Socioeconomic factors in adherence to HIV therapy in low- and middle-income countries
SOURCE: Journal of Health, Population and Nutrition
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2013
TITLE AUTHOR(S): K.Peltzer, S.Pengpid
KEYWORDS: ANTIRETROVIRAL THERAPY (ART), HIV/AIDS, LOW INCOME POPULATION, SOCIO-ECONOMIC PROFILE
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8084
HANDLE: 20.500.11910/2572
URI: http://hdl.handle.net/20.500.11910/2572
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2013
TITLE AUTHOR(S): K.Peltzer, S.Pengpid
KEYWORDS: ANTIRETROVIRAL THERAPY (ART), HIV/AIDS, LOW INCOME POPULATION, SOCIO-ECONOMIC PROFILE
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8084
HANDLE: 20.500.11910/2572
URI: http://hdl.handle.net/20.500.11910/2572
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
It is not clear what effect socioeconomic factors have on adherence to antiretroviral therapy (ART) among patients in low- and middle-income countries. We performed a systematic review of the association of socioeconomic status (SES) with adherence to treatment of patients with HIV/AIDS in low- and middle-income countries. We searched electronic databases to identify studies concerning SES and HIV/AIDS and collected data on the association between various determinants of SES (income, education, occupation) and adherence to ART in low- and middle-income countries. From 252 potentially-relevant articles initially identified, 62 original studies were reviewed in detail, which contained data evaluating the association between SES and adherence to treatment of patients with HIV/AIDS. Income, level of education, and employment/occupational status were significantly and positively associated with the level of adherence in 15 studies (41.7%), 10 studies (20.4%), and 3 studies (11.1%) respectively out of 36, 49, and 27 studies reviewed. One study for income, four studies for education, and two studies for employment found a negative and significant association with adherence to ART. However, the aforementioned SES determinants were not found to be significantly associated with adherence in relation to 20 income-related (55.6%), 35 education-related (71.4%), 23 employment/occupational status-related (81.5%), and 2 SES-related (100%) studies. The systematic review of the available evidence does not provide conclusive support for the existence of a clear association between SES and adherence to ART among adult patients infected with HIV/AIDS in low- and middle-income countries. There seems to be a positive trend among components of SES (income, education, employment status) and adherence to antiretroviral therapy in many of the reviewed studies.-
Related Research Outputs:
- HIV prevention intervention among low-income women in South Africa: a randomized control trial 1
- An exploratory study of the impact of primary caregiver HIV infection on caregiving and child developmental outcome in the era of Haart: piloting the methodology
- Universal HIV testing of infants at immunization clinics: an acceptable and feasible approach for early infant diagnosis in high HIV prevalence settings
- Use of traditional complementary and alternative medicine for HIV patients in KwaZulu-Natal, South Africa
- The phenomenology of bodily care: caregivers' experiences with AIDS patients before antiretroviral therapies in Lesotho
- Traditional complementary and alternative medicine and antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa
- Rifampin pharmacokinetics in children, with and without human immunodefiency virus infection, hospitalized for the management of severe forms of tuberculosis
- Utilisation of the national antiretroviral therapy guidelines among health care professionals working in Abuja treatment centres, Nigeria
- Antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa
- Traditional complementary and alternative medicine and antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa
- Social determinants of HIV in the Eastern Cape
- Determinants of adherence to a single-dose nevirapine regimen for the Prevention of Mother-to-Child HIV Transmission in Gert Sibande district in South Africa
- HIV/AIDS socio-economic impact mitigation
- Safer sexual behaviours after 1 year of antiretroviral treatment in KwaZulu-Natal, South Africa: a prospective cohort study
- The who & why of antiretroviral treatment adherence
- A decline in new HIV infections in South Africa: estimating HIV incidence from three national HIV surveys in 2002, 2005 and 2008
- Perceived stigma among patients receiving antiretroviral therapy: a prospective study in KwaZulu-Natal, South Africa
- Equity in the use of antiretroviral treatment in the public health care system in urban South Africa
- The relationships between socio-demographic factors, high-risk behaviours & clinical depression in HIV positive individuals in a public health clinic
- Factors associated with short-course antiretroviral prophylaxis (dual therapy) adherence for PMTCT in Nkangala district, South Africa