IDEAS home Printed from https://ideas.repec.org/a/plo/pgph00/0002374.html
   My bibliography  Save this article

Disparities in antiretroviral therapy adherence among selected adult subpopulations with HIV/AIDS in Tanzania: Analysis of a population-based survey, 2022/23

Author

Listed:
  • Dayani Adam
  • Ramkumar T Balan

Abstract

Adherence is a critical component of successful HIV treatment among people living with HIV/AIDS. Yet, there is improvement in the level of adherence, but disparities are exhibited among subpopulations of adults living with HIV/AIDS. The objective of this study was to assess the disparity of the treatment adherence of selected subpopulations among HIV adult patients in Tanzania. We used a cross-sectional survey of 1427 adults living with HIV/AIDS from 31 regions in Tanzania. A two-stage stratified cluster design was used in this survey and included jackknife replicate sampling weights. Frequency tables displaying frequencies, weighted proportions, and confidence intervals were employed to depict socio-demographics by treatment adherence. Treatment adherence was the outcome variable, defined as a binary response that categorized self-reported adherence to ART at the 95% threshold: (1) “Missed 0 or 1 day,” which described high adherence, and (0) “Missed 2 or more days,” which showed low adherence. Rao-Scott chi-square was used to produce the weighted proportions of the adherence within subpopulations. Also, we used the Adjusted Wald Test to examine whether or not the subpopulations are similar to or different in terms of their level of treatment adherence. The results showed a significant difference in treatment adherence between the selected subpopulations. The majority of the chosen subpopulations, including those based on age, sex, marital status, and level of education, were found to have disparities in the level of treatment adherence. However, the study also revealed no disparities in treatment adherence between employed and unemployed HIV patients, divorced and widowed, age groups of 35–44, and those of 45 and 54. The study’s findings revealed considerable disparities in treatment adherence between various subpopulations. These findings emphasize the necessity for specifically developed interventions to address these disparities to attain better health outcomes among adults living with HIV/AIDS.

Suggested Citation

  • Dayani Adam & Ramkumar T Balan, 2025. "Disparities in antiretroviral therapy adherence among selected adult subpopulations with HIV/AIDS in Tanzania: Analysis of a population-based survey, 2022/23," PLOS Global Public Health, Public Library of Science, vol. 5(8), pages 1-11, August.
    • Handle: RePEc:plo:pgph00:0002374
    DOI: 10.1371/journal.pgph.0002374
    as

    Download full text from publisher

    File URL: https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0002374
    Download Restriction: no
    File URL: https://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002374&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pgph.0002374?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pgph00:0002374. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: globalpubhealth (email available below). General contact details of provider: https://journals.plos.org/globalpublichealth .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.