Sara Al-Ajlouny, Tareq L Mukattash, Anan S Jarab, Walid Al-Qerem, Omar M Khalifeh, Yazid Alhamarneh, Rana K Abu-Farha
{"title":"Medication Adherence and Beliefs about HIV Treatment in Jordan: A Cross-Sectional Analysis.","authors":"Sara Al-Ajlouny, Tareq L Mukattash, Anan S Jarab, Walid Al-Qerem, Omar M Khalifeh, Yazid Alhamarneh, Rana K Abu-Farha","doi":"10.1007/s10461-025-04785-w","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":7543,"journal":{"name":"AIDS and Behavior","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"AIDS and Behavior","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10461-025-04785-w","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
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.
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