Use of Non-Prescription Remedies by Ghanaian Human Immunodeficiency Virus-Positive Persons on Antiretroviral Therapy
Identifieur interne : 000002 ( Main/Exploration ); précédent : 000001; suivant : 000003Use of Non-Prescription Remedies by Ghanaian Human Immunodeficiency Virus-Positive Persons on Antiretroviral Therapy
Auteurs : Amos K. Laar [Ghana] ; Awewura Kwara [États-Unis] ; Priscillia A. Nortey [Ghana] ; Augustine K. Ankomah [Ghana] ; Michael P. K. Okyerefo [Ghana] ; Margaret Y. Lartey [Ghana]Source :
- Frontiers in Public Health [ 2296-2565 ] ; 2017.
Abstract
Inappropriate use of non-prescription remedies by persons living with human immunodeficiency virus (PLHIV) may result in adverse events or potentiate non-adherence to prescribed medications. This study investigated the use of non-prescription remedies among PLHIV receiving antiretroviral therapy (ART) from four treatment centers in southern Ghana.
A mixed method design using quantitative and qualitative methods was used. This article focuses on the quantitative survey of 540 respondents. Univariate analysis was used to generate descriptive tabulations of key variables. Bivariate analysis and logistic regression modeling, respectively, produced unadjusted and adjusted associations between background attributes of PLHIV and the use of non-prescription remedies. A
One out of three respondents reported the use of non-prescription remedies at least once within 3 months of the survey. Most of these were locally made and included “Angel natural bitters, concoctions from the Christian prayer centers, garlic, and mahogany syrups.” These remedies were used concomitantly with antiretroviral medications (ARVs)—46% or administered with ARVs but at different times during the day (43%). Some of the remedies were reportedly prescribed by health workers, or self-initiated during periods of ARVs shortage. Others took them based on their perception of their efficacy. Bivariate level analysis identified ART clinic site, place of residence, and ARV adherence monitoring to be significantly associated with the use of non-prescription remedies (
The use of non-prescription remedies by PLHIV on ART is common in southern Ghana. Usage is mostly self-initiated because of perceived efficacy of remedy, and was more common among clients attending rural ART clinics.
Url:
DOI: 10.3389/fpubh.2017.00115
PubMed: 28603710
PubMed Central: 5445137
Affiliations:
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Laar</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Population, Family, and Reproductive Health, School of Public Health, University of Ghana</institution>,<addr-line>Accra</addr-line>,<country>Ghana</country></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kwara, Awewura" sort="Kwara, Awewura" uniqKey="Kwara A" first="Awewura" last="Kwara">Awewura Kwara</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Medicine, Warren Alpert Medical School of Brown University</institution>,<addr-line>Providence, RI</addr-line>,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Nortey, Priscillia A" sort="Nortey, Priscillia A" uniqKey="Nortey P" first="Priscillia A." last="Nortey">Priscillia A. 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Ankomah</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Population, Family, and Reproductive Health, School of Public Health, University of Ghana</institution>,<addr-line>Accra</addr-line>,<country>Ghana</country></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Okyerefo, Michael P K" sort="Okyerefo, Michael P K" uniqKey="Okyerefo M" first="Michael P. K." last="Okyerefo">Michael P. K. Okyerefo</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Department of Sociology, University of Ghana</institution>,<addr-line>Accra</addr-line>,<country>Ghana</country></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lartey, Margaret Y" sort="Lartey, Margaret Y" uniqKey="Lartey M" first="Margaret Y." last="Lartey">Margaret Y. 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Laar</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Population, Family, and Reproductive Health, School of Public Health, University of Ghana</institution>,<addr-line>Accra</addr-line>,<country>Ghana</country></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kwara, Awewura" sort="Kwara, Awewura" uniqKey="Kwara A" first="Awewura" last="Kwara">Awewura Kwara</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Medicine, Warren Alpert Medical School of Brown University</institution>,<addr-line>Providence, RI</addr-line>,<country>United States</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Nortey, Priscillia A" sort="Nortey, Priscillia A" uniqKey="Nortey P" first="Priscillia A." last="Nortey">Priscillia A. Nortey</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Department of Epidemiology and Disease Control, School of Public Health, University of Ghana</institution>,<addr-line>Accra</addr-line>,<country>Ghana</country></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ankomah, Augustine K" sort="Ankomah, Augustine K" uniqKey="Ankomah A" first="Augustine K." last="Ankomah">Augustine K. Ankomah</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Population, Family, and Reproductive Health, School of Public Health, University of Ghana</institution>,<addr-line>Accra</addr-line>,<country>Ghana</country></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Okyerefo, Michael P K" sort="Okyerefo, Michael P K" uniqKey="Okyerefo M" first="Michael P. K." last="Okyerefo">Michael P. K. Okyerefo</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Department of Sociology, University of Ghana</institution>,<addr-line>Accra</addr-line>,<country>Ghana</country></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lartey, Margaret Y" sort="Lartey, Margaret Y" uniqKey="Lartey M" first="Margaret Y." last="Lartey">Margaret Y. Lartey</name><affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Department of Medicine, University of Ghana School of Medicine and Dentistry, University of Ghana</institution>,<addr-line>Accra</addr-line>,<country>Ghana</country></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Public Health</title><idno type="eISSN">2296-2565</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="ST1"><title>Background</title><p>Inappropriate use of non-prescription remedies by persons living with human immunodeficiency virus (PLHIV) may result in adverse events or potentiate non-adherence to prescribed medications. This study investigated the use of non-prescription remedies among PLHIV receiving antiretroviral therapy (ART) from four treatment centers in southern Ghana.</p></sec><sec id="ST2"><title>Methods</title><p>A mixed method design using quantitative and qualitative methods was used. This article focuses on the quantitative survey of 540 respondents. Univariate analysis was used to generate descriptive tabulations of key variables. Bivariate analysis and logistic regression modeling, respectively, produced unadjusted and adjusted associations between background attributes of PLHIV and the use of non-prescription remedies. A <italic>p</italic>-value of < 0.05 was considered statistically significant. All analyses were performed using IBM SPSS Statistics for Windows, Version 20.0.</p></sec><sec id="ST3"><title>Results</title><p>One out of three respondents reported the use of non-prescription remedies at least once within 3 months of the survey. Most of these were locally made and included “Angel natural bitters, concoctions from the Christian prayer centers, garlic, and mahogany syrups.” These remedies were used concomitantly with antiretroviral medications (ARVs)—46% or administered with ARVs but at different times during the day (43%). Some of the remedies were reportedly prescribed by health workers, or self-initiated during periods of ARVs shortage. Others took them based on their perception of their efficacy. Bivariate level analysis identified ART clinic site, place of residence, and ARV adherence monitoring to be significantly associated with the use of non-prescription remedies (<italic>p</italic> < 0.05). Multiple logistic regression analysis controlling for covariates confirmed the location of ART clinic as the only predictor of the use of non-prescription remedies. Compared to clients at the large urban teaching hospital (Korle-Bu Fevers Unit ART center), those at the district level (Atua ART center) were ninefold more likely to use non-prescription remedies [adjusted odds ratio (AOR) = 8.84; 95% confidence interval (CI) 2.83–33.72]. Those from a district level mission hospital (St. Martin’s ART center) were threefold as likely to use these remedies (AOR = 2.610; 95% CI 1.074–9.120).</p></sec><sec id="ST4"><title>Conclusion</title><p>The use of non-prescription remedies by PLHIV on ART is common in southern Ghana. Usage is mostly self-initiated because of perceived efficacy of remedy, and was more common among clients attending rural ART clinics.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Obirikorang, C" uniqKey="Obirikorang C">C Obirikorang</name></author><author><name sortKey="Selleh, Pk" uniqKey="Selleh P">PK Selleh</name></author><author><name sortKey="Abledu, Jk" uniqKey="Abledu J">JK Abledu</name></author><author><name sortKey="Fofie, Co" uniqKey="Fofie C">CO Fofie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sahay, S" uniqKey="Sahay S">S Sahay</name></author><author><name sortKey="Reddy, Ks" uniqKey="Reddy K">KS Reddy</name></author><author><name sortKey="Dhayarkar, S" uniqKey="Dhayarkar S">S Dhayarkar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Skrajner, Mj" 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uniqKey="Chin T">T Chin</name></author><author><name sortKey="Fong, Iw" uniqKey="Fong I">IW Fong</name></author><author><name sortKey="Bendayan, R" uniqKey="Bendayan R">R Bendayan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kunutsor, S" uniqKey="Kunutsor S">S Kunutsor</name></author><author><name sortKey="Walley, J" uniqKey="Walley J">J Walley</name></author><author><name sortKey="Muchuro, S" uniqKey="Muchuro S">S Muchuro</name></author><author><name sortKey="Katabira, E" uniqKey="Katabira E">E Katabira</name></author><author><name sortKey="Balidawa, H" uniqKey="Balidawa H">H Balidawa</name></author><author><name sortKey="Namagala, E" uniqKey="Namagala E">E Namagala</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kish, L" uniqKey="Kish L">L Kish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Allman, J" uniqKey="Allman J">J Allman</name></author><author><name sortKey="Parker, J" uniqKey="Parker J">J Parker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Twumasi, Pa" uniqKey="Twumasi P">PA Twumasi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Graft Aikins, A" uniqKey="De Graft Aikins A">A de-Graft Aikins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="El Sadr, Wm" uniqKey="El Sadr W">WM El-Sadr</name></author><author><name sortKey="Lundgren, J" uniqKey="Lundgren J">J Lundgren</name></author><author><name sortKey="Neaton, Jd" uniqKey="Neaton J">JD Neaton</name></author><author><name sortKey="Gordin, F" uniqKey="Gordin F">F Gordin</name></author><author><name sortKey="Abrams, D" uniqKey="Abrams D">D Abrams</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country></list><tree><country name="Ghana"><noRegion><name sortKey="Laar, Amos K" sort="Laar, Amos K" uniqKey="Laar A" first="Amos K." last="Laar">Amos K. Laar</name></noRegion><name sortKey="Ankomah, Augustine K" sort="Ankomah, Augustine K" uniqKey="Ankomah A" first="Augustine K." last="Ankomah">Augustine K. Ankomah</name><name sortKey="Lartey, Margaret Y" sort="Lartey, Margaret Y" uniqKey="Lartey M" first="Margaret Y." last="Lartey">Margaret Y. Lartey</name><name sortKey="Nortey, Priscillia A" sort="Nortey, Priscillia A" uniqKey="Nortey P" first="Priscillia A." last="Nortey">Priscillia A. Nortey</name><name sortKey="Okyerefo, Michael P K" sort="Okyerefo, Michael P K" uniqKey="Okyerefo M" first="Michael P. K." last="Okyerefo">Michael P. K. Okyerefo</name></country><country name="États-Unis"><noRegion><name sortKey="Kwara, Awewura" sort="Kwara, Awewura" uniqKey="Kwara A" first="Awewura" last="Kwara">Awewura Kwara</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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