Self-Reported Adherence to Antiretroviral Therapy (ART) Among Women Engaged in Commercial Sex Work in Southern Uganda.

Self-Reported Adherence to Antiretroviral Therapy (ART) Among Women Engaged in Commercial Sex Work in Southern Uganda.
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DOI:
10.1007/s10461-022-03837-9
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发表时间:
2023-03
期刊:
影响因子:
4.4
通讯作者:
Ssewamala, Fred M.
Ssewamala, Fred M.
中科院分区:
医学2区
文献类型:
--
作者:
Kiyingi, Joshua;Nabunya, Proscovia;Kizito, Samuel;Nabayinda, Josephine;Nsubuga, Edward;Bahar, Ozge Sensoy;Mayo-Wilson, Larissa Jennings;Namuwonge, Flavia;Nattabi, Jennifer;Magorokosho, Natasja;Tozan, Yesim;Witte, Susan S.;Ssewamala, Fred M.

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我们研究了乌干达从事商业性工作(WESW)的妇女自我报告坚持抗逆转录病毒治疗(ART)的相关性。我们使用了纵向研究的基线数据,该研究在乌干达南部招募了542名WESW。我们使用嵌套回归模型来确定自我报告的依从性的个人和家庭以及经济水平相关性。研究结果显示,(OR = 1.07,95%CI = 1.013,1.139),中等教育(OR = 2.01,95%CI = 1.306,3.084),大家庭人口(OR = 1.08,95%CI = 1.020,1.136),家庭亲密度高(OR = 1.06,95%CI = 1.052,1.065),财务自我效能感高(OR = 1.07,95% CI = 1.006,1.130)与自我报告的良好ART依从性相关。(OR=-0.39,95% CI = 0.197,0.774),抑郁症(OR = 0.85,95%CI = 0.744,0.969),饮酒(OR = 0.72,95%CI = 0.548,0.954),曾被捕(OR = 0.58,95%CI = 0.341,0.997),家庭资产拥有率高(OR = 0.48,95%CI = 0.313,0.724)与不良的自我报告坚持ART。研究结果表明,需要采取多层次的方法来解决WESW之间的ART坚持的差距。
We examined the correlates of self-reported adherence to antiretroviral therapy (ART) among women engaged in commercial sex work (WESW) in Uganda. We used baseline data from a longitudinal study, which recruited 542 WESW in Southern Uganda. We used nested regression models to determine the individual and family, and economic level correlates of self-reported adherence. Study findings show that older age (OR = 1.07, 95% CI = 1.013, 1.139), secondary education (OR = 2.01, 95% CI = 1.306, 3.084), large household size (OR = 1.08, 95% CI = 1.020, 1.136), high family cohesion (OR = 1.06, 95% CI = 1.052, 1.065), and high financial self-efficacy (OR = 1.07, 95% CI = 1.006, 1.130) were associated with good self-reported adherence to ART. Married women (OR=−0.39, 95% CI = 0.197, 0.774), depression (OR = 0.85, 95% CI = 0.744, 0.969), alcohol use (OR = 0.72, 95% CI = 0.548, 0.954), ever been arrested (OR = 0.58, 95% CI = 0.341, 0.997), and high household assets ownership (OR = 0.48, 95% CI = 0.313, 0.724) were associated with poor self-reported adherence to ART. Findings suggest a need to adopt a multi-level approach to address gaps in ART adherence among WESW.
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