The Need for Sociocultural Awareness to Maximize Treatment Acceptance and Adherence in Individuals Initiating HIV Therapy

Despite major advances in the long-term treatment of patients with HIV infection, there still exist sociocultural barriers to care. This article will focus on recognizing and understanding the cultural factors that affect treatment in patients starting antiretroviral therapy, most important the fact...

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Main Authors: Suzanne Willard PhD, CRNP, FAAN, Andrew Angelino MD
Format: Article
Language:English
Published: SAGE Publishing 2008-03-01
Series:Journal of the International Association of Providers of AIDS Care
Online Access:https://doi.org/10.1177/1545109708315404
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author Suzanne Willard PhD, CRNP, FAAN
Andrew Angelino MD
author_facet Suzanne Willard PhD, CRNP, FAAN
Andrew Angelino MD
author_sort Suzanne Willard PhD, CRNP, FAAN
collection DOAJ
description Despite major advances in the long-term treatment of patients with HIV infection, there still exist sociocultural barriers to care. This article will focus on recognizing and understanding the cultural factors that affect treatment in patients starting antiretroviral therapy, most important the factors that can contribute to poor, as well as favorable, treatment adherence in diverse individuals. These factors include cultural and religious stigma; domestic violence; socioeconomic constraints, including literacy, living conditions, presence or absence of family, and social support networks; psychiatric disorders; and pregnancy. The authors also discuss ways in which clinicians can prepare patients for treatment initiation and improve their ongoing adherence by incorporating knowledge of these sociocultural differences into and modifying plans for patient care accordingly.
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spelling doaj.art-9cfcb2face6f4a57b0ed1b0e94dc92c32022-12-21T23:11:03ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95742325-95822008-03-01710.1177/1545109708315404The Need for Sociocultural Awareness to Maximize Treatment Acceptance and Adherence in Individuals Initiating HIV TherapySuzanne Willard PhD, CRNP, FAAN0Andrew Angelino MD1AIDS Foundation, Washington, DC (SW);Psychiatry, Johns Hopkins Bayview Medical Center, Johns Hopkins Bayview Medical Center, Baltimore, MD (AA).Despite major advances in the long-term treatment of patients with HIV infection, there still exist sociocultural barriers to care. This article will focus on recognizing and understanding the cultural factors that affect treatment in patients starting antiretroviral therapy, most important the factors that can contribute to poor, as well as favorable, treatment adherence in diverse individuals. These factors include cultural and religious stigma; domestic violence; socioeconomic constraints, including literacy, living conditions, presence or absence of family, and social support networks; psychiatric disorders; and pregnancy. The authors also discuss ways in which clinicians can prepare patients for treatment initiation and improve their ongoing adherence by incorporating knowledge of these sociocultural differences into and modifying plans for patient care accordingly.https://doi.org/10.1177/1545109708315404
spellingShingle Suzanne Willard PhD, CRNP, FAAN
Andrew Angelino MD
The Need for Sociocultural Awareness to Maximize Treatment Acceptance and Adherence in Individuals Initiating HIV Therapy
Journal of the International Association of Providers of AIDS Care
title The Need for Sociocultural Awareness to Maximize Treatment Acceptance and Adherence in Individuals Initiating HIV Therapy
title_full The Need for Sociocultural Awareness to Maximize Treatment Acceptance and Adherence in Individuals Initiating HIV Therapy
title_fullStr The Need for Sociocultural Awareness to Maximize Treatment Acceptance and Adherence in Individuals Initiating HIV Therapy
title_full_unstemmed The Need for Sociocultural Awareness to Maximize Treatment Acceptance and Adherence in Individuals Initiating HIV Therapy
title_short The Need for Sociocultural Awareness to Maximize Treatment Acceptance and Adherence in Individuals Initiating HIV Therapy
title_sort need for sociocultural awareness to maximize treatment acceptance and adherence in individuals initiating hiv therapy
url https://doi.org/10.1177/1545109708315404
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