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Beliefs in Antiretroviral Treatment and Self-Efficacy in HIV Management are Associated with Distinctive HIV Treatment Trajectories

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Abstract

An online survey was conducted among people living with HIV (PLHIV) in Australia to discern key factors associated with distinctive ART use patterns. The sample (N = 358), was further divided into three groups: those on ART continuously since initiation (n = 208, 58.1%); those on ART intermittently (n = 117, 32.7%); and those not on ART at the time of survey (n = 33, 9.2%). ART non-users were the most likely to hold serious concerns about ART that outweighed perceived necessities (benefits) from ART (AOR = 0.13; 95% CI 0.06–0.29; p < 0.001). They were also the least self-efficacious in HIV disease management (AOR = 0.29; 95% CI 0.09–0.87; p = 0.028). Intermittent ART users were more likely to receive their HIV diagnosis prior to 2003 (AOR = 0.38; 95% CI 0.28–0.53; p < 0.001) and perceive lower HIV management self-efficacy (AOR = 0.50, 95% CI 0.28–0.87; p = 0.015) than continuous users. ART-related beliefs and perceived self-efficacy in HIV self-management play an important role in achieving universal treatment uptake and sustained high levels of adherence.

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Acknowledgements

We acknowledge our key partner organisations (the National Association of People with HIV Australia, ASHM, the Australian Federation of AIDS Organisations, the Kirby Institute, NSW Ministry of Health, NSW Positive Central and Heterosexual HIV Service, Positive Life NSW and ACON) in this study. We are grateful to the contribution made by the study participants and the continuous support from jurisdiction-based HIV community organisations and networks throughout Australia.

Funding

This study is funded by the Australian National Health and Medical Research Council (APP1021790). The Centre for Social Research in Health is supported by the Australian Government Department of Health and Ageing. The researchers are independent from the funder.

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Authors and Affiliations

  1. Centre for Social Research in Health, UNSW Australia, Room 307, Level 3 John Goodsell Building, Sydney, NSW, 2052, Australia

    Limin Mao, John de Wit, Philippe Adam & Sean Slavin

  2. Department of Interdisciplinary Social Science, Utrecht University, Utrecht, The Netherlands

    John de Wit

  3. Prince of Wales Clinical School, UNSW Australia, Sydney, Australia

    Jeffrey J. Post

  4. National Association of People With HIV Australia, Sydney, Australia

    Aaron Cogle

  5. Department of Infectious Disease, The Alfred Hospital and Monash University, Melbourne, Australia

    Edwina Wright

  6. The Burnet Institute, Melbourne, Australia

    Edwina Wright

  7. Faculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide, Australia

    Michael Kidd

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  1. Limin Mao
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  2. John de Wit
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  3. Philippe Adam
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  6. Aaron Cogle
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  7. Edwina Wright
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Corresponding author

Correspondence to Limin Mao.

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Conflict of interest

All authors declare that he/she has no conflict of interest.

Ethical Approval

The online survey was approved by UNSW Human Research Ethics Committee (# HC14183); ACON Research Ethics Review Committee (#RERC2014/18) and Victorian AIDS Council Research Committee (#VAC/RE&P 14/008). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committees (as declared above) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained (online) from all individual participants included in the study.

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Mao, L., de Wit, J., Adam, P. et al. Beliefs in Antiretroviral Treatment and Self-Efficacy in HIV Management are Associated with Distinctive HIV Treatment Trajectories. AIDS Behav 22, 887–895 (2018). https://doi.org/10.1007/s10461-016-1649-6

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  • DOI: https://doi.org/10.1007/s10461-016-1649-6

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