Attitudes Toward Long-Term Use of Antiretroviral Therapy Among HIV-Infected Pregnant Women in Moshi, Tanzania: A Longitudinal Study

AIDS and Behavior
Linda MinjaMelissa H Watt

Abstract

Adherence to antiretroviral therapy (ART) during pregnancy and the postpartum period is necessary to prevent vertical HIV transmission and to secure the long-term health of an HIV-infected woman. Health behavior theory suggests that patients' attitudes towards medication can predict their medication-taking behaviour. This study sought to understand how women's attitudes towards ART changes between the pregnancy and postpartum periods, and the factors associated with these attitudes. The study enrolled 200 pregnant women living with HIV. Structured surveys were administered during pregnancy and at three and 6 months postpartum. Overall, attitudes towards ART were stable over time. More positive attitudes towards ART were associated with HIV acceptance, lower levels of depression, and lower levels of shame. Counselling interventions are needed to help HIV-infected women accept their status and reduce shameful emotions. Depression screening and treatment should be integrated into PMTCT services. This study emphasizes the importance of early attention to attitudes towards ART, in order to establish a trajectory of sustained care engagement.

References

Jun 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·J L CoxR Sagovsky
May 1, 1993·Social Science & Medicine·K O'BrienJ G Joseph
Jun 14, 2002·Social Science & Medicine·Bruno SpireUNKNOWN APROCO cohort study group
Feb 4, 2003·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Fabrizio StaraceUNKNOWN AdICoNA Study Group. NeuroICoNA Study Group
Oct 3, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Ajay K SethiJoel E Gallant
Mar 11, 2008·The Journal of the Association of Nurses in AIDS Care : JANAC·Deborah J Konkle-ParkerPatricia M Dubbert
Mar 7, 2009·AIDS Care·Sigrid C J M VervoortJan C C Borleffs
Mar 17, 2011·Infectious Disorders Drug Targets·Jean B NachegaRobert Gross
Aug 6, 2011·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Glenn J WagnerUNKNOWN MACH14 Investigators
Nov 9, 2011·AIDS and Behavior·Sharon A S NeufeldNathan B Hansen
Aug 7, 2012·Nursing Forum·Aubrey L Florom-Smith, Joseph P De Santis
Sep 14, 2012·The Cochrane Database of Systematic Reviews·Virginia A FonnerMichael Sweat
Mar 5, 2013·AIDS and Behavior·Valerie A EarnshawMichael M Copenhaver
Jul 6, 2013·Journal of Pharmacy Practice·Jigar R Rajpura, Rajesh Nayak
Jan 29, 2014·AIDS·Lyson TenthaniUNKNOWN Ministry of Health in Malawi and IeDEA Southern Africa
Dec 9, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jennifer F MortonUNKNOWN Partners Demonstration Project Team
Dec 30, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Brandon A KnettelMelissa H Watt
Apr 15, 2018·BMC Infectious Diseases·Oladele Vincent AdeniyiJohn Lambert
Sep 21, 2018·Patient Preference and Adherence·Jacinthe LemayTania Bayoud

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