TY - JOUR
T1 - Self-Reported Adherence to Antiretroviral Therapy (ART) Among Women Engaged in Commercial Sex Work in Southern Uganda
AU - Kiyingi, Joshua
AU - Nabunya, Proscovia
AU - Kizito, Samuel
AU - Nabayinda, Josephine
AU - Nsubuga, Edward
AU - Bahar, Ozge Sensoy
AU - Jennings Mayo-Wilson, Larissa
AU - Namuwonge, Flavia
AU - Nattabi, Jennifer
AU - Magorokosho, Natasja
AU - Tozan, Yesim
AU - Witte, Susan S.
AU - Ssewamala, Fred M.
N1 - Funding Information:
We are grateful to WESW in Southern Uganda, who agreed to participate in the study; this work could not be possible without them. Special thanks to the International Centre for Child Health and Development (ICHAD) at the Masaka Field Office, who coordinated the study in Uganda with study partners, Rakai Health Sciences Program and Reach the Youth Uganda. Lastly, to the research teams at Washington University in St. Louis, Columbia University in New York, University of North Carolina, Chapel Hill, and New York University. Kyaterekera study is funded by the National Institute of Mental Health (NIMH) under award number R01MH116768 (MPIs: Fred M. Ssewamala, PhD & Susan Witte, PhD). NIMH was not involved in the study design, data collection, analysis, findings interpretation and manuscript preparation. The content in this article does not reflect the views of NIMH or the National Institutes of Health.
Funding Information:
We are grateful to WESW in Southern Uganda, who agreed to participate in the study; this work could not be possible without them. Special thanks to the International Centre for Child Health and Development (ICHAD) at the Masaka Field Office, who coordinated the study in Uganda with study partners, Rakai Health Sciences Program and Reach the Youth Uganda. Lastly, to the research teams at Washington University in St. Louis, Columbia University in New York, University of North Carolina, Chapel Hill, and New York University. Kyaterekera study is funded by the National Institute of Mental Health (NIMH) under award number R01MH116768 (MPIs: Fred M. Ssewamala, PhD & Susan Witte, PhD). NIMH was not involved in the study design, data collection, analysis, findings interpretation and manuscript preparation. The content in this article does not reflect the views of NIMH or the National Institutes of Health.
Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2023/3
Y1 - 2023/3
N2 - 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.
AB - 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.
KW - Antiretroviral Therapy Adherence
KW - HIV
KW - Sex Work
KW - Sub-Saharan Africa
KW - Uganda
KW - Women
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U2 - 10.1007/s10461-022-03837-9
DO - 10.1007/s10461-022-03837-9
M3 - Article
C2 - 36066764
AN - SCOPUS:85137756766
SN - 1090-7165
VL - 27
SP - 1004
EP - 1012
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 3
ER -