Knowledge, perception about antiretroviral therapy (ART) and prevention of mother-to-child-transmission (PMTCT) and adherence to ART among HIV positive women in the Ashanti Region, Ghana: a cross-sectional study
Identifieur interne : 000585 ( Main/Exploration ); précédent : 000584; suivant : 000586Knowledge, perception about antiretroviral therapy (ART) and prevention of mother-to-child-transmission (PMTCT) and adherence to ART among HIV positive women in the Ashanti Region, Ghana: a cross-sectional study
Auteurs : Daniel Boateng [Ghana] ; Golda Dokuaa Kwapong [Ghana] ; Peter Agyei-Baffour [Ghana]Source :
- BMC Women's Health [ 1472-6874 ] ; 2013.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (), Acceptation des soins par le patient (psychologie), Adulte, Adulte d'âge moyen, Antirétroviraux (usage thérapeutique), Attitude envers la santé, Complications de la grossesse et maladies infectieuses (), Complications de la grossesse et maladies infectieuses (épidémiologie), Connaissances, attitudes et pratiques en santé, Facteurs socioéconomiques, Femelle, Ghana, Grossesse, Humains, Infections à VIH (), Infections à VIH (psychologie), Infections à VIH (transmission), Jeune adulte, Mâle, Observance thérapeutique (), Observance thérapeutique (psychologie), Prise en charge prénatale (psychologie), Transmission verticale de maladie infectieuse (), Études transversales.
- MESH :
- psychologie : Acceptation des soins par le patient, Infections à VIH, Observance thérapeutique, Prise en charge prénatale.
- usage thérapeutique : Antirétroviraux, Infections à VIH.
- épidémiologie : Complications de la grossesse et maladies infectieuses.
- Acceptation des soins par le patient, Adulte, Adulte d'âge moyen, Attitude envers la santé, Complications de la grossesse et maladies infectieuses, Connaissances, attitudes et pratiques en santé, Facteurs socioéconomiques, Femelle, Ghana, Grossesse, Humains, Infections à VIH, Jeune adulte, Mâle, Observance thérapeutique, Transmission verticale de maladie infectieuse, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adult, Anti-Retroviral Agents (therapeutic use), Attitude to Health, Cross-Sectional Studies, Female, Ghana, HIV Infections (prevention & control), HIV Infections (psychology), HIV Infections (transmission), Health Knowledge, Attitudes, Practice, Humans, Infectious Disease Transmission, Vertical (prevention & control), Male, Middle Aged, Patient Acceptance of Health Care (psychology), Patient Acceptance of Health Care (statistics & numerical data), Patient Compliance (psychology), Patient Compliance (statistics & numerical data), Pregnancy, Pregnancy Complications, Infectious (epidemiology), Pregnancy Complications, Infectious (prevention & control), Prenatal Care (psychology), Socioeconomic Factors, Young Adult.
- MESH :
- chemical , therapeutic use : Anti-Retroviral Agents.
- geographic : Ghana.
- epidemiology : Pregnancy Complications, Infectious.
- prevention & control : HIV Infections, Infectious Disease Transmission, Vertical, Pregnancy Complications, Infectious.
- psychology : HIV Infections, Patient Acceptance of Health Care, Patient Compliance, Prenatal Care.
- statistics & numerical data : Patient Acceptance of Health Care, Patient Compliance.
- transmission : HIV Infections.
- Adult, Attitude to Health, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Pregnancy, Socioeconomic Factors, Young Adult.
Abstract
Mother-to-Child Transmission (MTCT) has been identified as the greatest means of HIV infection among children. Adherence to antiretroviral drugs is necessary to prevent drug resistance and MTCT of HIV among HIV positive women. However, there is a gap in clients’ knowledge, attitudes and perceptions of antiretroviral therapy (ART) and Prevention of Mother-To-Child Transmission (PMTCT) which influence their decision to adhere to ART.
The study was a descriptive cross-sectional employing both qualitative and quantitative methods. The study involved 229 HIV positive women in reproductive age (18 – 49 years) and had been on ART for at least six months. Fourteen health workers were also included in the qualitative study. Respondents were selected from three ART centers in the Kumasi Metropolis through systematic random sampling from August to November 2011. HIV positive women who had consistently missed two or more ART appointments within the previous two months were classified as defaulters. Data was analyzed with SPSS 19 and STATA 11. Logistic regression was run to assess the odds ratios at 95% confidence level.
The ART defaulter rate was 27% and clients had good knowledge about ART and PMTCT. More than 90% of the HIV positive women had inadequate knowledge about ART and PMTCT and these women were more likely to default ART (OR = 3.5; 95% CI = 1.89, 6.21). The educational background of HIV positive women did not have significant influence on their knowledge of ART and PMTCT.
Mothers, knowledge and understanding of ART and PMTCT could influence their adherence to ART. Educational interventions which target the understanding of both the literate and illiterate women in society are necessary to develop positive behaviors and enhance adherence to ART.
Url:
DOI: 10.1186/1472-6874-13-2
PubMed: 23336813
PubMed Central: 3563602
Affiliations:
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Le document en format XML
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uniqKey="Boateng D" first="Daniel" last="Boateng">Daniel Boateng</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Kwapong, Golda Dokuaa" sort="Kwapong, Golda Dokuaa" uniqKey="Kwapong G" first="Golda Dokuaa" last="Kwapong">Golda Dokuaa Kwapong</name><affiliation wicri:level="3"><nlm:aff id="I2">The United States Agency for International Development (USAID)/ Focus Region Health Projects, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>The United States Agency for International Development (USAID)/ Focus Region Health Projects, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Agyei Baffour, Peter" sort="Agyei Baffour, Peter" uniqKey="Agyei Baffour P" first="Peter" last="Agyei-Baffour">Peter Agyei-Baffour</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of community Health, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Women's Health</title><idno type="eISSN">1472-6874</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Anti-Retroviral Agents (therapeutic use)</term><term>Attitude to Health</term><term>Cross-Sectional Studies</term><term>Female</term><term>Ghana</term><term>HIV Infections (prevention & control)</term><term>HIV Infections (psychology)</term><term>HIV Infections (transmission)</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Infectious Disease Transmission, Vertical (prevention & control)</term><term>Male</term><term>Middle Aged</term><term>Patient Acceptance of Health Care (psychology)</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Patient Compliance (psychology)</term><term>Patient Compliance (statistics & numerical data)</term><term>Pregnancy</term><term>Pregnancy Complications, Infectious (epidemiology)</term><term>Pregnancy Complications, Infectious (prevention & control)</term><term>Prenatal Care (psychology)</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient ()</term><term>Acceptation des soins par le patient (psychologie)</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Antirétroviraux (usage thérapeutique)</term><term>Attitude envers la santé</term><term>Complications de la grossesse et maladies infectieuses ()</term><term>Complications de la grossesse et maladies infectieuses (épidémiologie)</term><term>Connaissances, attitudes et pratiques en santé</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Ghana</term><term>Grossesse</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (psychologie)</term><term>Infections à VIH (transmission)</term><term>Jeune adulte</term><term>Mâle</term><term>Observance thérapeutique ()</term><term>Observance thérapeutique (psychologie)</term><term>Prise en charge prénatale (psychologie)</term><term>Transmission verticale de maladie infectieuse ()</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Retroviral Agents</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term><term>Infectious Disease Transmission, Vertical</term><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Infections à VIH</term><term>Observance thérapeutique</term><term>Prise en charge prénatale</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term><term>Patient Acceptance of Health Care</term><term>Patient Compliance</term><term>Prenatal Care</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Acceptance of Health Care</term><term>Patient Compliance</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antirétroviraux</term><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Attitude to Health</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pregnancy</term><term>Socioeconomic Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude envers la santé</term><term>Complications de la grossesse et maladies infectieuses</term><term>Connaissances, attitudes et pratiques en santé</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Ghana</term><term>Grossesse</term><term>Humains</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Mâle</term><term>Observance thérapeutique</term><term>Transmission verticale de maladie infectieuse</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Mother-to-Child Transmission (MTCT) has been identified as the greatest means of HIV infection among children. Adherence to antiretroviral drugs is necessary to prevent drug resistance and MTCT of HIV among HIV positive women. However, there is a gap in clients’ knowledge, attitudes and perceptions of antiretroviral therapy (ART) and Prevention of Mother-To-Child Transmission (PMTCT) which influence their decision to adhere to ART.</p></sec><sec><title>Methods</title><p>The study was a descriptive cross-sectional employing both qualitative and quantitative methods. The study involved 229 HIV positive women in reproductive age (18 – 49 years) and had been on ART for at least six months. Fourteen health workers were also included in the qualitative study. Respondents were selected from three ART centers in the Kumasi Metropolis through systematic random sampling from August to November 2011. HIV positive women who had consistently missed two or more ART appointments within the previous two months were classified as defaulters. Data was analyzed with SPSS 19 and STATA 11. Logistic regression was run to assess the odds ratios at 95% confidence level.</p></sec><sec><title>Results</title><p>The ART defaulter rate was 27% and clients had good knowledge about ART and PMTCT. More than 90% of the HIV positive women had inadequate knowledge about ART and PMTCT and these women were more likely to default ART (OR = 3.5; 95% CI = 1.89, 6.21). The educational background of HIV positive women did not have significant influence on their knowledge of ART and PMTCT.</p></sec><sec><title>Conclusions</title><p>Mothers, knowledge and understanding of ART and PMTCT could influence their adherence to ART. Educational interventions which target the understanding of both the literate and illiterate women in society are necessary to develop positive behaviors and enhance adherence to ART.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Dzokoto, A" uniqKey="Dzokoto A">A Dzokoto</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Duff, P" uniqKey="Duff P">P Duff</name></author><author><name sortKey="Kipp, W" uniqKey="Kipp W">W Kipp</name></author><author><name sortKey="Wild, Tc" uniqKey="Wild T">TC Wild</name></author><author><name sortKey="Rubaale, T" uniqKey="Rubaale T">T Rubaale</name></author><author><name sortKey="Okech Ojony, J" uniqKey="Okech Ojony J">J 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sortKey="Tyllesk R, T" uniqKey="Tyllesk R T">T Tylleskär</name></author><author><name sortKey="Paoli, Mm" uniqKey="Paoli M">MM Paoli</name></author><author><name sortKey="Manongi, R" uniqKey="Manongi R">R Manongi</name></author><author><name sortKey="Engebretsen, Im" uniqKey="Engebretsen I">IM Engebretsen</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Weiser, S" uniqKey="Weiser S">S Weiser</name></author><author><name sortKey="Wolfe, W" uniqKey="Wolfe W">W Wolfe</name></author><author><name sortKey="Bangsberg, D" uniqKey="Bangsberg D">D Bangsberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Munyao, P" uniqKey="Munyao P">P Munyao</name></author><author><name sortKey="Sarna, A" uniqKey="Sarna A">A Sarna</name></author><author><name sortKey="Luchters, S" uniqKey="Luchters S">S Luchters</name></author><author><name sortKey="Geibel, S" uniqKey="Geibel S">S Geibel</name></author><author><name 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sortKey="Wenger, Ns" uniqKey="Wenger N">NS Wenger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nemes, Mib" uniqKey="Nemes M">MIB Nemes</name></author><author><name sortKey="Carvalho, Hb" uniqKey="Carvalho H">HB Carvalho</name></author><author><name sortKey="Souza, Mfm" uniqKey="Souza M">MFM Souza</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Safren, Sa" uniqKey="Safren S">SA Safren</name></author><author><name sortKey="Kumarasamy, N" uniqKey="Kumarasamy N">N Kumarasamy</name></author><author><name sortKey="James, R" uniqKey="James R">R James</name></author><author><name sortKey="Raminani, S" uniqKey="Raminani S">S Raminani</name></author><author><name sortKey="Solomon, S" uniqKey="Solomon S">S Solomon</name></author><author><name sortKey="Mayer, Kh" uniqKey="Mayer K">KH Mayer</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Volmink, J" uniqKey="Volmink J">J Volmink</name></author><author><name sortKey="Marais, B" uniqKey="Marais B">B Marais</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement></list><tree><country name="Ghana"><noRegion><name sortKey="Boateng, Daniel" sort="Boateng, Daniel" uniqKey="Boateng D" first="Daniel" last="Boateng">Daniel Boateng</name></noRegion><name sortKey="Agyei Baffour, Peter" sort="Agyei Baffour, Peter" uniqKey="Agyei Baffour P" first="Peter" last="Agyei-Baffour">Peter Agyei-Baffour</name><name sortKey="Kwapong, Golda Dokuaa" sort="Kwapong, Golda Dokuaa" uniqKey="Kwapong G" first="Golda Dokuaa" last="Kwapong">Golda Dokuaa Kwapong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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