Relationship between self‐efficacy and adherence to antiretroviral therapy in HIV/AIDS patients: An analytical cross‐sectional study in southern Iran

Abstract Background and Aims The human immunodeficiency virus (HIV) infection, also known as acquired immunodeficiency syndrome (AIDS), is spreading rapidly in the world, especially in developing countries, and is considered a serious health threat. This study aimed to assess the relationship of adh...

Full description

Bibliographic Details
Main Authors: Zahra Hosseini, Roghayeh Ezati Rad, Nahid Shahabi, Shokrollah Mohseni, Mehdi Hassani Azad, Teamur Aghamolaei, Abdoulhossain Madani
Format: Article
Language:English
Published: Wiley 2024-02-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.1879
_version_ 1797221164945244160
author Zahra Hosseini
Roghayeh Ezati Rad
Nahid Shahabi
Shokrollah Mohseni
Mehdi Hassani Azad
Teamur Aghamolaei
Abdoulhossain Madani
author_facet Zahra Hosseini
Roghayeh Ezati Rad
Nahid Shahabi
Shokrollah Mohseni
Mehdi Hassani Azad
Teamur Aghamolaei
Abdoulhossain Madani
author_sort Zahra Hosseini
collection DOAJ
description Abstract Background and Aims The human immunodeficiency virus (HIV) infection, also known as acquired immunodeficiency syndrome (AIDS), is spreading rapidly in the world, especially in developing countries, and is considered a serious health threat. This study aimed to assess the relationship of adherence antiretroviral therapy (ART) and self‐efficacy among people living with HIV. Methods This cross‐sectional study was conducted in March–July 2022 at the Center for Behavioral Diseases in Bandar Abbas. A total number of 208 HIV patients treated with ART entered the study after voluntarily signing an informed letter of consent. The data collection instrument was the adherence to ART questionnaire with the six subscales and the General Self‐Efficacy Scale‐17 (GSE‐17) general self‐efficacy questionnaire. Multivariate regression analysis was used to test the relationship among the variables. Results The participants' mean age was 41.7 ± 8.2 years. Self‐efficacy was positively correlated with adherence ART. With every one score of increased self‐efficacy, MA increased for 0.85 score (p < 0.001) and medical challenges have the strongest correlation (r = 0.27) with self‐efficacy. The multivariable regression analysis showed that moderate and high socioeconomic status (SES) each improved MA for 18 and 22 units, respectively, compared to poor SES. Alcohol consumption reduced MA for 11 units. Conclusion This study proved the positive relationship of self‐efficacy in adherence to ART in HIV patients. The insights offered by this research can help develop a systematic and effective intervention to promote MA in HIV patients. SES and alcohol consumption significantly affect MA.
first_indexed 2024-03-07T19:01:37Z
format Article
id doaj.art-b1f22c919e1d4753966ab257b02a22b6
institution Directory Open Access Journal
issn 2398-8835
language English
last_indexed 2024-04-24T13:01:05Z
publishDate 2024-02-01
publisher Wiley
record_format Article
series Health Science Reports
spelling doaj.art-b1f22c919e1d4753966ab257b02a22b62024-04-05T11:41:32ZengWileyHealth Science Reports2398-88352024-02-0172n/an/a10.1002/hsr2.1879Relationship between self‐efficacy and adherence to antiretroviral therapy in HIV/AIDS patients: An analytical cross‐sectional study in southern IranZahra Hosseini0Roghayeh Ezati Rad1Nahid Shahabi2Shokrollah Mohseni3Mehdi Hassani Azad4Teamur Aghamolaei5Abdoulhossain Madani6Social Determinants in Health Promotion Research Center, Hormozgan Health Institute Hormozgan University of Medical Sciences Bandar Abbas IranStudent Research Committee Hormozgan University of Medical Sciences Bandar Abbas IranStudent Research Committee Hormozgan University of Medical Sciences Bandar Abbas IranSocial Determinants in Health Promotion Research Center, Hormozgan Health Institute Hormozgan University of Medical Sciences Bandar Abbas IranInfectious and Tropical Diseases Research Center, Hormozgan Health Institute Hormozgan University of Medical Sciences Bandar Abbas IranCardiovascular Research Center Hormozgan University of Medical Sciences Bandar Abbas IranSocial Determinants in Health Promotion Research Center, Hormozgan Health Institute Hormozgan University of Medical Sciences Bandar Abbas IranAbstract Background and Aims The human immunodeficiency virus (HIV) infection, also known as acquired immunodeficiency syndrome (AIDS), is spreading rapidly in the world, especially in developing countries, and is considered a serious health threat. This study aimed to assess the relationship of adherence antiretroviral therapy (ART) and self‐efficacy among people living with HIV. Methods This cross‐sectional study was conducted in March–July 2022 at the Center for Behavioral Diseases in Bandar Abbas. A total number of 208 HIV patients treated with ART entered the study after voluntarily signing an informed letter of consent. The data collection instrument was the adherence to ART questionnaire with the six subscales and the General Self‐Efficacy Scale‐17 (GSE‐17) general self‐efficacy questionnaire. Multivariate regression analysis was used to test the relationship among the variables. Results The participants' mean age was 41.7 ± 8.2 years. Self‐efficacy was positively correlated with adherence ART. With every one score of increased self‐efficacy, MA increased for 0.85 score (p < 0.001) and medical challenges have the strongest correlation (r = 0.27) with self‐efficacy. The multivariable regression analysis showed that moderate and high socioeconomic status (SES) each improved MA for 18 and 22 units, respectively, compared to poor SES. Alcohol consumption reduced MA for 11 units. Conclusion This study proved the positive relationship of self‐efficacy in adherence to ART in HIV patients. The insights offered by this research can help develop a systematic and effective intervention to promote MA in HIV patients. SES and alcohol consumption significantly affect MA.https://doi.org/10.1002/hsr2.1879AIDSantiretroviral medicationHIVmedication adherenceself‐efficacy
spellingShingle Zahra Hosseini
Roghayeh Ezati Rad
Nahid Shahabi
Shokrollah Mohseni
Mehdi Hassani Azad
Teamur Aghamolaei
Abdoulhossain Madani
Relationship between self‐efficacy and adherence to antiretroviral therapy in HIV/AIDS patients: An analytical cross‐sectional study in southern Iran
Health Science Reports
AIDS
antiretroviral medication
HIV
medication adherence
self‐efficacy
title Relationship between self‐efficacy and adherence to antiretroviral therapy in HIV/AIDS patients: An analytical cross‐sectional study in southern Iran
title_full Relationship between self‐efficacy and adherence to antiretroviral therapy in HIV/AIDS patients: An analytical cross‐sectional study in southern Iran
title_fullStr Relationship between self‐efficacy and adherence to antiretroviral therapy in HIV/AIDS patients: An analytical cross‐sectional study in southern Iran
title_full_unstemmed Relationship between self‐efficacy and adherence to antiretroviral therapy in HIV/AIDS patients: An analytical cross‐sectional study in southern Iran
title_short Relationship between self‐efficacy and adherence to antiretroviral therapy in HIV/AIDS patients: An analytical cross‐sectional study in southern Iran
title_sort relationship between self efficacy and adherence to antiretroviral therapy in hiv aids patients an analytical cross sectional study in southern iran
topic AIDS
antiretroviral medication
HIV
medication adherence
self‐efficacy
url https://doi.org/10.1002/hsr2.1879
work_keys_str_mv AT zahrahosseini relationshipbetweenselfefficacyandadherencetoantiretroviraltherapyinhivaidspatientsananalyticalcrosssectionalstudyinsoutherniran
AT roghayehezatirad relationshipbetweenselfefficacyandadherencetoantiretroviraltherapyinhivaidspatientsananalyticalcrosssectionalstudyinsoutherniran
AT nahidshahabi relationshipbetweenselfefficacyandadherencetoantiretroviraltherapyinhivaidspatientsananalyticalcrosssectionalstudyinsoutherniran
AT shokrollahmohseni relationshipbetweenselfefficacyandadherencetoantiretroviraltherapyinhivaidspatientsananalyticalcrosssectionalstudyinsoutherniran
AT mehdihassaniazad relationshipbetweenselfefficacyandadherencetoantiretroviraltherapyinhivaidspatientsananalyticalcrosssectionalstudyinsoutherniran
AT teamuraghamolaei relationshipbetweenselfefficacyandadherencetoantiretroviraltherapyinhivaidspatientsananalyticalcrosssectionalstudyinsoutherniran
AT abdoulhossainmadani relationshipbetweenselfefficacyandadherencetoantiretroviraltherapyinhivaidspatientsananalyticalcrosssectionalstudyinsoutherniran