IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0277039.html
   My bibliography  Save this article

Factors associated with ART adherence among HIV-positive adherence club members in Ekurhuleni Metropolitan Municipality, South Africa: A cross-sectional study

Author

Listed:
  • Tariro Ndoro
  • Ntombizodwa Ndlovu
  • Peter Nyasulu

Abstract

Background: HIV is a leading cause of morbidity and mortality in South Africa that can be managed using antiretroviral therapy (ART). Adherence clubs are interventions that have been introduced to decentralize ART to improve ART adherence and provide social support for club members. However, ART adherence can be suboptimal even among adherence club members. Aim: This study aimed to determine the factors affecting ART adherence among people living with HIV/AIDS (PLWHA) attending adherence clubs in Ekurhuleni Metropolitan Municipality. Methods: A cross-sectional study was conducted. Ordinal logistic regression was used in univariable and multivariable analyses to determine factors significantly associated with adherence scores. Factors included in the final model were age, comorbidity, ART regimen and club membership duration. Results: The records of 730 participants were analysed. After adjusting for age, participants with comorbidities were half as likely to report high ART adherence scores compared to participants without comorbidities (AOR = 0.5, 95% CI: 0.3–0.8, p = 0.005). The adjusted odds of reporting high levels of adherence among participants on cART were 1.8 times those on a single tablet regimen (AOR = 1.8, 95% CI: 1.0–3.2; p = 0.033). There was a 20% reduction in the adjusted odds of reporting high ART adherence for each additional year of adherence club membership (AOR = 0.8, 95% CI: 0.8–0.9, p

Suggested Citation

  • Tariro Ndoro & Ntombizodwa Ndlovu & Peter Nyasulu, 2022. "Factors associated with ART adherence among HIV-positive adherence club members in Ekurhuleni Metropolitan Municipality, South Africa: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 17(11), pages 1-14, November.
    • Handle: RePEc:plo:pone00:0277039
    DOI: 10.1371/journal.pone.0277039
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0277039
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0277039&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0277039?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
    ---><---

    References listed on IDEAS

    as
    1. repec:plo:pmed00:1002407 is not listed on IDEAS
    2. Ingrid Eshun-Wilson & Anke Rohwer & Lynn Hendricks & Sandy Oliver & Paul Garner, 2019. "Being HIV positive and staying on antiretroviral therapy in Africa: A qualitative systematic review and theoretical model," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-30, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. John-Henry Hickman & Alison Swartz & Namhla Sicwebu & Cari Stek & Nobom Masimini & Christiana Nöstlinger, 2024. "Exploring Health-Related Quality of Life (HRQOL) among patients with HIV-associated TB in Khayelitsha, South Africa," PLOS ONE, Public Library of Science, vol. 19(11), pages 1-17, November.
    2. Nelsensius Klau Fauk & Maria Silvia Merry & Lillian Mwanri & Karen Hawke & Paul Russell Ward, 2022. "Mental Health Challenges and the Associated Factors in Women Living with HIV Who Have Children Living with HIV in Indonesia: A Qualitative Study," IJERPH, MDPI, vol. 19(11), pages 1-12, June.
    3. Ali Mirzazadeh & Ingrid Eshun-Wilson & Ryan R Thompson & Atousa Bonyani & James G Kahn & Stefan D Baral & Sheree Schwartz & George Rutherford & Elvin H Geng, 2022. "Interventions to reengage people living with HIV who are lost to follow-up from HIV treatment programs: A systematic review and meta-analysis," PLOS Medicine, Public Library of Science, vol. 19(3), pages 1-26, March.
    4. Uzaib Saya & Zachary Wagner & Barbara Mukasa & Peter Wabukala & Lillian Lunkuse & Sebastian Linnemayr, 2022. "The role of material deprivations in determining ART adherence: Evidence from a conjoint analysis among HIV-positive adults in Uganda," PLOS Global Public Health, Public Library of Science, vol. 2(8), pages 1-20, August.

    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:pone00:0277039. 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.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.