Treatment beliefs, illness perceptions, and non-adherence to antiretroviral therapy in an ethnically diverse patient population.

Abstract:

BACKGROUND:Ethnic diversity is increasingly encountered in the HIV-infected population in North America, and it is unknown if beliefs surrounding illness and treatment vary among different ethnic groups. OBJECTIVE:Our objectives were to determine whether self-reported adherence, illness perceptions and treatment beliefs regarding HIV differ based on ethnicity. SETTING:This study was conducted during outpatient HIV clinic visits between March 1, 2010 and April 30, 2010 at two hospital-based clinics in Edmonton, AB, Canada. METHODS:A cross-sectional sample of 65 patients on antiretroviral therapy (34 Caucasian, 23 Aboriginal, and 8 from other ethnic groups) attending hospital-based clinics completed a self-administered survey; medical records were reviewed for demographic and treatment information. MAIN OUTCOME MEASURE:An ANOVA with covariates was performed to measure variation of beliefs and adherence between ethnic groups. RESULTS:Mean self-reported adherence in the past week and past month was high (96 %) and the majority of patients (78.5 %) had a viral load <40 copies/mL. Patients had high perceived necessity scores and a low degree of perceived concern with antiretroviral therapy. In our study, treatment beliefs, illness perceptions, and self-reported adherence did not vary between ethnicities (p > 0.05). CONCLUSION:Treatment beliefs, illness perceptions, and adherence appear to be largely similar in English-speaking patients with diverse ethnic backgrounds who have been on treatment for at least 3 months. Strong supports may overcome any cultural differences in treatment beliefs that were expected at the outset.

journal_name

Int J Clin Pharm

authors

Gunther M,Foisy M,Houston S,Guirguis L,Hughes C

doi

10.1007/s11096-013-9866-9

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

105-11

issue

1

eissn

2210-7703

issn

2210-7711

journal_volume

36

pub_type

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