Psychosocial Correlates of Antiretroviral medication adherence among people living with HIV/AIDS in a tertiary hospital in Kano, Northwest Nigeria

Background: About 39.9 million of the world’s population are infected with Human immunodeficiency virus/ Acquired immunodeficiency syndrome (HIV/AIDS). Treatment of infected people has been found to reduce the risk of onward transmission to others however, only about 54% have access to antiretrovir...

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Main Authors: Isa AA, Owolabi SD, Garba HZ, Usman UM, Gudaji MI, Sulaiman BA, Baguda A
Format: Article
Language:English
Published: Nigerian Medical Association, Akwa Ibom State Branch 2025-04-01
Series:Ibom Medical Journal
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Online Access:http://ibommedicaljournal.org/index.php/imjhome/article/view/667
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author Isa AA
Owolabi SD
Owolabi SD
Garba HZ
Usman UM
Gudaji MI
Sulaiman BA
Baguda A
author_facet Isa AA
Owolabi SD
Owolabi SD
Garba HZ
Usman UM
Gudaji MI
Sulaiman BA
Baguda A
author_sort Isa AA
collection DOAJ
description Background: About 39.9 million of the world’s population are infected with Human immunodeficiency virus/ Acquired immunodeficiency syndrome (HIV/AIDS). Treatment of infected people has been found to reduce the risk of onward transmission to others however, only about 54% have access to antiretroviral drugs in Nigeria. Despite the recommendation that 95% adherence to ARV is necessary for adequate viral suppression to be achieved, studies have shown that antiretroviral medication adherence ranges between 50%-88% globally. Psychosocial problems have been associated with non-adherence to antiretroviral medications leading to treatment failure and development of resistant strains. Objectives: This study sought to determine the psychosocial correlates of Antiretroviral (ARV) medication adherence among people living with HIV/AIDS (PLWHA) in a tertiary hospital in Kano. Materials and methods: A descriptive cross-sectional study design was utilized among adult patients with HIV/AIDS attending SS Wali Virology Centre of Aminu Kano Teaching Hospital (AKTH). Age, gender, marital, educational and occupational status were gathered using the socio-demographic characteristics questionnaire. Oslo 3-item Social Support Scale was used to assess social support. Morisky Medication Adherence Scale was used to assess adherence to ARV medications. Results: 420 participants were recruited into the study with mean age of 40.4±10.0 years. About 73.6%, 16.0%, 10.1% had strong, moderate and poor social support respectively Seventy-five percent had good ARV drug adherence. 62.4% of participants with psychiatric diagnosis had poor medication adherence while 72.7% of those with poor social support had poor adherence. Conclusion: About three-quarters of respondents had relatively good ARV drug adherence. Having a psychiatric disorder and poor social support were the independent predictors of poor ARV medication adherence.
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spelling doaj-art-5a2dd96d1808487a9c55c0403d39df512025-08-20T03:25:27ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642025-04-0118210.61386/imj.v18i2.667Psychosocial Correlates of Antiretroviral medication adherence among people living with HIV/AIDS in a tertiary hospital in Kano, Northwest NigeriaIsa AA0Owolabi SD1Owolabi SD2Garba HZ3Usman UM4Gudaji MI5Sulaiman BA6Baguda A7Federal Medical Centre, Keffi, Nasarawa State, NigeriaDepartment of Psychiatry, Aminu Kano Teaching Hospital, Bayero University, Kano State, NigeriaAminu Kano Teaching Hospital, Kano State, NigeriaBayero University, Kano State, NigeriaAminu Kano Teaching Hospital, Kano State, NigeriaBayero University, Kano State, NigeriaAminu Kano Teaching Hospital, Kano State, NigeriaAminu Kano Teaching Hospital, Kano State, Nigeria Background: About 39.9 million of the world’s population are infected with Human immunodeficiency virus/ Acquired immunodeficiency syndrome (HIV/AIDS). Treatment of infected people has been found to reduce the risk of onward transmission to others however, only about 54% have access to antiretroviral drugs in Nigeria. Despite the recommendation that 95% adherence to ARV is necessary for adequate viral suppression to be achieved, studies have shown that antiretroviral medication adherence ranges between 50%-88% globally. Psychosocial problems have been associated with non-adherence to antiretroviral medications leading to treatment failure and development of resistant strains. Objectives: This study sought to determine the psychosocial correlates of Antiretroviral (ARV) medication adherence among people living with HIV/AIDS (PLWHA) in a tertiary hospital in Kano. Materials and methods: A descriptive cross-sectional study design was utilized among adult patients with HIV/AIDS attending SS Wali Virology Centre of Aminu Kano Teaching Hospital (AKTH). Age, gender, marital, educational and occupational status were gathered using the socio-demographic characteristics questionnaire. Oslo 3-item Social Support Scale was used to assess social support. Morisky Medication Adherence Scale was used to assess adherence to ARV medications. Results: 420 participants were recruited into the study with mean age of 40.4±10.0 years. About 73.6%, 16.0%, 10.1% had strong, moderate and poor social support respectively Seventy-five percent had good ARV drug adherence. 62.4% of participants with psychiatric diagnosis had poor medication adherence while 72.7% of those with poor social support had poor adherence. Conclusion: About three-quarters of respondents had relatively good ARV drug adherence. Having a psychiatric disorder and poor social support were the independent predictors of poor ARV medication adherence. http://ibommedicaljournal.org/index.php/imjhome/article/view/667PsychosocialcorrelatesAntiretroviraladherenceHIV/AIDS
spellingShingle Isa AA
Owolabi SD
Owolabi SD
Garba HZ
Usman UM
Gudaji MI
Sulaiman BA
Baguda A
Psychosocial Correlates of Antiretroviral medication adherence among people living with HIV/AIDS in a tertiary hospital in Kano, Northwest Nigeria
Ibom Medical Journal
Psychosocial
correlates
Antiretroviral
adherence
HIV/AIDS
title Psychosocial Correlates of Antiretroviral medication adherence among people living with HIV/AIDS in a tertiary hospital in Kano, Northwest Nigeria
title_full Psychosocial Correlates of Antiretroviral medication adherence among people living with HIV/AIDS in a tertiary hospital in Kano, Northwest Nigeria
title_fullStr Psychosocial Correlates of Antiretroviral medication adherence among people living with HIV/AIDS in a tertiary hospital in Kano, Northwest Nigeria
title_full_unstemmed Psychosocial Correlates of Antiretroviral medication adherence among people living with HIV/AIDS in a tertiary hospital in Kano, Northwest Nigeria
title_short Psychosocial Correlates of Antiretroviral medication adherence among people living with HIV/AIDS in a tertiary hospital in Kano, Northwest Nigeria
title_sort psychosocial correlates of antiretroviral medication adherence among people living with hiv aids in a tertiary hospital in kano northwest nigeria
topic Psychosocial
correlates
Antiretroviral
adherence
HIV/AIDS
url http://ibommedicaljournal.org/index.php/imjhome/article/view/667
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