Model of socio-cultural dimensions involved in adherence to antiretroviral therapy for HIV/AIDS in public health care centers in Chile

Valeria Stuardo Ávila, Jose Manuel Manriquez Urbina, Valentina Fajreldin Chuaqui, Julieta Belmar Prieto, Victoria Valenzuela Santibáñez

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

7 Citas (Scopus)

Resumen

In Chile, over 14,000 adults are living with HIV receive antiretroviral therapy (HAART). Adequate adherence to HAART has a major impact on survival. There is little consensus on the causes of poor adherence, due to the unique and diverse sociocultural parameters involved in the issue. The objective of this study was to identify sociocultural dimensions that serve as barriers or facilitators to HAART adherence among persons living with HIV/AIDS (PLHIV) in Chile. A qualitative study design, with an exploratory followed by a descriptive phase was conducted. The study population consisted of adults living with HIV/AIDS, with and without HAART. A theoretical sample was designed and three gender profiles defined: women, men, and transwomen. Data collection methods included in-depth interviews by anthropologists in seven public health care centers for PLHIV. The model of sociocultural dimensions indicated that factors associated with family, expectations, gender/sexuality, affect, relationship with HIV, HAART, work, social support and networks, and stigma and discrimination influenced adherence, with different patterns among profiles. This study found that adherence is a dynamic category. It is crucial to consider sociocultural factors in developing strategies to improve HAART adherence.

Idioma originalInglés
Páginas (desde-hasta)1441-1447
Número de páginas7
PublicaciónAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volumen28
N.º11
DOI
EstadoPublicada - 1 nov. 2016
Publicado de forma externa

Áreas temáticas de ASJC Scopus

  • Sanidad (ciencias sociales)
  • Psicología social
  • Salud pública, medioambiental y laboral

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