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

AIDS and Behavior
Deborah JonesAndrew Spence

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.

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Citations

Jul 15, 2015·AIDS and Behavior·Deborah L JonesStephen M Weiss
Jul 30, 2020·International Journal of Behavioral Medicine·Omar SuedDeborah L Jones

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