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Journal article
Impact of attitudes and beliefs on antiretroviral treatment adherence intention among HIV-positive pregnant and breastfeeding women in Zambia
BMC public health, v 20(1), pp 1410-1410
16 Sep 2020
PMID: 32938415
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: The aim of this study was to investigate if attitudes or behavioral beliefs about antiretroviral therapy (ART) influence ART adherence intention among pregnant and breastfeeding women in Zambia.
Methods: We recruited 150 HIV-positive women receiving ART in urban (Lusaka) and rural (Sinazongwe) districts of Zambia. Generalized modified Poisson regression models were used to assess the extent to which adherence intention was influenced by attitude toward ART or behavioral beliefs about ART.
Results: Intention to adhere to ART differed significantly by income, knowledge about HIV transmission, attitudes, and behavioral beliefs (all Ps<.05). In addition, strong intention to adhere to ART differed by urban (69%) and rural (31%) place of residence (P <=.01). In adjusted models, women in the weak adherence intention group were more likely to be older, have less knowledge about HIV transmission, and have a more negative attitude toward ART (PR 0.74; 95% CI 0.67-0.82). Behavioral belief about ART, however, was significant in unadjusted model (PR 0.85; 95% CI 0.76-0.94) but not significant after adjusting for covariates such as age, knowledge of transmission, and district locality.
Conclusion: Compared to behavioral beliefs, attitudes about ART were more influential for intention to adhere. This knowledge will help inform effective and appropriate ART counseling for pregnant and breastfeeding women at different points along their ART time course.
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Details
- Title
- Impact of attitudes and beliefs on antiretroviral treatment adherence intention among HIV-positive pregnant and breastfeeding women in Zambia
- Creators
- Jerry John Nutor - University of California, San FranciscoJaime C. Slaughter-Acey - University of MinnesotaShannon P. Marquez - Columbia UniversityRose Ann DiMaria-Ghalili - Drexel UniversityFlorence Momplaisir - Hospital of the University of PennsylvaniaKelechi Elizabeth Oladimeji - University of Fort HareLoretta S. Jemmott - Drexel University
- Publication Details
- BMC public health, v 20(1), pp 1410-1410
- Publisher
- Springer Nature
- Number of pages
- 9
- Grant note
- School of Nursing, University of California, San Francisco Dornsife Global Development Scholar Program, Drexel University
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Community Health and Prevention
- Web of Science ID
- WOS:000573088200003
- Scopus ID
- 2-s2.0-85091129171
- Other Identifier
- 991019167837304721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health