DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20202446

Cognitive-behavioural factors associated with adherence to antiretroviral medication among HIV infected patients in Ibadan, Oyo state

John I. Akinoye, Ademola M. Amosu, Omotayo A. Amodemaja

Abstract


Background: The initiation of antiretroviral therapy has brought about a huge transformation in HIV care and it has helped in saving millions of lives since its inception. Nevertheless, non-adherence poses a huge challenge to HIV care as this exposes the patients to opportunistic infections and brings about highly resistant viral strains. Therefore, this study assessed the cognitive-behavioural factors associated with the adherence to antiretroviral medication among HIV infected patients in Ibadan, Oyo State, Nigeria.

Methods: A descriptive cross sectional study design guided by a behavioural theory was employed. Multistage sampling was employed in this study. Purposive sampling was used to select the hospitals and simple random sampling was used to select the respondents. A 42 item semi-structured questionnaire validated at 0.85 Cronbach alpha was used. Data were analysed using descriptive and inferential statistics at p<0.05.

Results: The result showed a mean age of 42.11±11.60 years, while 238 (82.6%) of the respondents were female. The study revealed a positive attitudinal disposition of 54% and a negative perception of 51.5%. Optimal antiretroviral medication adherence among the respondents was 189 (65.6%). Attitude and perception showed a statistical correlation towards antiretroviral medication adherence where p=0.001 and p=0.000 respectively.

Conclusions: Attitude and perception are major cognitive-behavioural factors that predicts antiretroviral medication adherence, hence, health promotion intervention that could modify these factors and improve antiretroviral medication adherence is highly recommended.


Keywords


Adherence, Antiretroviral medication, Attitude, HIV, Perception

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