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AIDS and Behavior
Erschienen in: AIDS and Behavior 7/2017

11.11.2016 | Original Paper

Social Support and the Mediating Roles of Alcohol Use and Adherence Self-Efficacy on Antiretroviral Therapy (ART) Adherence Among ART Recipients in Gauteng, South Africa

verfasst von: Connie T. Kekwaletswe, Esmé Jordaan, Sebenzile Nkosi, Neo K. Morojele

Erschienen in: AIDS and Behavior | Ausgabe 7/2017

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Abstract

We sought to (a) replicate and (b) extend (via the addition of alcohol use) Cha et al.’s cross-sectional multi-component model of ART adherence on the relationship between social support, depression, self-efficacy beliefs, and antiretroviral therapy (ART) adherence, among HIV patients in Tshwane, South Africa. Using purposive sampling, 304 male and female ART recipients were recruited. ART adherence was assessed using three manifest indicators: total adherence ratio, the CASE adherence index and 1-month adherence measure. Data were analysed using structural equation modeling. In our replicated model, social support had both direct and indirect relationships with ART adherence, and inclusion of alcohol use improved prediction of ART adherence. Direct and indirect effects of alcohol use on ART adherence emerged: adherence self-efficacy beliefs partially mediated the latter path. Findings highlight the importance of integrating into ART promotion interventions, the reduction of alcohol use, provision of social support, and enhancement of adherence self-efficacy beliefs.
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Metadaten
Titel
Social Support and the Mediating Roles of Alcohol Use and Adherence Self-Efficacy on Antiretroviral Therapy (ART) Adherence Among ART Recipients in Gauteng, South Africa
verfasst von
Connie T. Kekwaletswe
Esmé Jordaan
Sebenzile Nkosi
Neo K. Morojele
Publikationsdatum
11.11.2016
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 7/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1595-3

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