1. Relationships Among Adherence and Physical and Mental Health Among Women Living with HIV in Rural India.
- Author
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Nyamathi, Adeline, Ekstrand, Maria, Heylen, Elsa, Ramakrishna, Padma, Yadav, Kartik, Sinha, Sanjeev, Hudson, Angela, Carpenter, Catherine L., and Arab, Lenore
- Subjects
ANTIRETROVIRAL agents ,MENTAL depression ,HIV infections ,PSYCHOLOGY of HIV-positive persons ,MEDICAL history taking ,MENTAL health ,MULTIVARIATE analysis ,OPPORTUNISTIC infections ,PATIENT compliance ,PHYSICAL fitness ,QUALITY of life ,RURAL conditions ,SELF-evaluation ,SOCIAL stigma ,SOCIOECONOMIC factors ,CROSS-sectional method ,FOOD security ,CD4 lymphocyte count - Abstract
We conducted a cross-sectional examination of the physical and psychological factors related to ART adherence among a sample of 400 women living with HIV/AIDS in rural India. Interviewer-administered measures assessed adherence, internalized stigma, depressive symptoms, quality of life, food insecurity, health history and sociodemographic information. CD4 counts were measured using blood collected at screening. Findings revealed that adherence to ART was generally low, with 94% of women taking 50% or less of prescribed medication in past month. Multivariate analyses showed a non-linear association between numbers of self-reported opportunistic infections (OIs) in past 6 months (p = 0.016) and adherence, with adherence decreasing with each additional OI for 0–5 OIs. For those reporting more than 5 OIs, the association reversed direction, with increasing OIs beyond 5 associated with greater adherence. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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