Factors associated with readiness to start antiretroviral therapy (ART) among young people (15-24 years) at four HIV clinics in Mulago Hospital, Uganda.
| Autor: | Nkalubo J; School of Medicine., Mugaba M; School of Medicine., Asasira I; School of Medicine., Nakiganda R; School of Medicine., Namutebi F; School of Biomedical Sciences., Arnaud NN; School of Medicine., Musisi NK; School of Health Sciences., Abasira T; School of Public Health., Jemba P; School of Public Health., Ndyabawe R; School of Medicine., Tumuhairwe R; Department of Biochemistry & Sports Sciences, Makerere University College of Natural Sciences, P.O.BOX 7062 Kampala, Uganda., Batte C; Makerere Lung Institute., Bakeera-Kitaka S; Department of Paediatrics and Child Health. Makerere University College of Health Sciences, P.O.Box 7072 Kampala, Uganda. |
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| Jazyk: | angličtina |
| Zdroj: | African health sciences [Afr Health Sci] 2021 Dec; Vol. 21 (4), pp. 1603-1614. |
| DOI: | 10.4314/ahs.v21i4.14 |
| Abstrakt: | Introduction: Globally, the HIV burden continues to rise among young people despite the discovery of ART. This study assessed demographic and psycho-social factors among young people associated with readiness to be initiated on ART. Methods: A quantitative cross-sectional study was conducted among newly diagnosed HIV positive young people aged 15-24 years at 4 HIV clinics at Mulago Hospital. Readiness was measured as a self-report by the individual to the question, "How ready do you feel to start ART? Results: Of the 231 young people enrolled, the mean age (SD) was 20.7years (+/-2.8) and most were female (66.2%). Majority were very ready (53.3%) and very motivated (51.1%) to start ART. Higher treatment readiness was associated with being female (95% CI [5.62, 8.31], p=0.003), thinking that ART cures HIV (95% CI [0.43, 0.86], p=0.005), history of having unprotected sex (95% CI [0.79, 0.87], p=<0.001), anticipating negative HIV results (95% CI [0.26, 0.88], p=0.017), internalized stigma (95% CI [0.83, 0.98], p=0.018) and knowledge of positive ART effects for others (95% CI [0.84, 0.93], p=<0.001). Conclusions: Understanding the underlying factors associated with ART readiness among young people can inform strategies to support and increase individuals' readiness to initiate ART and early engagement in care. (© 2021 Nkalubo J et al.) |
| Databáze: | MEDLINE |
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