“It is not that I forget, it's just that I don't want other people to know”
Barriers to and strategies for adherence to antiretroviral therapy among HIV patients in Northern Vietnam
Bibliographic Data
| ID | 19440994 |
|---|---|
| Authors | Vu Van Tam (Karolinska Institutet, corresponding author), Anastasia Pharris (0000-0002-7196-657X, Karolinska Institutet), Anna Thorson (0000-0002-8703-6561, Karolinska Institutet), Tobias Alfvén (0000-0002-2328-3512, Karolinska Institutet), Mattias Larsson (0000-0002-0514-7445, Karolinska Institutet) |
| Year | 2011 |
| Volume | 23 |
| Issue | 2 |
| Pages | 139-145 |
| Publication date | 2011-02-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2010.507741 |
| PMID | 21259125 |
| OpenAlex | W1980682082 |
| Language | EN |
| Citations received | 26 |
| References cited | 23 |
Antiretroviral therapy (ART) started to become more widely available in Vietnam in 2005. However, up to now, very little is known about factors influencing ART adherence among people living with HIV (PLHIV) in Vietnam. This qualitative study aimed to describe factors influencing ART adherence among PLHIV in a northern province in Vietnam, and to explore possibilities of home delivery of ART. Forty-eight participants (36 men and 12 women), including patients on ART and their relatives, were divided in seven focus group discussions. The topics discussed included: adherence obstacles encountered during ART, methods patients used to enhance adherence, treatment support structures, and attitudes toward home delivery of ART. All interviews were audio-recorded, then transcribed in Vietnamese. Manual manifest and latent content analysis was applied for data analysis in order to elucidate the presence of, meaning of, and relationships between concepts in the text. Stigma was identified as a strong barrier to ART adherence, as patients feared that taking medications in the presence of other persons would lead to suspicion or inadvertent disclosure of their HIV status. In addition to desires for non-disclosure influencing PLHIV's adherence, it also shaped their attitudes toward opting for more confidential ways of receiving ART support and care. Home delivery of ART medications was seen as undesirable by participants, who feared that it might increase social stigmatization. Participants wished for more community-based support, preferably from PLHIV who had received sufficient training. Based on the results of this study, an intervention strategy using PLHIV as community-based adherence supporters is currently being evaluated in a randomized controlled trial intervention, including 640 patients in Quang Ninh, Vietnam
Antiretroviral therapy · Confidentiality · Family medicine · Focus group · Psychiatry · Psychotherapist · Qualitative research · Social stigma · Social support · Vietnamese · Viral load · HIV, Drug Use, Sexual Risk · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology
Hypervigilance and its socio-emotional consequences among adolescents with HIV
Smartphone Use and Willingness to Pay for HIV Treatment-Assisted Smartphone Applications among HIV-Positive Patients in Urban Clinics of Vietnam
Community patterns of stigma towards persons living with HIV
The Impact of DSM-IV Mental Disorders on Adherence to Combination Antiretroviral Therapy Among Adult Persons Living with HIV/Aids
Impact of HIV‐related stigma on treatment adherence
The Intersectionality of Stigma Toward HIV, Aging, Mental Illness, and Dementia Among Healthcare Professionals Serving the HIV-Infected Aging Population in Vietnam
Drug addiction stigma in relation to methadone maintenance treatment by different service delivery models in Vietnam
The Role of Stigma Management in HIV Treatment Adherence
Adherence to Antiretroviral Therapy (ART) among People Living With HIV (PLHIV)
Long-Acting Injectable ART and PrEP Among Women in Six Cities Across the United States
Evaluation of Sars-CoV-2 Antibodies and the Impact of Covid-19 on the HIV Care Continuum, Economic Security, Risky Health Behaviors, and Mental Health Among HIV-Infected Individuals in Vietnam
Survival Outcomes of Vietnamese People with HIV after Initiating Antiretroviral Treatment
Intersectionality of HIV Stigma with Female Identity
Determinants of antiretroviral treatment adherence among HIV/Aids patients
Navigating antiretroviral adherence in boarding secondary schools in Nairobi, Kenya
Delay, Doubt and Dollars
Gender differences in HIV disclosure, stigma, and perceptions of health
Gender differences in quality of life outcomes of HIV/Aids treatment in the latent feminization of HIV epidemics in Vietnam
A global bibliometric analysis of antiretroviral treatment adherence
Antiretroviral therapy drug adherence in Rwanda
Structural barriers for retention of HIV/Aids patients after initiating antiretroviral therapy in outpatient clinics of Vietnam
Quality of life improvement, social stigma and antiretroviral treatment adherence
Vets, denialists and rememberers
I am doing fine only because I have not told anyone’
Drug adherence levels are falling down again’
Local Discourse on Antiretrovirals and the Lived Experience of Women Living With HIV/Aids in Thailand
Explaining Adherence Success in Sub-Saharan Africa
Community-based approaches to HIV treatment in resource-poor settings
The qualitative content analysis process
Qualitative content analysis in nursing research
Barriers to acceptance and adherence of antiretroviral therapy in urban Zambian women
Effects of empowerment among HIV-positive women on the patient-provider relationship
Rice Is Essential but Tiresome; You Should Get Some Noodles”
Adherence to antiretroviral therapy
It's all the time in my mind
| Citations per year | 1.73 |
|---|---|
| Citation span | 2011 - 2026 (16) |
| Highly cited | No |