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AIDS and Behavior
Published in: AIDS and Behavior 3/2018

01-03-2018 | Original Paper

Relationships Among Adherence and Physical and Mental Health Among Women Living with HIV in Rural India

Authors: Adeline Nyamathi, Maria Ekstrand, Elsa Heylen, Padma Ramakrishna, Kartik Yadav, Sanjeev Sinha, Angela Hudson, Catherine L. Carpenter, Lenore Arab

Published in: AIDS and Behavior | Issue 3/2018

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Abstract

We conducted a cross-sectional examination of the physical and psychological factors related to ART adherence among a sample of 400 women living with HIV/AIDS in rural India. Interviewer-administered measures assessed adherence, internalized stigma, depressive symptoms, quality of life, food insecurity, health history and sociodemographic information. CD4 counts were measured using blood collected at screening. Findings revealed that adherence to ART was generally low, with 94% of women taking 50% or less of prescribed medication in past month. Multivariate analyses showed a non-linear association between numbers of self-reported opportunistic infections (OIs) in past 6 months (p = 0.016) and adherence, with adherence decreasing with each additional OI for 0–5 OIs. For those reporting more than 5 OIs, the association reversed direction, with increasing OIs beyond 5 associated with greater adherence.
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Metadata
Title
Relationships Among Adherence and Physical and Mental Health Among Women Living with HIV in Rural India
Authors
Adeline Nyamathi
Maria Ekstrand
Elsa Heylen
Padma Ramakrishna
Kartik Yadav
Sanjeev Sinha
Angela Hudson
Catherine L. Carpenter
Lenore Arab
Publication date
01-03-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1631-3

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