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Physical, Emotional, and Psychosocial Challenges Associated with Daily Dosing of HIV Medications and Their Impact on Indicators of Quality of Life

Findings from the Positive Perspectives Study

Bibliographic Data

ID15339086
AuthorsPatricia Ríos (0000-0003-2599-282X, corresponding author), Patricia de los Rios, Chinyere Okoli (0000-0002-9424-2873, ViiV Healthcare (United Kingdom)), Erika Castellanos (Central America Health Sciences University), Brent Allan (0000-0001-9964-3564, International Council Of Aids Service Organizations), Benjamin Young (0000-0003-1606-3367, Triangle), Garry Brough, Marvelous Muchenje, Anton Eremin (0000-0001-6232-1764, Regional Research Centres), Giulio Maria Corbelli (0000-0001-5246-7161), Marta McBritton, William D Hardy (0000-0001-8948-9524, Johns Hopkins University), Nicolas Van de Velde (0000-0003-4358-5873, ViiV Healthcare (United Kingdom))
Year2020
Volume25
Issue3
Pages961-972
Publication date2020-10-07
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAIDS and Behavior (JOURNAL)
Journal identifiersISSN: 1090-7165 • E-ISSN: 1573-3254
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-020-03055-1
PMID33026574
OpenAlexW3091817640
LanguageEN
Citations received10
References cited41

To assess challenges with daily oral antiretroviral therapy (ART), we analyzed data for 2389 participants in the 2019 Positive Perspectives survey of people living with HIV in 25 countries. ART-related challenges reported included difficulty swallowing pills (33.1% [790/2389]); stress from daily dosing routine (33.3% [795/2389]); bad memories from daily intake of HIV medication (35.1%[839/2389]), and concern "that having to take pills every day means a greater chance of revealing my HIV status to others" (37.9% [906/2389]). Individuals who felt empowered by daily oral dosing ["taking my pill(s) every day reassures me that my HIV is being kept under control"] had 69% higher odds of optimal overall health (AOR 1.69, 95% CI 1.40-2.04). Conversely, odds of optimal overall health were lower among those who felt daily pill intake "limits my day-to-day life" (AOR 0.53, 95% CI 0.44-0.64). These findings show that there is need for increased flexibility of ART delivery to meet diverse patient needs

Dosing · Family medicine · Health psychology · Logistic regression · Odds · Odds ratio · Pill · Psychiatry · Psychosocial · Public health · Quality of life (healthcare · HIV Research and Treatment · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Nursing · Gerontology · Internal Medicine · Pharmacology

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Unique citing works10
Citations per year2
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 8
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