Barriers to Adherence to Antiretroviral Treatment The Perspectives of Patient Advocates

被引：38
|
作者：
Kagee, Ashraf [1 ]
Delport, Tracey [1 ]
机构：
[1] Univ Stellenbosch, Dept Psychol, ZA-7700 Stellenbosch, South Africa
来源：
JOURNAL OF HEALTH PSYCHOLOGY | 2010年 / 15卷 / 07期
关键词：
adherence; antiretroviral treatment; structural barriers; THERAPY; CARE; HIV/AIDS; COMMUNICATION; NONADHERENCE; PROGRAM; HEALTH; STIGMA;
D O I：
10.1177/1359105310378180
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Patient advocates were asked for their perspectives on the structural barriers to adherence to antiretroviral treatment among patients living with HIV. Poverty-related barriers were transport difficulties, food insecurity and patients' receipt of a disability grant. Institutional barriers were long waiting times at clinics, negative experiences with clinic staff, low levels of health literacy and poor access to substance abuse treatment. Social and cultural barriers were the role of traditional healing practices, the influence of charismatic churches and perceived stigmatization. We offer a perspective on assisting patients living with HIV in addressing these key structural barriers to adherence.
引用
收藏
页码：1001 / 1011
页数：11
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