Santiago, Lydia E" uniqKey="Santiago L" first="Lydia E." last="Santiago">Lydia E. Santiago</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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