Title
Barriers and facilitators to antiretroviral therapy adherence among Peruvian adolescents living with HIV: A qualitative study
Date Issued
01 February 2018
Access level
open access
Resource Type
journal article
Author(s)
Galea J.T.
Valle E.
Leon S.R.
Perez D.D.
Franke M.
Publisher(s)
Public Library of Science
Abstract
AIDS deaths among adolescents are increasing globally. This qualitative study investigated the barriers and facilitators to cART adherence among Peruvian adolescents living with HIV. Guided by a social ecological model, we analyzed transcripts from 24 psychosocial support groups for HIV-positive adolescents aged 13–17 years and 15 individual, in-depth interviews with cART providers and caregivers to identify the barriers and facilitators to cART adherence at the individual, family/caregiver and hospital levels. Most barriers and facilitators to cART adherence clustered at the individual and family/caregiver levels, centering on support provided to adolescents; history of declining health due to suboptimal cART adherence; side effects from antiretroviral drugs; and cART misinformation. Interventions to support adolescent HIV cART adherence should begin at the individual and family/caregiver levels and include an educational component. No adolescent living with HIV should die from AIDS in an era of accessible cART.
Volume
13
Issue
2
Language
English
OCDE Knowledge area
Enfermedades infecciosas
Pediatría
Scopus EID
2-s2.0-85042185956
PubMed ID
Source
PLoS ONE
ISSN of the container
19326203
Sponsor(s)
The authors declare that no competing financial interests exist. Dr. Franke received funding from The William F. Milton Fund of Harvard University and the David Rockefeller Center of Harvard University. Dr. Galea received support from the Abundance Foundation Fellowship in Global Mental Health Implementation Science. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Sources of information:
Directorio de Producción Científica
Scopus