A qualitative approach to understand antiretroviral therapy (ART) adherence for refugees living in Nakivale Refugee Settlement in Uganda.
A qualitative approach to understand antiretroviral therapy (ART) adherence for refugees living in Nakivale Refugee Settlement in Uganda.
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DOI：
10.1186/s13031-018-0145-1
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发表时间：
2018
影响因子：
3.6
通讯作者：
Ware NC
中科院分区：
文献类型：
--
作者：
O'Laughlin KN;Rouhani SA;Kasozi J;Greenwald KE;Perkons NR;Faustin ZM;Bassett IV;Ware NC
撒哈拉以南非洲的艾滋病毒携带者难民遭受着独特的困难，这可能会增加他们在抗逆转录病毒治疗(ART)中断时的脆弱性。为了调查难民坚持抗逆转录病毒治疗的经历，我们于2011年3月至7月在乌干达西南部的纳基维尔难民安置点对接受抗逆转录病毒治疗的难民(n = 73)和艾滋病毒诊所工作人员(n = 4)进行了英珀森访谈。三位分析师使用传统的内容分析方法来评估这些数据。难民描述了坚持艺术的深刻动机，并采用坚持策略来促进成功，尽管环境严峻。然而，难民们谈到了生活在纳基瓦莱的特殊困难，这些困难成为坚持抗逆转录病毒治疗的障碍，包括生病时难以就医、粮食不安全、药品短缺以及定居点的暴力和动乱。对于一些难民来说，对抗逆转录病毒治疗的需要不可避免地将他们与艾滋病毒诊所联系在一起，并阻止他们永久离开定居点。通过了解难民的经历，我们可以设计知情的干预措施，以加强对抗逆转录病毒治疗的遵守，从而将发病率和死亡率降至最低，防止艾滋病毒的传播，并支持难民自由进入东道国的遣返、重新安置或融入社会的能力。
Refugees living with HIV in sub-Saharan Africa suffer unique hardships that may increase their vulnerability to interruptions in antiretroviral therapy (ART). To investigate refugees’ experiences adhering to ART, we conducted inperson interviews with refugees on ART (n = 73) and HIV clinic staff (n = 4) in Nakivale Refugee Settlement in southwest Uganda from March to July 2011. Three analysts used a conventional content analysis approach to evaluate these data. Refugees described profound motivation to adhere to ART and employed adherence strategies to facilitate success despite the austere setting. However, refugees spoke of specific hardships living in Nakivale that served as barriers to ART adherence, including difficulty accessing clinic when ill, food insecurity, drug stockouts, and violence and unrest in the settlement. For some refugees, need for ART inextricably linked them to the HIV clinic and prevented them from transitioning permanently away from the settlement. By learning about refugees’ experiences we can design informed interventions to enhance ART adherence, thus minimizing morbidity and mortality, preventing transmission of HIV, and supporting refugees’ abilities to move freely toward repatriation, resettlement or integration in their host country.
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影响因子：
3.7
作者：
O'Laughlin KN;Rabideau DJ;Kasozi J;Parker RA;Bustamante ND;Faustin ZM;Greenwald KE;Walensky RP;Bassett IV
通讯作者：
Bassett IV
影响因子：
4.4
作者：
Mendelsohn, Joshua B.;Schilperoord, Marian;Spiegel, Paul;Balasundaram, Susheela;Radhakrishnan, Anuradha;Lee, Christopher K. C.;Larke, Natasha;Grant, Alison D.;Sondorp, Egbert;Ross, David A.
通讯作者：
Ross, David A.
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
3.7
作者：
Pasquet A;Messou E;Gabillard D;Minga A;Depoulosky A;Deuffic-Burban S;Losina E;Freedberg KA;Danel C;Anglaret X;Yazdanpanah Y
通讯作者：
Yazdanpanah Y
影响因子：
3.6
作者：
O'Laughlin KN;Rouhani SA;Faustin ZM;Ware NC
通讯作者：
Ware NC