Medication Adherence and Beliefs about HIV Treatment in Jordan: A Cross-Sectional Analysis.

IF 2.4 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Sara Al-Ajlouny, Tareq L Mukattash, Anan S Jarab, Walid Al-Qerem, Omar M Khalifeh, Yazid Alhamarneh, Rana K Abu-Farha
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Abstract

This study aimed to examine Antiretroviral Therapy (ART) adherence and beliefs about medications among People Living with HIV (PLHIV) in Amman, Jordan. A cross-sectional study was conducted at the Almashora Health Center for AIDS patients from December 2022 to February 2023, with participants diagnosed with AIDS for at least six months recruited using convenience sampling. Medication adherence was assessed using the 4-Item Morisky Medication Adherence Scale, and beliefs about medications were evaluated with the Beliefs About Medication Questionnaire. A total of 180 PLHIV were recruited. Among them, 42.2% (n = 76) demonstrated low to moderate adherence, with an adherence score of ≤ 75%. The most frequent reason for non-adherence was being careless about medication timing (n = 60, 33.3%). Ordinal regression analysis revealed that higher educational levels (OR = 2.10, p = 0.03) and stronger perceptions of medication necessity (OR = 1.35, p < 0.01) were positively associated with better adherence. Conversely, increased concerns about medications (OR = 0.73, p < 0.01) were negatively associated with adherence. These findings indicate suboptimal ART adherence among PLHIV in Jordan. Higher concerns about medication side effects and lower educational levels were significantly associated with non-adherence. Targeted interventions that address patients' concerns about ART and enhance medication-related education may improve adherence and health outcomes in this population.

约旦HIV治疗的药物依从性和信念:一项横断面分析。
本研究旨在调查约旦安曼艾滋病毒感染者(PLHIV)抗逆转录病毒治疗(ART)的依从性和对药物的信念。从2022年12月到2023年2月,在Almashora健康中心对艾滋病患者进行了一项横断面研究,采用方便抽样方法招募了被诊断患有艾滋病至少6个月的参与者。采用Morisky药物依从性量表评估药物依从性,采用药物信念问卷评估药物信念。共招募了180名hiv感染者。其中,42.2% (n = 76)表现为低至中度依从性,依从性评分≤75%。不遵医嘱最常见的原因是用药时间不注意(n = 60, 33.3%)。有序回归分析显示,较高的受教育程度(OR = 2.10, p = 0.03)和较强的药物必要性认知(OR = 1.35, p
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来源期刊
AIDS and Behavior
AIDS and Behavior Multiple-
CiteScore
6.60
自引率
13.60%
发文量
382
期刊介绍: AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76
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