Self-reported adherence to HIV/AIDS management and associated factors among gender-groups at a referral treatment centre in Port Harcourt, Nigeria

Authors

  • Anwuri Luke Department of Community Medicine, College of Medical Sciences, Rivers State Ministry of Health, Port Harcourt, Rivers State, Nigeria http://orcid.org/0000-0002-8242-1508
  • Golden Owhonda Department of Public Health and Disease Control, Rivers State Ministry of Health, Port Harcourt, Rivers State, Nigeria
  • Charles Tobin-West Department of Preventive and Social Medicine, University of Port Harcourt, Choba, Rivers State, Nigeria

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20222584

Keywords:

Self-reported adherence, HIV/AIDS management, Associated factors, Gender-groups, Referral treatment centre

Abstract

The self-reported method of assessing adherence levels among human immuno-deficiency virus (HIV)-positive patients is the most commonly applied measure, despite its limitations with recall bias and overestimation of outcome variables. This study determined the levels of self-reported adherence to HIV/AIDS management and its associated factors among gender groups at a referral treatment centre in Port Harcourt, Nigeria. This cross-sectional study was conducted among HIV-positive adults attending the University of Port Harcourt Teaching Hospital between September 2020 to November 2020. Systematic sampling technique was employed to select eligible participants using a 7-item brief medication self-reporting tool. Data was analysed with statistical package for social science (SPSS) version-25. Test of association was measured using Pearson’s Chi-square and spearman rho rank tests, set at a significance level of p<0.05 and 95% confidence interval. Confounding variables were controlled using multiple logistic regression analysis. 1600 participants; females (800), and males (800) were recruited. The mean age and standard deviation reported were; male (44.53±10.50), female (40.58±9.34). The mean self-reported optimal adherence levels observed were; male (98.7±6.4) and female (97.3±10.0). The significant variables associated with self-reported adherence levels were revealed only among the male group; religion (aOR=0.076; 95% CI=0.024-0.239; p<0.001), level of education (aOR=0.451; 95% CI=0.213-0.955; p=0.038), and non-payment for HIV support services (aOR=4.105; 95% CI; 1.712-9.792; p<0.001). The male group self-reported better optimal adherence than the female group. Also, the associated factors to self-reported adherence were only significant among the male group. Therefore, robust adherence counselling should be targeted at improving adherence among the female gender.

Author Biography

Anwuri Luke, Department of Community Medicine, College of Medical Sciences, Rivers State Ministry of Health, Port Harcourt, Rivers State, Nigeria

Department of Community Medicine

Lecturer

Consultant Public Health Physician

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Published

2022-09-28

How to Cite

Luke, A., Owhonda, G., & Tobin-West, C. (2022). Self-reported adherence to HIV/AIDS management and associated factors among gender-groups at a referral treatment centre in Port Harcourt, Nigeria. International Journal Of Community Medicine And Public Health, 9(10), 3878–3888. https://doi.org/10.18203/2394-6040.ijcmph20222584

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Section

Review Articles