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Psychosocial correlates of adherence...

Kamau, Thomas M.

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Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya./
Author:	Kamau, Thomas M.
Description:	190 p.
Notes:	Source: Dissertation Abstracts International, Volume: 71-08, Section: B, page: 4797.
Contained By:	Dissertation Abstracts International71-08B.
Subject:	African Studies. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3415843
ISBN:	9781124105208

Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya.
Kamau, Thomas M.

Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya. - 190 p.

Source: Dissertation Abstracts International, Volume: 71-08, Section: B, page: 4797.

Thesis (Ph.D.)--Seton Hall University, 2010.

Antiretroviral therapy (ART) dramatically slows the progression of HIV/AIDS, reduces incidences of opportunistic infections, and significantly extends the survival time of people living with HIV. The proportion of men and women living with HIV who are being prescribed ART has exponentially grown from less than 10% in 2003 to over 75% in 2009. However, nonadherence to the ART may result in virologic failure to suppress HIV adequately, which may cause development of drug resistant strains. Consequently, the benefits of ART may be lost. Furthermore, HIV strains may be sexually transmitted from those who are nonadherent to other persons.

ISBN: 9781124105208Subjects--Topical Terms:

1669436
African Studies.

Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya.
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020 $a 9781124105208
035 $a (UMI)AAI3415843
035 $a AAI3415843
040 $a UMI $c UMI
100 1 $a Kamau, Thomas M. $3 1685087
245 1 0 $a Psychosocial correlates of adherence to antiretroviral therapy (ART) in people living with HIV in Kenya.
300 $a 190 p.
500 $a Source: Dissertation Abstracts International, Volume: 71-08, Section: B, page: 4797.
500 $a Adviser: Valerie P. Olson.
502 $a Thesis (Ph.D.)--Seton Hall University, 2010.
520 $a Antiretroviral therapy (ART) dramatically slows the progression of HIV/AIDS, reduces incidences of opportunistic infections, and significantly extends the survival time of people living with HIV. The proportion of men and women living with HIV who are being prescribed ART has exponentially grown from less than 10% in 2003 to over 75% in 2009. However, nonadherence to the ART may result in virologic failure to suppress HIV adequately, which may cause development of drug resistant strains. Consequently, the benefits of ART may be lost. Furthermore, HIV strains may be sexually transmitted from those who are nonadherent to other persons.
520 $a This study sought to determine whether individuals' perceptions of availability of social support and coping self-efficacy influence adherence to ART in people living with HIV in Kenya. A cross-sectional study design using questionnaires was conducted at nine comprehensive care and treatment centers managed by a major healthcare provider serving populations in the central metropolitan city of Nairobi, Kenya.
520 $a Data were collected from a convenience sample (N = 354) of men and women who were prescribed ART. The Interpersonal Support Evaluation List (ISEL), Coping Self-Efficacy (CSE) Scale, and Adult Clinical Trial Group (ACTG) Adherence Questionnaires were used to collect data.
520 $a Social support and coping self-efficacy were predictive of adherence to ART. The composite measure of social support accounted for 24.2%. Tangible and emotional dimensions of social support were the strongest predictor variables for adherence to ART among the four dimensions of social support. Although coping self-efficacy (CSE) was a significant predictor of adherence to ART, it ceased being a significant predictor when the effect of social support on adherence to ART was controlled.
520 $a Social support was predictive of CSE, accounting for 13.2% of variance in CSE. Emotional, informational, and belonging support were statistically significant predictors of CSE, but tangible support was not. A model with the three significant dimensions of support accounted for about 14% of variation in CSE. Thus, significant relations exist between social support, CSE, and adherence to ART, as measured by self-report for the previous 4 days. Implications, limitations, and future directions are discussed.
590 $a School code: 0199.
650 4 $a African Studies. $3 1669436
650 4 $a Psychology, Social. $3 529430
650 4 $a Health Sciences, Public Health. $3 1017659
690 $a 0293
690 $a 0451
690 $a 0573
710 2 $a Seton Hall University. $3 1026097
773 0 $t Dissertation Abstracts International $g 71-08B.
790 1 0 $a Olson, Valerie P., $e advisor
790 $a 0199
791 $a Ph.D.
792 $a 2010
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3415843