Factors Sustaining Pediatric Adherence to Antiretroviral Therapy in Western Kenya
Bibliographic Data
| ID | 4661531 |
|---|---|
| Authors | Rachel C Vreeman (Indiana University, Indianapolis, Indiana, USA,), Rachel Vreeman (0000-0001-5460-8204, Indiana University Health, corresponding author), Winstone M Nyandiko (Moi University, Eldoret, Kenya), Winstone Nyandiko (0000-0002-7639-9287, Moi University), Samwel O Ayaya (Moi University, Eldoret, Kenya), Eunice G Walumbe (Academic Model Providing Access to Healthcare, Eldoret, Kenya), David G Marrero (0000-0003-2112-7812, Indiana University, Indianapolis, Indiana, USA), Thomas S Inui (Indiana University, Indianapolis, Indiana, USA) |
| Year | 2009 |
| Volume | 19 |
| Issue | 12 |
| Pages | 1716-1729 |
| Publication date | 2009-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732309353047 |
| PMID | 19949221 |
| OpenAlex | W2131627578 |
| Language | EN |
| Citations received | 18 |
| References cited | 43 |
Antiretroviral therapy (ART) requires nearly perfect adherence to be effective. Although 90% of HIV-infected children live in Africa, there are limited data on pediatric adherence from this multicultural continent.We conducted a qualitative study to identify key factors contributing to pediatric ART adherence. Ten focus group discussions (N = 85) and 35 individual interviews were conducted with parents and guardians of HIV-infected children receiving ART in western Kenya. Interviews covered multiple aspects of the experience of having children take ART and factors that inhibited or facilitated medication adherence. Constant comparison, progressive coding, and triangulation methods were used to arrive at a culturally contextualized, conceptual model for pediatric ART adherence derived from the descriptions of the lived experience in this resource-limited setting. Child care, including sustained ART adherence, depends on interacting cultural and environmental determinants at the levels of the individual child, parent/caregiver, household, community, health care system, and society
Antiretroviral therapy · Cultural diversity · Culturally appropriate · Family medicine · Focus group · Grounded theory · Multiculturalism · Qualitative research · Sociology · Viral load · Adolescent Sexual and Reproductive Health · HIV Research and Treatment · HIV/AIDS Research and Interventions · Medicine · Psychology
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| Unique citing works | 18 |
|---|---|
| Citations per year | 1.2 |
| Citation span | 2011 - 2025 (15) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 18 |