Attendance of psychosocial teen clubs and self-reported antiretroviral medication adherence: a cross section study of adolescents with perinatal HIV in the Kingdom of Lesotho.
Kingdom of Lesotho
adherence
adolescents
perinatal HIV
teen clubs
youth-friendly services
Journal
AIMS public health
ISSN: 2327-8994
Titre abrégé: AIMS Public Health
Pays: United States
ID NLM: 101635098
Informations de publication
Date de publication:
2021
2021
Historique:
received:
16
05
2021
accepted:
05
07
2021
entrez:
16
8
2021
pubmed:
17
8
2021
medline:
17
8
2021
Statut:
epublish
Résumé
To address the problem of poor adherence among adolescents with perinatal HIV (PHIV), all clinics in Lesotho offer adolescent-friendly services and psychosocial support to improve their overall health outcomes and adherence. As a result, most adolescents with PHIV attend Teen Clubs as part of the package of youth-friendly HIV services. This study set out to determine whether attending Teen Clubs facilitates treatment adherence among adolescents with PHIV. In this cross-sectional study, data were collected from 130 adolescents aged 10-19 years who were aware of their HIV status and had attended three or more Teen Club sessions in selected clinics in rural district in Lesotho. Adherence was measured through self-report of last pills missed, based on the 7-days recall of pills taken. Descriptive statistics were used to analyse the data. The median age of adolescents was 15 years, 56% were female, 37.7% were orphans, 41% were being cared for by their grandparents, 6.9% were living with siblings with no adult figure, and two were living on their own. The majority (93%) reported optimal adherence, 92% had not missed a clinic appointment in the past 30 days, and 74.4% knew that if they skipped doses, the viral load would increase and they would get sick. Over half (56%) had been reminded by their caregivers to take their medication and 96% talked to their caregivers regularly about their medication. A supportive environment provided through the Teen Clubs and in the home were the main facilitators for adherence. Strategies to improve adherence among adolescents should consider the importance of the involvement of caregivers in the adolescents' visits to their clinic.
Sections du résumé
BACKGROUND
BACKGROUND
To address the problem of poor adherence among adolescents with perinatal HIV (PHIV), all clinics in Lesotho offer adolescent-friendly services and psychosocial support to improve their overall health outcomes and adherence. As a result, most adolescents with PHIV attend Teen Clubs as part of the package of youth-friendly HIV services. This study set out to determine whether attending Teen Clubs facilitates treatment adherence among adolescents with PHIV.
METHODS
METHODS
In this cross-sectional study, data were collected from 130 adolescents aged 10-19 years who were aware of their HIV status and had attended three or more Teen Club sessions in selected clinics in rural district in Lesotho. Adherence was measured through self-report of last pills missed, based on the 7-days recall of pills taken. Descriptive statistics were used to analyse the data.
RESULTS
RESULTS
The median age of adolescents was 15 years, 56% were female, 37.7% were orphans, 41% were being cared for by their grandparents, 6.9% were living with siblings with no adult figure, and two were living on their own. The majority (93%) reported optimal adherence, 92% had not missed a clinic appointment in the past 30 days, and 74.4% knew that if they skipped doses, the viral load would increase and they would get sick. Over half (56%) had been reminded by their caregivers to take their medication and 96% talked to their caregivers regularly about their medication.
CONCLUSION
CONCLUSIONS
A supportive environment provided through the Teen Clubs and in the home were the main facilitators for adherence. Strategies to improve adherence among adolescents should consider the importance of the involvement of caregivers in the adolescents' visits to their clinic.
Identifiants
pubmed: 34395704
doi: 10.3934/publichealth.2021044
pii: publichealth-08-03-044
pmc: PMC8334641
doi:
Types de publication
Journal Article
Langues
eng
Pagination
541-552Informations de copyright
© 2021 the Author(s), licensee AIMS Press.
Déclaration de conflit d'intérêts
Conflict of interest: The authors declare no conflict of interest.
Références
AIDS Care. 2016;28 Suppl 1:68-75
pubmed: 26886514
AIDS Res Ther. 2019 Jan 21;16(1):2
pubmed: 30665440
J Int AIDS Soc. 2014 Nov 25;17:19227
pubmed: 25427633
PLoS One. 2014 Mar 25;9(3):e93276
pubmed: 24667407
PLoS One. 2011 Apr 21;6(4):e18505
pubmed: 21533031
AIDS Behav. 2019 Sep;23(9):2629-2633
pubmed: 31292826
AIDS Res Treat. 2012;2012:817506
pubmed: 22400106
AIDS Res Treat. 2020 Oct 27;2020:8604276
pubmed: 33178455
J Int AIDS Soc. 2013 Jun 18;16:18579
pubmed: 23782477
PLoS One. 2016 Nov 29;11(11):e0167492
pubmed: 27898736
BMC Infect Dis. 2015 Nov 14;15:520
pubmed: 26573923
J Int AIDS Soc. 2015 Jan 13;18:19358
pubmed: 25591915
Front Pharmacol. 2017 Nov 23;8:831
pubmed: 29218008
J Int AIDS Soc. 2017 Mar 22;20(1):21371
pubmed: 28630651
Infect Dis Poverty. 2015 May 04;4:18
pubmed: 25954505
AIDS Res Treat. 2016;2016:2607249
pubmed: 27672451
Biomed Res Int. 2019 Dec 2;2019:9623159
pubmed: 31886271
Clin Infect Dis. 2007 Mar 15;44(6):874-8
pubmed: 17304463
BMC Public Health. 2020 Mar 17;20(1):340
pubmed: 32183762
BMC Infect Dis. 2012 Jan 25;12:21
pubmed: 22273267
AIDS Care. 2000 Jun;12(3):255-66
pubmed: 10928201
Vulnerable Child Youth Stud. 2019;14(2):181-190
pubmed: 31149021
J Int AIDS Soc. 2015 Sep 16;18:20049
pubmed: 26385853
AIDS Care. 2015;27(3):322-6
pubmed: 25338010
Patient Prefer Adherence. 2016 Mar 15;10:329-37
pubmed: 27042024