Influence of Spirituality and Religion on Adherence to Highly Active Antiretroviral Therapy in Adult HIV/AIDS Patients in Calabar, Nigeria

Ayuk, Agam Ebaji

doi:10.18639/rabm.2017.03.456895

Cited by 9 publications

(16 citation statements)

References 34 publications

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“…Therefore, spiritual health can enhance the level of health behaviors, reinforcing effects on physical status, patient's compatibility with the disease, and follow-up of the treatment process [28]. A previous research explored the effects of spirituality and religion on the adherence to antiretroviral therapy among adult HIV patients and came to the conclusion that both spirituality and positive religious coping could have positive impacts on desirable adherence to the treatment regimen [29]. The results of another study indicated that the mothers with children suffering from cystic fibrosis who believed in God and considered their children's bodies as the manifestation of the presence of God were more determined to adhere to their children's treatment measures and drugs consumption.…”

Section: Introductionmentioning

confidence: 99%

The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes

Javanmardifard

Heidari

Sanjari

et al. 2020

J Diabetes Metab Disord

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Background Adherence to treatment regimen is one of the behaviors related to diabetes, which has predicted successful control of the disease and reduced its intensity as well as negative consequences. This study aimed to determine the relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with type II diabetes referred to diabetes clinics. Methods In this descriptive-correlational study, 227 diabetic patients referred to healthcare centers and diabetes clinics affiliated to Shiraz University of Medical Sciences were selected via cluster sampling (clinics) followed by convenience sampling (patients). The study data were collected using a demographic information form, spiritual well-being scale developed by Ellison and Paloutzian, Herth hope scale, and adherence to treatment regimen questionnaire. Then, the data were entered into the statistical software and were analyzed using descriptive and inferential statistics. Results The results indicated that most participants had moderate spiritual well-being, high hope, and low adherence to treatment regimen. Additionally, spiritual well-being was directly associated with hope and reversely related to adherence to treatment. A significant reverse correlation was also observed between hope and adherence to treatment. Conclusion Considering the fact that spiritual well-being and hope were reversely associated with adherence to treatment regimen, further studies should be done in this field. Also patients' image of God and their interpretations of being sick might not be appropriate and need correction.

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Section: Introductionmentioning

confidence: 99%

The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes

Javanmardifard

Heidari

Sanjari

et al. 2020

J Diabetes Metab Disord

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“…These findings are in agreement with previous studies conducted in Nigeria, South Africa, Canada, and the United States of America which reported significant gender differences in the sociodemographic characteristics of respondents in favour of the male group compared to their female counterparts. 14,[28][29][30][31][32] This suggests that sociodemographic variables like; age, marital status, tribe, religion, place of residence, level of education, and occupation may influence adherence to ART and the virologic outcome of PLWHA.…”

Section: Discussionmentioning

confidence: 99%

Association between self-reported medication adherence and virologic outcome among human immuno-deficiency virus positive adults accessing care at a tertiary treatment centre in Rivers State, Nigeria

Owhonda

Luke²

2022

Int J Community Med Public Health

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Medication adherence reduces the risk of resistance to antiretroviral therapy. The frequently applied methods in measuring medication adherence are self-reported adherence and viral load monitoring. However, due to the backdrop of recall bias and overestimation of outcomes associated with self-reported adherence, viral load monitoring may be a better measure. This study assessed the association between medication adherence and virologic outcome among human immuno-deficiency virus (HIV) positive adults accessing care at a treatment centre in Rivers State, Nigeria. This cross-sectional study employed the systematic sampling technique to select eligible HIV-positive adults accessing care at the University of Port Harcourt Teaching Hospital between September 2022 to November 2022. Data were collected using a validated 3-item structured interviewer-administered questionnaire and analyzed with statistical package for social science (SPSS) version-26. Pearson’s Chi-square was used to test for associations at a significance level of p<0.05 and a 95% confidence interval. Confounding variables were controlled by stratifying into gender groups. 1600 participants were recruited; males (800), and females (800) with a mean age and standard deviation; males (44.53±10.50), and females (40.58±9.34). The mean self-reported optimal adherence levels were; male (98.7±6.4), and female (97.3±10.0) at p<0.001. The virologic suppression levels were; male (89.5%), and female (89.6%). The association between self-reported adherence and virologic outcome; female (90.0%, p=0.268) and male group (89.7%, p=0.485). Self-reported adherence was not associated with virologic outcomes between gender groups. Hence, viral load monitoring is recommended as a standalone method of assessing medication adherence due to its additional advantage of measuring progress toward virologic suppression.

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“…This is in agreement with previous studies conducted in Nigeria, South Africa, Tanzania, Canada, and the United States of America which showed statistically significant gender disparities in the socio-demographic characteristics of HIV-positive respondents. 18,[34][35][36][37][38][39] Conversely, a systematic review carried out in sub-Saharan Africa in addition to other crosssectional studies conducted in the Gambia and South Africa reported higher odds of self-reported optimal adherence among the female respondents compared to their male counterparts. 29,31,40 However, there was no observed statistically significant gender difference between self-reported adherence and socio-demographic variables in studies conducted in Togo, Cameroun, Malawi and the United States of America.…”

Section: Discussionmentioning

confidence: 99%

Self-reported adherence to HIV/AIDS management and associated factors among gender-groups at a referral treatment centre in Port Harcourt, Nigeria

Luke

Owhonda²,

Tobin-West³

2022

Int J Community Med Public Health

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The self-reported method of assessing adherence levels among human immuno-deficiency virus (HIV)-positive patients is the most commonly applied measure, despite its limitations with recall bias and overestimation of outcome variables. This study determined the levels of self-reported adherence to HIV/AIDS management and its associated factors among gender groups at a referral treatment centre in Port Harcourt, Nigeria. This cross-sectional study was conducted among HIV-positive adults attending the University of Port Harcourt Teaching Hospital between September 2020 to November 2020. Systematic sampling technique was employed to select eligible participants using a 7-item brief medication self-reporting tool. Data was analysed with statistical package for social science (SPSS) version-25. Test of association was measured using Pearson’s Chi-square and spearman rho rank tests, set at a significance level of p<0.05 and 95% confidence interval. Confounding variables were controlled using multiple logistic regression analysis. 1600 participants; females (800), and males (800) were recruited. The mean age and standard deviation reported were; male (44.53±10.50), female (40.58±9.34). The mean self-reported optimal adherence levels observed were; male (98.7±6.4) and female (97.3±10.0). The significant variables associated with self-reported adherence levels were revealed only among the male group; religion (aOR=0.076; 95% CI=0.024-0.239; p<0.001), level of education (aOR=0.451; 95% CI=0.213-0.955; p=0.038), and non-payment for HIV support services (aOR=4.105; 95% CI; 1.712-9.792; p<0.001). The male group self-reported better optimal adherence than the female group. Also, the associated factors to self-reported adherence were only significant among the male group. Therefore, robust adherence counselling should be targeted at improving adherence among the female gender.

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Influence of Spirituality and Religion on Adherence to Highly Active Antiretroviral Therapy in Adult HIV/AIDS Patients in Calabar, Nigeria

Cited by 9 publications

References 34 publications

The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes

The relationship between spiritual well-being and hope, and adherence to treatment regimen in patients with diabetes

Association between self-reported medication adherence and virologic outcome among human immuno-deficiency virus positive adults accessing care at a tertiary treatment centre in Rivers State, Nigeria

Self-reported adherence to HIV/AIDS management and associated factors among gender-groups at a referral treatment centre in Port Harcourt, Nigeria

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