Journal article
Examining the relationship of social support and family cohesion on ART adherence among HIV-positive adolescents in southern Uganda: baseline findings
Vulnerable children and youth studies, v 14(2), pp 181-190
01 Jan 2019
PMID: 31149021
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Several studies in sub-Saharan Africa have linked social support to better ART (antiretroviral therapy) adherence among adults living with HIV. Less is known about the role of social support and family cohesion in ART adherence among children below 18 years. This paper focuses on HIV-infected adolescents as they transition through the vulnerable developmental stage of adolescence to examine the association between family cohesion and social support, and ART adherence in southern Uganda. We utilized baseline data from Suubi+Adherence study, a five-year randomized longitudinal clinical trial with the overall goal of examining the impact and cost associated with an innovative asset-based social intervention to increase adherence to HIV treatment for HIV-infected adolescents in Uganda. This study employed self-reports to measure social support, family cohesion and ART adherence to treatment from 702 participants in 39 clinics situated in southern Uganda. Regression results indicated that after adjusting for socio-demographic characteristics that family cohesion and social support from caregivers/family were associated with self-reported adherence to ART among HIV-infected adolescents. Social support from classmates, teachers, and friends were not associated with ART adherence. Study results suggest that strengthening family relationships and promoting social support within families caring for adolescents living with HIV can be crucial in addressing ART adherence challenges among adolescents in sub-Saharan Africa.
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Details
- Title
- Examining the relationship of social support and family cohesion on ART adherence among HIV-positive adolescents in southern Uganda: baseline findings
- Creators
- Christopher Damulira - Int Ctr Child Hlth & Dev ICHAD, Masaka, UgandaMiriam N. Mukasa - Int Ctr Child Hlth & Dev ICHAD, Masaka, UgandaWilliam Byansi - Washington University in St. LouisProscovia Nabunya - Washington University in St. LouisApollo Kivumbi - Int Ctr Child Hlth & Dev ICHAD, Masaka, UgandaPhionah Namatovu - Int Ctr Child Hlth & Dev ICHAD, Masaka, UgandaFlavia Namuwonge - Int Ctr Child Hlth & Dev ICHAD, Masaka, UgandaDaji Dvalishvili - Washington University in St. LouisOzge Sensoy Bahar - Washington University in St. LouisFred M. Ssewamala - Washington University in St. Louis
- Publication Details
- Vulnerable children and youth studies, v 14(2), pp 181-190
- Publisher
- Taylor & Francis
- Number of pages
- 10
- Grant note
- R01HD074949 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) R25MH067127 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) 1R01HD074949 / National Institute of Health (NICHD); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics; A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000470004200007
- Scopus ID
- 2-s2.0-85064553002
- Other Identifier
- 991022065227404721
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- Collaboration types
- International collaboration
- Web of Science research areas
- Family Studies