Religiosity and Adherence to Antiretroviral Therapy Among Patients Attending a Public Hospital-Based HIV/AIDS Clinic in Uganda

Kisenyi, Rita N.; Muliira, Joshua Kanaabi; Ayebare, Elizabeth

doi:10.1007/s10943-011-9473-9

Cited by 34 publications

(35 citation statements)

References 26 publications

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“…Religious faith has been shown to improve adherence, but some studies have shown that certain practices could encourage prayer in lieu of ART. [45][46][47] In contrast to other studies, stigma and traditional African medicine use was not specifically identified as a risk factor for VF. 9,48,49 Although having a family member with HIV could promote mutual support, if the family member is ill, time, attention and ARVs may be diverted away from the participant and to that family member.…”

Section: Discussioncontrasting

confidence: 88%

Early Warning Indicators for First-Line Virologic Failure Independent of Adherence Measures in a South African Urban Clinic

Marconi

Hampton

et al. 2013

AIDS Patient Care and STDs

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We sought to develop individual-level Early Warning Indicators (EWI) of virologic failure (VF) for clinicians to use during routine care complementing WHO population-level EWI. A case-control study was conducted at a Durban clinic. Patients after ‡ 5 months of first-line antiretroviral therapy (ART) were defined as cases if they had VF [HIV-1 viral load (VL) > 1000 copies/mL] and controls (2:1) if they had VL £ 1000 copies/mL. Pharmacy refills and pill counts were used as adherence measures. Participants responded to a questionnaire including validated psychosocial and symptom scales. Data were also collected from the medical record. Multivariable logistic regression models of VF included factors associated with VF ( p < 0.05) in univariable analyses. We enrolled 158 cases and 300 controls. In the final multivariable model, male gender, not having an active religious faith, practicing unsafe sex, having a family member with HIV, not being pleased with the clinic experience, symptoms of depression, fatigue, or rash, low CD4 counts, family recommending HIV care, and using a TV/radio as ART reminders (compared to mobile phones) were associated with VF independent of adherence measures. In this setting, we identified several key individual-level EWI associated with VF including novel psychosocial factors independent of adherence measures.

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Section: Discussioncontrasting

confidence: 88%

Early Warning Indicators for First-Line Virologic Failure Independent of Adherence Measures in a South African Urban Clinic

Marconi

Hampton

et al. 2013

AIDS Patient Care and STDs

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“…Multiple logistic regression of adherence to HAART with relevant predictors revealed that, for every unit rise in spirituality score, there is a 1.3 times increased likelihood of adherence to HAART. Similar findings have been obtained in similar studies among adults receiving HAART [1,6,29,43]. Similar finding was reported by Cotton and colleagues where patients with higher FACIT-Sp-Ex scores had fewer HIV symptoms and better overall functioning [4].…”

Section: Discussionsupporting

confidence: 89%

“…The high DUREL subscale scores in this study support the observation of high religiosity/spirituality in the environment and among Nigerians [41]. In addition, studies have reported increased religiosity with the diagnosis of HIV [6,42].…”

Section: Discussionsupporting

confidence: 83%

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

Ayuk¹

2017

Recent Advances in Biology and Medicine

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The emergence of a chronic medical illness such as Human Immune Deficiency Virus and Acquired Immunodeficiency Syndrome (HIV/AIDS) may be the time when people turn to the Sacred through spirituality and religion. HIV is a chronic illness that requires strict adherence to medication regimens that may be influenced by spirituality/religion. This study was aimed at finding the association between spirituality/religion and adherence to highly active antiretroviral therapy (HAART) in adult HIV/AIDS patients. This is a cross-sectional descriptive study of 370 patients. Adherence was measured using an adapted adult AIDS clinical trial group (AACTG) and visual analogue scale (VAS) tools. Spirituality was assessed using Functional Assessment of Chronic Illness Therapy-Spirituality Expanded (FACIT-Sp-Ex) scale, religiosity with Duke University Religion index (DUREL), and religious coping with Brief Religious Coping (RCOPE) scale. Adherence rates were 86.2 and 43.8% using AACTG and VAS tools, respectively. Statistical significant correlation was found between spirituality and adherence to HAART (r 5 0.265; p 5 0.00). Also, significant correlation was found between positive religious coping and adherence (r 5 0.15, p 5 0.003). Odds ratio indicated that female respondents were 1.6 times more likely to be adherent, compared with males. Similarly, every unit rise in spirituality score yielded a 1.3 times increased likelihood of adherence to HAART on multiple logistic regression of adherence to HAART with relevant predictors. Both spirituality and positive religious coping have positive influence on optimal adherence. Therefore, the training of health care personnel to assess and provide spiritual care and involvement of chaplains/religious leaders is advocated for improved adherence.

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“…Habib and colleagues (2010) found that HIV-positive Nigerians on the Hajj pilgrimage to Mecca in Saudi Arabia faced various challenges to ART and had poorer adherence than a comparable cohort of Muslims traveling domestically within Nigeria. Kisenyi and colleagues (2013) found a positive association between ART adherence and religiosity among Pentacostal Christians and Muslims in a clinic in Uganda. Becker (2009) found that Tanzanian Muslims’ attitudes towards AIDS and ART were more influenced by political events than they were predetermined by rigid religious notions.…”

Section: Introductionmentioning

confidence: 87%

The Islamification of antiretroviral therapy: Reconciling HIV treatment and religion in northern Nigeria

Tocco

2017

Social Science & Medicine

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Access and adherence to antiretroviral therapy (ART) are essential to HIV treatment success and epidemic control. This article is about how HIV-positive Muslims and providers balance ART guidelines with religious tenets and obligations. I conducted 17 months of multi-site ethnographic research between 2007 and 2010, including participant-observation in an urban HIV clinic in Kano, Nigeria and a support group for people living with HIV, as well as in-depth interviews with 30 HIV-positive men and 30 key informants with caregiving, clinical, or policy roles related to HIV/AIDS. Patients migrated from Islamic prophetic medicine to ART when it became more widely available in the mid-2000s through the U.S. PEPFAR program. At the same time, a conceptual shift occurred away from considering HIV immediately curable through spiritual and herbal-based Islamic prophetic medicine toward considering HIV as a chronic infection that requires adherence to daily pill regimens. Hope for a complete cure and encouragement from some Islamic prophetic healers resulted in some patients forgoing ART. Patients and providers adapted biomedical treatment guidelines to minimize disruption to religious practices also considered essential to Muslims’ wellbeing, irrespective of HIV status. Providers discouraged patients on second-line ART from fasting because such patients had fewer treatment options and, often, poorer health. However, patients’ medication adherence was affected by the desire to fulfill religious fasting obligations and to avoid questions from family and friends unaware of their HIV-positive status. This study is one of few ethnographic accounts of HIV treatment in a Muslim-majority society and contributes to understanding the significance of religion for HIV treatment in northern Nigeria. It has implications for public health programming and clinical approaches to HIV treatment in medically pluralistic Muslim societies.

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Religiosity and Adherence to Antiretroviral Therapy Among Patients Attending a Public Hospital-Based HIV/AIDS Clinic in Uganda

Cited by 34 publications

References 26 publications

Early Warning Indicators for First-Line Virologic Failure Independent of Adherence Measures in a South African Urban Clinic

Early Warning Indicators for First-Line Virologic Failure Independent of Adherence Measures in a South African Urban Clinic

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

The Islamification of antiretroviral therapy: Reconciling HIV treatment and religion in northern Nigeria

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