Relationship between social capital and post-partum antiretroviral therapy adherence among women living with HIV in the Eastern Cape, South Africa.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ajar-African Journal of Aids Research Pub Date : 2024-10-01 Epub Date: 2024-10-14 DOI:10.2989/16085906.2024.2337763
Khadijat K Adeleye, Eyitayo O Owolabi, Oladele V Adeniyi, David Aduragbemi Okunlola, Anthony I Ajayi
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引用次数: 0

Abstract

Background: Adherence to antiretroviral therapy (ART) is crucial for preventing vertical transmission of HIV and maternal deaths. While the literature is replete with studies on ART adherence, the role of social capital in adherence to ART is less studied. Drawing from the social cognitive theory, this study examines the relationship between social capital and post-partum adherence to ART.

Methods: We analysed data from 481 post-partum women with HIV in the Eastern Cape, South Africa. Adherence to ART was measured using a validated scale, capturing self-reported medication-taking behaviours. Social capital was assessed using a pre-validated tool, encompassing indicators of social engagement, support networks and community connectedness. We used logistic regression models to examine social capital and ART adherence associations, while controlling for relevant covariates.

Results: Participants mean age was 32.9 (SD ± 5.76) years. After adjusting for age, education level, alcohol use, status disclosure to partner, marital status, desire for more children, employment status and living arrangements, social capital was significantly associated with higher odds of ART adherence (p = 0.004, AOR 1.09; 95% CI 1.03-1.16).

Conclusion: We found evidence in support of the role of social capital in ART adherence. Strengthening social support networks and addressing psychosocial factors could improve adherence to ART. As such, policymakers and programme managers should consider the role of social capital in designing interventions to improve ART adherence. Future research should explore the mechanisms through which social capital impacts ART adherence.

南非东开普省感染艾滋病毒妇女的社会资本与产后坚持抗逆转录病毒疗法之间的关系。
背景:坚持抗逆转录病毒疗法(ART)对于预防 HIV 垂直传播和孕产妇死亡至关重要。有关坚持抗逆转录病毒疗法的研究文献很多,但有关社会资本在坚持抗逆转录病毒疗法中的作用的研究较少。本研究从社会认知理论出发,探讨了社会资本与产后坚持抗逆转录病毒疗法之间的关系:我们分析了南非东开普省 481 名感染艾滋病病毒的产后妇女的数据。抗逆转录病毒疗法的依从性采用经过验证的量表进行测量,其中包括自我报告的服药行为。社会资本采用预先验证的工具进行评估,包括社会参与、支持网络和社区联系等指标。我们使用逻辑回归模型来研究社会资本与抗逆转录病毒疗法依从性之间的关系,同时控制相关的协变量:参与者的平均年龄为 32.9(SD ± 5.76)岁。在调整了年龄、教育程度、饮酒、向伴侣披露情况、婚姻状况、生育意愿、就业状况和生活安排等因素后,社会资本与坚持抗逆转录病毒疗法的几率显著相关(p = 0.004,AOR 1.09;95% CI 1.03-1.16):我们发现有证据支持社会资本在坚持抗逆转录病毒疗法中的作用。加强社会支持网络和解决社会心理因素可提高抗逆转录病毒疗法的依从性。因此,政策制定者和项目管理人员在设计干预措施以提高抗逆转录病毒疗法依从性时应考虑社会资本的作用。未来的研究应探索社会资本对坚持抗逆转录病毒疗法的影响机制。
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来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
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