The association between self-acceptance, emotion regulation, and treatment adherence self-efficacy among adolescents with HIV in Liangshan prefecture, China: a cross-sectional study
Abstract Background Achieving viral suppression through effective treatment adherence is critical for adolescents with HIV; however, the role of treatment adherence self-efficacy—an individual’s confidence in their ability to consistently follow antiretroviral therapy (ART) regimens—remains under-ex...
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2025-01-01
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| author | Dan Tan Wenxi Zhong Li Ma Jing Cheng Xianjun Mao Xi Zhang Jian Tang Song Fan Bianchuan Cao Yanhua Chen |
| author_facet | Dan Tan Wenxi Zhong Li Ma Jing Cheng Xianjun Mao Xi Zhang Jian Tang Song Fan Bianchuan Cao Yanhua Chen |
| author_sort | Dan Tan |
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| description | Abstract Background Achieving viral suppression through effective treatment adherence is critical for adolescents with HIV; however, the role of treatment adherence self-efficacy—an individual’s confidence in their ability to consistently follow antiretroviral therapy (ART) regimens—remains under-explored among Chinese adolescents. This gap is particularly concerning given the United Nations’ “95-95-95” targets to end the AIDS epidemic by 2030. Objective The aim of this study is to investigate the treatment adherence self-efficacy levels of Yi ethnic adolescents with HIV in a county in Liangshan Prefecture, and to explore the association between self-acceptance, emotion regulation, and treatment adherence self-efficacy. Methods A cross-sectional study was conducted in a county of Liangshan Prefecture from November 2023 to March 2024. A convenience sampling method was used to select 205 participants. Multiple linear regression models were employed to examine the relationships between demographic variables, self-acceptance, emotion regulation and treatment adherence self-efficacy. A p-value < 0.05 was considered statistically significant. Results The study involved 205 participants (response rate: 96%) with an average age of 14.08 years. The mean ± standard deviation (SD) treatment adherence self-efficacy score of the study participants was 73.09 (± 16.37). Treatment adherence self-efficacy was significantly associated with factors such as residence [β = -0.174, 95% CI = (-13.841, -2.260)], occupation [β = 3.234, 95% CI = (7.061, 29.137)], and age [β = 0.312, 95% CI =(0.742, 2.502)]. In addition, self-acceptance and emotion regulation were positively correlated with treatment adherence self-efficacy. For each unit increase in self-acceptance, treatment adherence self-efficacy improved [β = 0.157; 95% CI =(0.081, 0.892)], and for each unit increase in emotion regulation, treatment adherence self-efficacy also improved [β = 0.314; 95% CI = (0.288, 0.724)]. Conclusions This study highlighted that several factors, including place of residence, occupation, age, self-acceptance, and emotion regulation, were significantly associated with treatment adherence self-efficacy among adolescents with HIV. Notably, self-acceptance and emotion regulation were positively correlated with treatment adherence self-efficacy. Enhancing treatment adherence self-efficacy in this population could be achieved by focusing on improving self-acceptance and emotion regulation. Furthermore, interventions aimed at increasing treatment adherence self-efficacy should prioritize rural areas, non-student populations, and younger adolescents, as these groups tend to exhibit lower adherence self-efficacy. Tailored interventions that address the specific needs of these subgroups could contribute to improved health outcomes and more effective HIV management among adolescents. |
| format | Article |
| id | doaj-art-e735582b3b9046368964004d7c2239f0 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-e735582b3b9046368964004d7c2239f02025-01-26T12:56:02ZengBMCBMC Public Health1471-24582025-01-0125111010.1186/s12889-025-21492-2The association between self-acceptance, emotion regulation, and treatment adherence self-efficacy among adolescents with HIV in Liangshan prefecture, China: a cross-sectional studyDan Tan0Wenxi Zhong1Li Ma2Jing Cheng3Xianjun Mao4Xi Zhang5Jian Tang6Song Fan7Bianchuan Cao8Yanhua Chen9School of Nursing, Southwest Medical UniversitySchool of Nursing, Southwest Medical UniversitySchool of Nursing, Southwest Medical UniversitySchool of Nursing, Southwest Medical UniversitySchool of Nursing, Southwest Medical UniversitySchool of Nursing, Southwest Medical UniversityDepartment of Infectious Diseases, The Affliated Hospital, Southwest Medical UniversityPreventive Medicine, School of Public Health, Southwest Medical UniversityDepartment of Infectious Diseases, The Affliated Hospital, Southwest Medical UniversityDepartment of Nursing, The Affiliated Hospital, Southwest Medical UniversityAbstract Background Achieving viral suppression through effective treatment adherence is critical for adolescents with HIV; however, the role of treatment adherence self-efficacy—an individual’s confidence in their ability to consistently follow antiretroviral therapy (ART) regimens—remains under-explored among Chinese adolescents. This gap is particularly concerning given the United Nations’ “95-95-95” targets to end the AIDS epidemic by 2030. Objective The aim of this study is to investigate the treatment adherence self-efficacy levels of Yi ethnic adolescents with HIV in a county in Liangshan Prefecture, and to explore the association between self-acceptance, emotion regulation, and treatment adherence self-efficacy. Methods A cross-sectional study was conducted in a county of Liangshan Prefecture from November 2023 to March 2024. A convenience sampling method was used to select 205 participants. Multiple linear regression models were employed to examine the relationships between demographic variables, self-acceptance, emotion regulation and treatment adherence self-efficacy. A p-value < 0.05 was considered statistically significant. Results The study involved 205 participants (response rate: 96%) with an average age of 14.08 years. The mean ± standard deviation (SD) treatment adherence self-efficacy score of the study participants was 73.09 (± 16.37). Treatment adherence self-efficacy was significantly associated with factors such as residence [β = -0.174, 95% CI = (-13.841, -2.260)], occupation [β = 3.234, 95% CI = (7.061, 29.137)], and age [β = 0.312, 95% CI =(0.742, 2.502)]. In addition, self-acceptance and emotion regulation were positively correlated with treatment adherence self-efficacy. For each unit increase in self-acceptance, treatment adherence self-efficacy improved [β = 0.157; 95% CI =(0.081, 0.892)], and for each unit increase in emotion regulation, treatment adherence self-efficacy also improved [β = 0.314; 95% CI = (0.288, 0.724)]. Conclusions This study highlighted that several factors, including place of residence, occupation, age, self-acceptance, and emotion regulation, were significantly associated with treatment adherence self-efficacy among adolescents with HIV. Notably, self-acceptance and emotion regulation were positively correlated with treatment adherence self-efficacy. Enhancing treatment adherence self-efficacy in this population could be achieved by focusing on improving self-acceptance and emotion regulation. Furthermore, interventions aimed at increasing treatment adherence self-efficacy should prioritize rural areas, non-student populations, and younger adolescents, as these groups tend to exhibit lower adherence self-efficacy. Tailored interventions that address the specific needs of these subgroups could contribute to improved health outcomes and more effective HIV management among adolescents.https://doi.org/10.1186/s12889-025-21492-2Adolescents with HIVSelf-efficacyMental healthRegression analysisChina |
| spellingShingle | Dan Tan Wenxi Zhong Li Ma Jing Cheng Xianjun Mao Xi Zhang Jian Tang Song Fan Bianchuan Cao Yanhua Chen The association between self-acceptance, emotion regulation, and treatment adherence self-efficacy among adolescents with HIV in Liangshan prefecture, China: a cross-sectional study BMC Public Health Adolescents with HIV Self-efficacy Mental health Regression analysis China |
| title | The association between self-acceptance, emotion regulation, and treatment adherence self-efficacy among adolescents with HIV in Liangshan prefecture, China: a cross-sectional study |
| title_full | The association between self-acceptance, emotion regulation, and treatment adherence self-efficacy among adolescents with HIV in Liangshan prefecture, China: a cross-sectional study |
| title_fullStr | The association between self-acceptance, emotion regulation, and treatment adherence self-efficacy among adolescents with HIV in Liangshan prefecture, China: a cross-sectional study |
| title_full_unstemmed | The association between self-acceptance, emotion regulation, and treatment adherence self-efficacy among adolescents with HIV in Liangshan prefecture, China: a cross-sectional study |
| title_short | The association between self-acceptance, emotion regulation, and treatment adherence self-efficacy among adolescents with HIV in Liangshan prefecture, China: a cross-sectional study |
| title_sort | association between self acceptance emotion regulation and treatment adherence self efficacy among adolescents with hiv in liangshan prefecture china a cross sectional study |
| topic | Adolescents with HIV Self-efficacy Mental health Regression analysis China |
| url | https://doi.org/10.1186/s12889-025-21492-2 |
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