Water Access and Adherence Intention Among HIV-Positive Pregnant Women and New Mothers Receiving Antiretroviral Therapy in Zambia

Dados Bibliográficos

ID22085012
AutoresJerry John Nutor (0000-0002-7562-6281, University of California, San Francisco, autor correspondente), Shannon Márquez (Columbia University), Jaime C Slaughter-Acey (0000-0002-8897-1244, University of Minnesota), Thomas J Hoffmann (0000-0003-4129-9478, University of California, San Francisco), Rose Ann DiMaria-Ghalili (0000-0002-6146-7881, Drexel University), Florence Momplaisir (0000-0002-6287-0373, University of Pennsylvania), Emmanuel Opong (Swaziland National Trust Commission), Loretta Sweet Jemmott (0000-0001-8509-5827, Drexel University)
Ano2022
Volume10
Páginas758447-758447
Data de publicação2022-04-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.758447
PMID35433591
OpenAlexW4221104133
IdiomaEN
Citações recebidas3
Referências citadas40

Background: Mother-to-infant transmission of HIV is a major problem in Sub-Saharan Africa despite free or subsidized antiretroviral treatment (ART), but is significantly reduced when mothers adhere to ART. Because potable water access is limited in low-resource countries, we investigated water access and ART adherence intention among HIV-positive pregnant women and new mothers in Zambia. Methods: Our convenience sample consisted of 150 pregnant or postpartum women receiving ART. Descriptive statistics compared type of water access by low and high levels of ART adherence intention. Results: Most (71%) had access to piped water, but 36% of the low-adherence intention group obtained water from a well, borehole, lake or stream, compared to only 22% of the high-adherence intention group. The low-adherence intention group was more rural (62%) than urban (38%) women but not statistically significant [unadjusted Prevalence Ratio (PR) 0.73, 95% CI: 0.52-1.02; adjusted PR 1.06, 95% CI: 0.78-1.45]. Conclusion: Providing potable water may improve ART adherence. Assessing available water sources in both rural and urban locations is critical when educating women initiating ART

Antiretroviral therapy · Descriptive statistics · Environmental health · Family medicine · Obstetrics · Pregnancy · Viral load · Biological Research and Disease Studies · HIV/AIDS Research and Interventions · Medicine · Mobile Health and mHealth Applications