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The Relationship Between Counseling and Adherence to Antiretroviral Therapy Among Pregnant and Breastfeeding Women Enrolled in Option B. | LitMetric

The Relationship Between Counseling and Adherence to Antiretroviral Therapy Among Pregnant and Breastfeeding Women Enrolled in Option B.

AIDS Educ Prev

Department of Sociology, Woodrow Wilson School of Public and International Affairs, and Office of Population Research, Princeton University, Princeton, New Jersey.

Published: October 2020

AI Article Synopsis

  • The study examined how pre-treatment counseling affects adherence to antiretroviral therapy (ART) among HIV+ women in Zambia enrolled in Option B+.
  • 150 women from rural and urban areas were included, with 75% reporting adherence in the past week.
  • Results showed that counseling significantly improved adherence in rural settings but not in urban ones, highlighting the importance of counseling in promoting medication adherence in resource-limited areas.

Article Abstract

The aim of the study was to investigate the relationship between counseling prior to starting antiretroviral treatment (ART) and adherence to treatment among women enrolled in Option B+ in Zambia. Using convenience sampling, 150 HIV+ women enrolled in an Option B+ treatment regimen in rural and urban districts were recruited. Four generalized Poisson regression models were built to assess the association between counseling and adherence to ART. In all, 75% of the participants reported adherence in the past 7 days. In adjusted analyses, there was a significant positive relationship between counseling and adherence in the rural district (prevalence ratio [PR] 2.52, 95% CI [1.19, 5.35], = 81) but not in the urban district (PR = 0.77, 95% CI [0.15, 3.91], = 69). Offering counseling prior to initiating antiretroviral treatment to HIV+ women is particularly important for promoting medication adherence in rural settings of low resourced countries.

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Source
http://dx.doi.org/10.1521/aeap.2020.32.5.378DOI Listing

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