Connecting-Africa | Find publications

Advanced search

Find:


Title Impact of attitudes and beliefs on antiretroviral treatment adherence intention among HIV-positive pregnant and breastfeeding women in Zambia.
Full text https://escholarship.org/uc/item/9w30h09m
Date 2020
Author(s) Nutor, Jerry John; Slaughter-Acey, Jaime C; Marquez, Shannon P; DiMaria-Ghalili, Rose Ann; Momplaisir, Florence; Oladimeji, Kelechi Elizabeth; Jemmott, Loretta S
Abstract ObjectiveThe aim of this study was to investigate if attitudes or behavioral beliefs about antiretroviral therapy (ART) influence ART adherence intention among pregnant and breastfeeding women in Zambia.MethodsWe recruited 150 HIV-positive women receiving ART in urban (Lusaka) and rural (Sinazongwe) districts of Zambia. Generalized modified Poisson regression models were used to assess the extent to which adherence intention was influenced by attitude toward ART or behavioral beliefs about ART.ResultsIntention to adhere to ART differed significantly by income, knowledge about HIV transmission, attitudes, and behavioral beliefs (all Ps < .05). In addition, strong intention to adhere to ART differed by urban (69%) and rural (31%) place of residence (P ≤ .01). In adjusted models, women in the weak adherence intention group were more likely to be older, have less knowledge about HIV transmission, and have a more negative attitude toward ART (PR 0.74; 95% CI 0.67-0.82). Behavioral belief about ART, however, was significant in unadjusted model (PR 0.85; 95% CI 0.76-0.94) but not significant after adjusting for covariates such as age, knowledge of transmission, and district locality.ConclusionCompared to behavioral beliefs, attitudes about ART were more influential for intention to adhere. This knowledge will help inform effective and appropriate ART counseling for pregnant and breastfeeding women at different points along their ART time course.
Subject(s) Humans; HIV Infections; Anti-HIV Agents; Intention; Breast Feeding; Pregnancy; Zambia; Female; Infectious Disease Transmission; Vertical; Medication Adherence; Mother-to-child transmission; adherence intention; antiretroviral treatment; Pre-natal; Rural; Theory of planned behavior; Mother-to-child transmission; adherence intention; antiretroviral treatment; Infectious Diseases; Clinical Research; Behavioral and Social Science; HIV/AIDS; Management of diseases and conditions; 7.1 Individual care needs; Infection; Reproductive health and childbirth; Public Health and Health Services; Public Health
Coverage 1410
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source BMC public health, vol 20, iss 1
Rights public
Identifier qt9w30h09m
Repository Berkeley - University of California
Added to C-A: 2022-09-14;10:19:20