Self-Reported Adherence to Antiretroviral Therapy (ART) Among Women Engaged in Commercial Sex Work in Southern Uganda

Joshua Kiyingi, Proscovia Nabunya, Samuel Kizito, Josephine Nabayinda, Edward Nsubuga, Ozge Sensoy Bahar, Larissa Jennings Mayo-Wilson, Flavia Namuwonge, Jennifer Nattabi, Natasja Magorokosho, Yesim Tozan, Susan S. Witte, Fred M. Ssewamala

Research output: Contribution to journalArticlepeer-review

Abstract

We examined the correlates of self-reported adherence to antiretroviral therapy (ART) among women engaged in commercial sex work (WESW) in Uganda. We used baseline data from a longitudinal study, which recruited 542 WESW in Southern Uganda. We used nested regression models to determine the individual and family, and economic level correlates of self-reported adherence. Study findings show that older age (OR = 1.07, 95% CI = 1.013, 1.139), secondary education (OR = 2.01, 95% CI = 1.306, 3.084), large household size (OR = 1.08, 95% CI = 1.020, 1.136), high family cohesion (OR = 1.06, 95% CI = 1.052, 1.065), and high financial self-efficacy (OR = 1.07, 95% CI = 1.006, 1.130) were associated with good self-reported adherence to ART. Married women (OR=-0.39, 95% CI = 0.197, 0.774), depression (OR = 0.85, 95% CI = 0.744, 0.969), alcohol use (OR = 0.72, 95% CI = 0.548, 0.954), ever been arrested (OR = 0.58, 95% CI = 0.341, 0.997), and high household assets ownership (OR = 0.48, 95% CI = 0.313, 0.724) were associated with poor self-reported adherence to ART. Findings suggest a need to adopt a multi-level approach to address gaps in ART adherence among WESW.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StateAccepted/In press - 2022

Keywords

  • Antiretroviral Therapy Adherence
  • HIV
  • Sex Work
  • Sub-Saharan Africa
  • Uganda
  • Women

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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