Examining Adherence Among Challenging Patients in Public and Private HIV Care in Argentina

Deborah Jones, Ryan Cook, Diego Cecchini, Omar Sued, Lina Bofill, Stephen Weiss, Drenna Waldrop-Valverde, Maria R. Lopez, Andrew Spence

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Treatment engagement, retention and adherence to care are required for optimal HIV outcomes. Yet, patients may fall below the treatment recommendations for achieving undetectable viral load or not be retained in care. This study examined the most challenging patients in Buenos Aires, Argentina, those non-adherent to HIV care. Men (n = 61) and women (n = 59) prescribed antiretrovirals (ARVs) and non-adherent to treatment in the prior 3–6 months were enrolled and assessed regarding adherence, knowledge, motivation and attitudes regarding treatment. Private clinic patients had lower viral load and higher self-reported adherence than public clinic patients. Motivations to be adherent and positive beliefs regarding ARVs were associated with increased adherence in public clinic participants. Increased self-efficacy was associated with increased adherence among participants from both clinics. Results support patient and provider interventions that strengthen the characteristics supporting adherence, engagement and retention in public and private clinic settings.

Original languageEnglish (US)
Pages (from-to)1619-1629
Number of pages11
JournalAIDS and Behavior
Volume19
Issue number9
DOIs
StatePublished - Oct 1 2015
Externally publishedYes

Keywords

  • Adherence
  • Argentina
  • Engagement
  • Healthcare setting
  • Retention

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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