False beliefs about ART effectiveness, side effects and the consequences of non-retention and non-adherence among ART patients in Livingstone, Zambia.

False beliefs about ART effectiveness, side effects and the consequences of non-retention and non-adherence among ART patients in Livingstone, Zambia.
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DOI:
10.1007/s10461-012-0221-2
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发表时间:
2013-01
期刊:
影响因子:
4.4
通讯作者:
Baernighausen, Till
Baernighausen, Till
中科院分区:
医学2区
文献类型:
--
作者:
Nozaki, Ikuma;Kuriyama, Mika;Manyepa, Pauline;Zyambo, Matilda K.;Kakimoto, Kazuhiro;Baernighausen, Till

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关于抗逆转录病毒治疗(ART)的信念是治疗成功的关键,但在撒哈拉以南非洲国家没有很好的记录。我们研究了赞比亚利文斯通389名ART患者对ART错误信念的频率。尽管有密集的ART前咨询,我们发现,超过一半的患者持有至少一个错误的信念,对ART的有效性,副作用,或ART不保留或不遵守的后果。常见的错误信念-例如,牧师可以通过祈祷治愈艾滋病毒感染,ART可以在没有有害影响的情况下停止,同时服用增强免疫力的草药-可能会减少ART的坚持和保留。
Beliefs about antiretroviral treatment (ART) are crucial for treatment success but not well documented in sub-Sahara African countries. We studied the frequency of false beliefs about ART in 389 ART patients in Livingstone, Zambia. Despite intensive pre-ART counseling, we find that more than half of the patients hold at least one false belief about ART effectiveness, side effects, or the consequences of ART non-retention or non-adherence. Commonly held false beliefs—e.g., pastors can cure HIV infection through prayer and ART can be stopped without harmful effects while taking immune-boosting herbs—are likely to decrease ART adherence and retention.
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