Traditional Complementary and Alternative Medicine and Antiretroviral Treatment Adherence Among HIV Patients in Kwazulu-Natal, South Africa
Identifieur interne : 001151 ( Ncbi/Merge ); précédent : 001150; suivant : 001152Traditional Complementary and Alternative Medicine and Antiretroviral Treatment Adherence Among HIV Patients in Kwazulu-Natal, South Africa
Auteurs : Karl Peltzer [Afrique du Sud] ; Natalie Friend-Du Preez [Royaume-Uni] ; Shandir Ramlagan ; Henry Fomundam [Afrique du Sud] ; Jane Anderson [Royaume-Uni]Source :
- African Journal of Traditional, Complementary, and Alternative Medicines [ 0189-6016 ] ; 2009.
Abstract
Adherence to antiretroviral medication in the treatment of HIV is critical, both to maximize efficacy and to minimize the emergence of drug resistance. The aim of this prospective study in three public hospitals in KwaZulu-Natal, South Africa, is to assess the use of Traditional Complementary and Alternative Medicine (TCAM) by HIV patients and its effect on antiretroviral (ARV) adherence 6 months after initiating ARVs. 735
Url:
PubMed: 21304624
PubMed Central: 3021154
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 001571
- to stream Pmc, to step Curation: 001570
- to stream Pmc, to step Checkpoint: 002902
Links to Exploration step
PMC:3021154Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en"><italic>Traditional Complementary and Alternative Medicine and Antiretroviral Treatment</italic>
Adherence Among HIV Patients in Kwazulu-Natal, South Africa</title>
<author><name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Health Promotion Research Unit, Social Aspect of HIV/AIDS and Health, Human Sciences Research Council, Pretoria, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Health Promotion Research Unit, Social Aspect of HIV/AIDS and Health, Human Sciences Research Council, Pretoria</wicri:regionArea>
<wicri:noRegion>Pretoria</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A2">Department of Psychology, University of the Free State, Bloemfontein, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Department of Psychology, University of the Free State, Bloemfontein</wicri:regionArea>
<wicri:noRegion>Bloemfontein</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Friend Du Preez, Natalie" sort="Friend Du Preez, Natalie" uniqKey="Friend Du Preez N" first="Natalie" last="Friend-Du Preez">Natalie Friend-Du Preez</name>
<affiliation wicri:level="3"><nlm:aff id="A3">Centre for Population Studies, London School of Hygiene and Tropical Medicine, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Population Studies, London School of Hygiene and Tropical Medicine, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ramlagan, Shandir" sort="Ramlagan, Shandir" uniqKey="Ramlagan S" first="Shandir" last="Ramlagan">Shandir Ramlagan</name>
<affiliation><nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fomundam, Henry" sort="Fomundam, Henry" uniqKey="Fomundam H" first="Henry" last="Fomundam">Henry Fomundam</name>
<affiliation wicri:level="1"><nlm:aff id="A4">HIV/AIDS Pharmaceutical Care Program, Howard University, Pretoria, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>HIV/AIDS Pharmaceutical Care Program, Howard University, Pretoria</wicri:regionArea>
<wicri:noRegion>Pretoria</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Anderson, Jane" sort="Anderson, Jane" uniqKey="Anderson J" first="Jane" last="Anderson">Jane Anderson</name>
<affiliation wicri:level="3"><nlm:aff id="A5">Centre for the study of Sexual Health and HIV, Homerton University Hospital NHS Foundation Trust, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for the study of Sexual Health and HIV, Homerton University Hospital NHS Foundation Trust, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">21304624</idno>
<idno type="pmc">3021154</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3021154</idno>
<idno type="RBID">PMC:3021154</idno>
<date when="2009">2009</date>
<idno type="wicri:Area/Pmc/Corpus">001571</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001571</idno>
<idno type="wicri:Area/Pmc/Curation">001570</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001570</idno>
<idno type="wicri:Area/Pmc/Checkpoint">002902</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002902</idno>
<idno type="wicri:Area/Ncbi/Merge">001151</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main"><italic>Traditional Complementary and Alternative Medicine and Antiretroviral Treatment</italic>
Adherence Among HIV Patients in Kwazulu-Natal, South Africa</title>
<author><name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Health Promotion Research Unit, Social Aspect of HIV/AIDS and Health, Human Sciences Research Council, Pretoria, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Health Promotion Research Unit, Social Aspect of HIV/AIDS and Health, Human Sciences Research Council, Pretoria</wicri:regionArea>
<wicri:noRegion>Pretoria</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A2">Department of Psychology, University of the Free State, Bloemfontein, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Department of Psychology, University of the Free State, Bloemfontein</wicri:regionArea>
<wicri:noRegion>Bloemfontein</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Friend Du Preez, Natalie" sort="Friend Du Preez, Natalie" uniqKey="Friend Du Preez N" first="Natalie" last="Friend-Du Preez">Natalie Friend-Du Preez</name>
<affiliation wicri:level="3"><nlm:aff id="A3">Centre for Population Studies, London School of Hygiene and Tropical Medicine, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Population Studies, London School of Hygiene and Tropical Medicine, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ramlagan, Shandir" sort="Ramlagan, Shandir" uniqKey="Ramlagan S" first="Shandir" last="Ramlagan">Shandir Ramlagan</name>
<affiliation><nlm:aff>NONE</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fomundam, Henry" sort="Fomundam, Henry" uniqKey="Fomundam H" first="Henry" last="Fomundam">Henry Fomundam</name>
<affiliation wicri:level="1"><nlm:aff id="A4">HIV/AIDS Pharmaceutical Care Program, Howard University, Pretoria, South Africa</nlm:aff>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>HIV/AIDS Pharmaceutical Care Program, Howard University, Pretoria</wicri:regionArea>
<wicri:noRegion>Pretoria</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Anderson, Jane" sort="Anderson, Jane" uniqKey="Anderson J" first="Jane" last="Anderson">Jane Anderson</name>
<affiliation wicri:level="3"><nlm:aff id="A5">Centre for the study of Sexual Health and HIV, Homerton University Hospital NHS Foundation Trust, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for the study of Sexual Health and HIV, Homerton University Hospital NHS Foundation Trust, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">African Journal of Traditional, Complementary, and Alternative Medicines</title>
<idno type="ISSN">0189-6016</idno>
<idno type="eISSN">0189-6016</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>Adherence to antiretroviral medication in the treatment of HIV is critical, both to maximize efficacy and to minimize the emergence of drug resistance. The aim of this prospective study in three public hospitals in KwaZulu-Natal, South Africa, is to assess the use of Traditional Complementary and Alternative Medicine (TCAM) by HIV patients and its effect on antiretroviral (ARV) adherence 6 months after initiating ARVs. 735 <italic>(29.8% male and 70.2% female) patients</italic>
who consecutively attended three HIV clinics completed assessments prior to ARV initiation and 519 after six months on antiretroviral therapy (ART) Results indicate that the use of herbal therapies for HIV declined significantly from 36.6% prior to antiretroviral treatment (ART) initiation to 7.9% after being on ARVs for 6 months. Faith healing methods, including spiritual practices and prayer for HIV declined from 35.8% to 22.1% and physical/body-mind therapy (exercise and massage) declined from 5.0% to 1.9%. In contrast, the use of micronutrients (vitamins, etc.) significantly increased from 42.6% to 87.4%. In multivariate regression analyses, ARV non-adherence (dose, schedule and food) was associated with the use of herbal treatment, not taking micronutrients and the use of over-the-counter drugs. The use of TCAM declined after initiating ARVs. As herbal treatment for HIV was associated with reduced ARV adherence, patients' use of TCAM should be considered in ARV adherence management.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Afr J Tradit Complement Altern Med</journal-id>
<journal-title-group><journal-title>African Journal of Traditional, Complementary, and Alternative Medicines</journal-title>
</journal-title-group>
<issn pub-type="ppub">0189-6016</issn>
<issn pub-type="epub">0189-6016</issn>
<publisher><publisher-name>African Networks on Ethnomedicines</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21304624</article-id>
<article-id pub-id-type="pmc">3021154</article-id>
<article-id pub-id-type="publisher-id">jAJT.v7.i2.pg125</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title><italic>Traditional Complementary and Alternative Medicine and Antiretroviral Treatment</italic>
Adherence Among HIV Patients in Kwazulu-Natal, South Africa</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Peltzer</surname>
<given-names>Karl</given-names>
</name>
<xref ref-type="aff" rid="A1">*1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Friend-du Preez</surname>
<given-names>Natalie</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ramlagan</surname>
<given-names>Shandir</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fomundam</surname>
<given-names>Henry</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Anderson</surname>
<given-names>Jane</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>*1</label>
Health Promotion Research Unit, Social Aspect of HIV/AIDS and Health, Human Sciences Research Council, Pretoria, South Africa</aff>
<aff id="A2"><label>2</label>
Department of Psychology, University of the Free State, Bloemfontein, South Africa</aff>
<aff id="A3"><label>3</label>
Centre for Population Studies, London School of Hygiene and Tropical Medicine, London, UK</aff>
<aff id="A4"><label>4</label>
HIV/AIDS Pharmaceutical Care Program, Howard University, Pretoria, South Africa</aff>
<aff id="A5"><label>5</label>
Centre for the study of Sexual Health and HIV, Homerton University Hospital NHS Foundation Trust, London, UK</aff>
<author-notes><corresp><bold>E-mail:</bold>
<email>KPeltzer@hrsc.ac.za</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>30</day>
<month>12</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="collection"><year>2010</year>
</pub-date>
<volume>7</volume>
<issue>2</issue>
<fpage>125</fpage>
<lpage>137</lpage>
<permissions><copyright-statement>Copyright © Afr. J. Traditional Complementary and Alternative Medicines 2010</copyright-statement>
</permissions>
<abstract abstract-type="executive-summary"><p>Adherence to antiretroviral medication in the treatment of HIV is critical, both to maximize efficacy and to minimize the emergence of drug resistance. The aim of this prospective study in three public hospitals in KwaZulu-Natal, South Africa, is to assess the use of Traditional Complementary and Alternative Medicine (TCAM) by HIV patients and its effect on antiretroviral (ARV) adherence 6 months after initiating ARVs. 735 <italic>(29.8% male and 70.2% female) patients</italic>
who consecutively attended three HIV clinics completed assessments prior to ARV initiation and 519 after six months on antiretroviral therapy (ART) Results indicate that the use of herbal therapies for HIV declined significantly from 36.6% prior to antiretroviral treatment (ART) initiation to 7.9% after being on ARVs for 6 months. Faith healing methods, including spiritual practices and prayer for HIV declined from 35.8% to 22.1% and physical/body-mind therapy (exercise and massage) declined from 5.0% to 1.9%. In contrast, the use of micronutrients (vitamins, etc.) significantly increased from 42.6% to 87.4%. In multivariate regression analyses, ARV non-adherence (dose, schedule and food) was associated with the use of herbal treatment, not taking micronutrients and the use of over-the-counter drugs. The use of TCAM declined after initiating ARVs. As herbal treatment for HIV was associated with reduced ARV adherence, patients' use of TCAM should be considered in ARV adherence management.</p>
</abstract>
<kwd-group><kwd>Traditional</kwd>
<kwd>complementary</kwd>
<kwd>alternative medicine</kwd>
<kwd>antiretroviral treatment adherence</kwd>
<kwd>HIV patients</kwd>
<kwd>KwaZulu-Natal</kwd>
<kwd>South Africa</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Afrique du Sud</li>
<li>Royaume-Uni</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
</region>
<settlement><li>Londres</li>
</settlement>
</list>
<tree><noCountry><name sortKey="Ramlagan, Shandir" sort="Ramlagan, Shandir" uniqKey="Ramlagan S" first="Shandir" last="Ramlagan">Shandir Ramlagan</name>
</noCountry>
<country name="Afrique du Sud"><noRegion><name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name>
</noRegion>
<name sortKey="Fomundam, Henry" sort="Fomundam, Henry" uniqKey="Fomundam H" first="Henry" last="Fomundam">Henry Fomundam</name>
<name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Friend Du Preez, Natalie" sort="Friend Du Preez, Natalie" uniqKey="Friend Du Preez N" first="Natalie" last="Friend-Du Preez">Natalie Friend-Du Preez</name>
</region>
<name sortKey="Anderson, Jane" sort="Anderson, Jane" uniqKey="Anderson J" first="Jane" last="Anderson">Jane Anderson</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Ncbi/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001151 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd -nk 001151 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaSubSaharaV1 |flux= Ncbi |étape= Merge |type= RBID |clé= PMC:3021154 |texte= Traditional Complementary and Alternative Medicine and Antiretroviral Treatment Adherence Among HIV Patients in Kwazulu-Natal, South Africa }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i -Sk "pubmed:21304624" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd \ | NlmPubMed2Wicri -a SidaSubSaharaV1
This area was generated with Dilib version V0.6.32. |