SidaSubSaharaV1, Main, Exploration, bibRecordById, Pascal:09-0176016

Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women : a qualitative study

Identifieur interne : 005B22 ( Main/Exploration ); précédent : 005B21; suivant : 005B23

Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women : a qualitative study

Auteurs : Laura K. Murray [États-Unis] ; Katherine Semrau [États-Unis] ; Ellen Mccurley [États-Unis] ; Donald M. Thea [États-Unis] ; Nancy Scott [États-Unis] ; Mwiya Mwiya [Zambie] ; Chipepo Kankasa [Zambie] ; Judith Bass [États-Unis] ; Paul Bolton [États-Unis]

Source :

AIDS Care : (Print) [ 0954-0121 ] ; 2009.

RBID : Pascal:09-0176016

Descripteurs français

Pascal (Inist)
- Observance médicamenteuse, Pharmacothérapie, Antirétroviral, Milieu urbain, Analyse qualitative, SIDA, Santé publique, Zambie, Facteur prédictif, Prise de décision, Homme, Femme, Antiviral, Acceptabilité.
Wicri :
- geographic : Zambie.
- topic : Analyse qualitative, Santé publique, Prise de décision, Homme, Femme.

English descriptors

KwdEn :
- AIDS, Antiretroviral agent, Antiviral, Decision making, Drug compliance, Human, Pharmacotherapy, Predictive factor, Public health, Qualitative analysis, Urban environment, Woman, Zambia.

Abstract

Sub-Saharan Africa contains over 60% of the world's HIV infections and Zambia is among the most severely affected countries in the region. As antiretroviral programs have been rapidly expanding, the long-term success of these programs depends on a good understanding of the behavioral determinants of acceptance and adherence to antiretroviral therapy (ART). The study used qualitative methods to gain local insight into potentially important factors affecting HIV-infected women's decision to accept or continue with ART. Some of the barriers identified by this study are consistent with factors cited in the existing adherence literature from both developed and developing nations such as side effects, hunger and stigma; other factors have not been previously reported. One major theme was unfamiliarity with the implications of having a chronic, potentially deadly disease. Other emerging themes from this study include the complicated effect of ART on interpersonal relationship, particularly between husbands and wives, the presence of depression and hopelessness, and lack of accurate information. The results suggest that the reasons for non-uptake of treatment include issues related to local cultural frameworks (e.g., illness ideology), mental and behavioral health (e.g., depression and/or interpersonal challenges), stigma, and motivating factors (e.g., values of church or marriage) of different cultures that affect the ability and willingness to take life-saving medicine for a long period of time. Qualitative studies are critical to better understand why ART eligible individuals are choosing not to initiate or continue treatment to achieve needed adherence levels.

Affiliations:

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000463
to stream PascalFrancis, to step Corpus: 000495
to stream PascalFrancis, to step Curation: 000500
to stream PascalFrancis, to step Checkpoint: 000385
to stream Main, to step Merge: 005C02
to stream Main, to step Curation: 005B22

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women : a qualitative study</title>
<author><name sortKey="Murray, Laura K" sort="Murray, Laura K" uniqKey="Murray L" first="Laura K." last="Murray">Laura K. Murray</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Center for International Health and Development, Boston University School of Public Health</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Semrau, Katherine" sort="Semrau, Katherine" uniqKey="Semrau K" first="Katherine" last="Semrau">Katherine Semrau</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Center for International Health and Development, Boston University School of Public Health</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mccurley, Ellen" sort="Mccurley, Ellen" uniqKey="Mccurley E" first="Ellen" last="Mccurley">Ellen Mccurley</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Center for International Health and Development, Boston University School of Public Health</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation><inist:fA14 i1="02"><s1>The Pendulam Project</s1>
<s3>INC</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<wicri:noCountry>INC</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Thea, Donald M" sort="Thea, Donald M" uniqKey="Thea D" first="Donald M." last="Thea">Donald M. Thea</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Center for International Health and Development, Boston University School of Public Health</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Scott, Nancy" sort="Scott, Nancy" uniqKey="Scott N" first="Nancy" last="Scott">Nancy Scott</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Center for International Health and Development, Boston University School of Public Health</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mwiya, Mwiya" sort="Mwiya, Mwiya" uniqKey="Mwiya M" first="Mwiya" last="Mwiya">Mwiya Mwiya</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>University Teaching Hospital</s1>
<s2>Lusaka</s2>
<s3>ZMB</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Zambie</country>
<wicri:noRegion>University Teaching Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kankasa, Chipepo" sort="Kankasa, Chipepo" uniqKey="Kankasa C" first="Chipepo" last="Kankasa">Chipepo Kankasa</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>University Teaching Hospital</s1>
<s2>Lusaka</s2>
<s3>ZMB</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Zambie</country>
<wicri:noRegion>University Teaching Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bass, Judith" sort="Bass, Judith" uniqKey="Bass J" first="Judith" last="Bass">Judith Bass</name>
<affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Johns Hopkins University, School of Public Health</s1>
<s2>Baltimore, MD</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bolton, Paul" sort="Bolton, Paul" uniqKey="Bolton P" first="Paul" last="Bolton">Paul Bolton</name>
<affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Johns Hopkins University, School of Public Health</s1>
<s2>Baltimore, MD</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">09-0176016</idno>
<date when="2009">2009</date>
<idno type="stanalyst">PASCAL 09-0176016 INIST</idno>
<idno type="RBID">Pascal:09-0176016</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000463</idno>
<idno type="stanalyst">FRANCIS 09-0176016 INIST</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000495</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000500</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000385</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000385</idno>
<idno type="wicri:doubleKey">0954-0121:2009:Murray L:barriers:to:acceptance</idno>
<idno type="wicri:Area/Main/Merge">005C02</idno>
<idno type="wicri:Area/Main/Curation">005B22</idno>
<idno type="wicri:Area/Main/Exploration">005B22</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women : a qualitative study</title>
<author><name sortKey="Murray, Laura K" sort="Murray, Laura K" uniqKey="Murray L" first="Laura K." last="Murray">Laura K. Murray</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Center for International Health and Development, Boston University School of Public Health</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Semrau, Katherine" sort="Semrau, Katherine" uniqKey="Semrau K" first="Katherine" last="Semrau">Katherine Semrau</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Center for International Health and Development, Boston University School of Public Health</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mccurley, Ellen" sort="Mccurley, Ellen" uniqKey="Mccurley E" first="Ellen" last="Mccurley">Ellen Mccurley</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Center for International Health and Development, Boston University School of Public Health</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation><inist:fA14 i1="02"><s1>The Pendulam Project</s1>
<s3>INC</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<wicri:noCountry>INC</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Thea, Donald M" sort="Thea, Donald M" uniqKey="Thea D" first="Donald M." last="Thea">Donald M. Thea</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Center for International Health and Development, Boston University School of Public Health</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Scott, Nancy" sort="Scott, Nancy" uniqKey="Scott N" first="Nancy" last="Scott">Nancy Scott</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Center for International Health and Development, Boston University School of Public Health</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mwiya, Mwiya" sort="Mwiya, Mwiya" uniqKey="Mwiya M" first="Mwiya" last="Mwiya">Mwiya Mwiya</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>University Teaching Hospital</s1>
<s2>Lusaka</s2>
<s3>ZMB</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Zambie</country>
<wicri:noRegion>University Teaching Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kankasa, Chipepo" sort="Kankasa, Chipepo" uniqKey="Kankasa C" first="Chipepo" last="Kankasa">Chipepo Kankasa</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>University Teaching Hospital</s1>
<s2>Lusaka</s2>
<s3>ZMB</s3>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Zambie</country>
<wicri:noRegion>University Teaching Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bass, Judith" sort="Bass, Judith" uniqKey="Bass J" first="Judith" last="Bass">Judith Bass</name>
<affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Johns Hopkins University, School of Public Health</s1>
<s2>Baltimore, MD</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bolton, Paul" sort="Bolton, Paul" uniqKey="Bolton P" first="Paul" last="Bolton">Paul Bolton</name>
<affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Johns Hopkins University, School of Public Health</s1>
<s2>Baltimore, MD</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Maryland</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">AIDS Care : (Print)</title>
<title level="j" type="abbreviated">AIDS Care : (Print)</title>
<idno type="ISSN">0954-0121</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">AIDS Care : (Print)</title>
<title level="j" type="abbreviated">AIDS Care : (Print)</title>
<idno type="ISSN">0954-0121</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term>
<term>Antiretroviral agent</term>
<term>Antiviral</term>
<term>Decision making</term>
<term>Drug compliance</term>
<term>Human</term>
<term>Pharmacotherapy</term>
<term>Predictive factor</term>
<term>Public health</term>
<term>Qualitative analysis</term>
<term>Urban environment</term>
<term>Woman</term>
<term>Zambia</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Observance médicamenteuse</term>
<term>Pharmacothérapie</term>
<term>Antirétroviral</term>
<term>Milieu urbain</term>
<term>Analyse qualitative</term>
<term>SIDA</term>
<term>Santé publique</term>
<term>Zambie</term>
<term>Facteur prédictif</term>
<term>Prise de décision</term>
<term>Homme</term>
<term>Femme</term>
<term>Antiviral</term>
<term>Acceptabilité</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Zambie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Analyse qualitative</term>
<term>Santé publique</term>
<term>Prise de décision</term>
<term>Homme</term>
<term>Femme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Sub-Saharan Africa contains over 60% of the world's HIV infections and Zambia is among the most severely affected countries in the region. As antiretroviral programs have been rapidly expanding, the long-term success of these programs depends on a good understanding of the behavioral determinants of acceptance and adherence to antiretroviral therapy (ART). The study used qualitative methods to gain local insight into potentially important factors affecting HIV-infected women's decision to accept or continue with ART. Some of the barriers identified by this study are consistent with factors cited in the existing adherence literature from both developed and developing nations such as side effects, hunger and stigma; other factors have not been previously reported. One major theme was unfamiliarity with the implications of having a chronic, potentially deadly disease. Other emerging themes from this study include the complicated effect of ART on interpersonal relationship, particularly between husbands and wives, the presence of depression and hopelessness, and lack of accurate information. The results suggest that the reasons for non-uptake of treatment include issues related to local cultural frameworks (e.g., illness ideology), mental and behavioral health (e.g., depression and/or interpersonal challenges), stigma, and motivating factors (e.g., values of church or marriage) of different cultures that affect the ability and willingness to take life-saving medicine for a long period of time. Qualitative studies are critical to better understand why ART eligible individuals are choosing not to initiate or continue treatment to achieve needed adherence levels.</div>
</front>
</TEI>
<affiliations><list><country><li>Zambie</li>
<li>États-Unis</li>
</country>
<region><li>Maryland</li>
<li>Massachusetts</li>
</region>
<settlement><li>Boston</li>
</settlement>
</list>
<tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Murray, Laura K" sort="Murray, Laura K" uniqKey="Murray L" first="Laura K." last="Murray">Laura K. Murray</name>
</region>
<name sortKey="Bass, Judith" sort="Bass, Judith" uniqKey="Bass J" first="Judith" last="Bass">Judith Bass</name>
<name sortKey="Bolton, Paul" sort="Bolton, Paul" uniqKey="Bolton P" first="Paul" last="Bolton">Paul Bolton</name>
<name sortKey="Mccurley, Ellen" sort="Mccurley, Ellen" uniqKey="Mccurley E" first="Ellen" last="Mccurley">Ellen Mccurley</name>
<name sortKey="Scott, Nancy" sort="Scott, Nancy" uniqKey="Scott N" first="Nancy" last="Scott">Nancy Scott</name>
<name sortKey="Semrau, Katherine" sort="Semrau, Katherine" uniqKey="Semrau K" first="Katherine" last="Semrau">Katherine Semrau</name>
<name sortKey="Thea, Donald M" sort="Thea, Donald M" uniqKey="Thea D" first="Donald M." last="Thea">Donald M. Thea</name>
</country>
<country name="Zambie"><noRegion><name sortKey="Mwiya, Mwiya" sort="Mwiya, Mwiya" uniqKey="Mwiya M" first="Mwiya" last="Mwiya">Mwiya Mwiya</name>
</noRegion>
<name sortKey="Kankasa, Chipepo" sort="Kankasa, Chipepo" uniqKey="Kankasa C" first="Chipepo" last="Kankasa">Chipepo Kankasa</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 005B22 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 005B22 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    SidaSubSaharaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     Pascal:09-0176016
   |texte=   Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women : a qualitative study
}}

This area was generated with Dilib version V0.6.32.
Data generation: Mon Nov 13 19:31:10 2017. Site generation: Wed Mar 6 19:14:32 2024

	Le SIDA en Afrique subsaharienne (serveur d'exploration)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Le SIDA en Afrique subsaharienne (serveur d'exploration)

Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women : a qualitative study

Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women : a qualitative study

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri