Antiretroviral therapy non-adherence and its association with psychosocial factors in Nigeria: comparative study of sexual minority and heterosexual men living with HIV

被引:0
|
作者
Oginni, O. A. [1 ,2 ]
Adelola, A. I. [2 ]
Ogunbajo, A. [3 ]
Opara, O. J. [1 ]
Akanji, M. [4 ]
Ibigbami, O. I. [1 ,2 ]
Afolabi, O. T. [5 ]
Akinsulore, A. [1 ,2 ]
Mapayi, B. M. [1 ,2 ]
Mosaku, S. K. [1 ,2 ]
机构
[1] Obafemi Awolowo Univ, Dept Mental Hlth, Ife, Nigeria
[2] Obafemi Awolowo Univ Teaching Hosp Complex, Dept Mental Hlth, Ife, Nigeria
[3] RAND Corp, Santa Monica, CA USA
[4] Heartland Alliance, Abuja, Nigeria
[5] Obafemi Awolowo Univ, Dept Community Hlth, Ife, Nigeria
关键词
Nigerian sexual minority men; ART non-adherence; psychosocial adversity; HIV; INTIMATE PARTNER VIOLENCE; TO-CHILD TRANSMISSION; MEDICATION ADHERENCE; SOCIAL SUPPORT; SUICIDAL IDEATION; STIGMA; GAY; HEALTH; STRESS; OLDER;
D O I
10.1080/09540121.2024.2366511
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Sexual minority men (gay, bisexual and other men who have sex with men; SMM) in Nigeria are disproportionately affected by HIV compared to heterosexual men. There is a dearth of research on the correlates of antiretroviral therapy (ART) non-adherence and correlates in both groups. The current study examined the associations of ART non-adherence with sociodemographic and psychosocial characteristics among a sample of Nigerian heterosexual and SMM. Between March and September 2014, we surveyed 120 SMM and 108 heterosexual men receiving ART in Lagos and Abuja, Nigeria. We specified univariate and multivariable linear regression models to examine correlates of ART non-adherence. We found that 50.8% and 29.6% of sexual minority and heterosexual men respectively self-reported ART non-adherence which was significantly associated with psychosocial factors such as stigma, depressive symptoms, and suicidality. Mental health care and psychosocial support should be incorporated into routine HIV care for Nigerian SMM living with HIV.
引用
收藏
页码:1369 / 1381
页数:13
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