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Social support and medication adherence in HIV disease in KwaZulu-Natal, South Africa.
Int J Nurs Stud. 2008 Dec; 45(12):1757-63.IJ

Abstract

BACKGROUND

A supportive social environment is critical for those with HIV/AIDS. In KwaZulu-Natal, in South Africa, antiretroviral therapy is available to some HIV-positive individuals. Antiretroviral adherence is an important issue for limiting HIV infection. Adherence to therapy may be linked to social support, particularly amidst the stigma prevalent in HIV.

OBJECTIVE

The purpose of this study was to examine characteristics related to social support and antiretroviral medication adherence.

DESIGN

This cross-sectional, descriptive study explored the nature of the relationships among social support and other selected variables, including sociodemographic variables, quality of life, and adherence.

SETTINGS

After ethical review board approval, the sample of HIV-infected individuals who received care in outpatient clinics were recruited and completed the self-report instruments.

PARTICIPANTS

The sample included English and/or isiZulu-speaking (n=149) individuals over the age of 18 years receiving treatment for HIV/AIDS. A total of 149 patients with a diagnosis of HIV/AIDS agreed to participate and completed questionnaires after completing informed consent procedures. The study participants were recruited at four outpatient settings in Durban, KwaZulu-Natal province of South Africa.

METHODS

A descriptive, exploratory, cross-sectional design was utilized to explore the research questions: What are the characteristics of social support and the relationship to antiretroviral adherence in KwaZulu-Natal, South Africa? Descriptive statistics and regression analyses were used to answer the research questions.

RESULTS

Data analyses indicated that social support scores on the Medical Outcomes Study Social Support Survey were moderate (M=64.4; S.D.=14.7) among the study participants. The number of close friends and family were significantly correlated with a greater sense of social support. Despite this, the lowest scores on the quality-of-life measure using the Medical Outcomes Study Short Form 36 item survey were reported on the Social Functioning Scale.

CONCLUSIONS

In summary, the study findings suggest that a supportive social network is essential for those living with HIV/AIDS. However, social functioning and quality of life amidst the stigma of living with HIV in South Africa may be a concern and require further investigation.

Authors+Show Affiliations

University of KwaZulu Natal, Durban, South Africa.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18653188

Citation

Ncama, Busisiwe P., et al. "Social Support and Medication Adherence in HIV Disease in KwaZulu-Natal, South Africa." International Journal of Nursing Studies, vol. 45, no. 12, 2008, pp. 1757-63.
Ncama BP, McInerney PA, Bhengu BR, et al. Social support and medication adherence in HIV disease in KwaZulu-Natal, South Africa. Int J Nurs Stud. 2008;45(12):1757-63.
Ncama, B. P., McInerney, P. A., Bhengu, B. R., Corless, I. B., Wantland, D. J., Nicholas, P. K., McGibbon, C. A., & Davis, S. M. (2008). Social support and medication adherence in HIV disease in KwaZulu-Natal, South Africa. International Journal of Nursing Studies, 45(12), 1757-63. https://doi.org/10.1016/j.ijnurstu.2008.06.006
Ncama BP, et al. Social Support and Medication Adherence in HIV Disease in KwaZulu-Natal, South Africa. Int J Nurs Stud. 2008;45(12):1757-63. PubMed PMID: 18653188.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Social support and medication adherence in HIV disease in KwaZulu-Natal, South Africa. AU - Ncama,Busisiwe P, AU - McInerney,Patricia A, AU - Bhengu,Busisiwe R, AU - Corless,Inge B, AU - Wantland,Dean J, AU - Nicholas,Patrice K, AU - McGibbon,Chris A, AU - Davis,Sheila M, Y1 - 2008/07/24/ PY - 2007/11/20/received PY - 2008/06/03/revised PY - 2008/06/10/accepted PY - 2008/7/26/pubmed PY - 2009/3/6/medline PY - 2008/7/26/entrez SP - 1757 EP - 63 JF - International journal of nursing studies JO - Int J Nurs Stud VL - 45 IS - 12 N2 - BACKGROUND: A supportive social environment is critical for those with HIV/AIDS. In KwaZulu-Natal, in South Africa, antiretroviral therapy is available to some HIV-positive individuals. Antiretroviral adherence is an important issue for limiting HIV infection. Adherence to therapy may be linked to social support, particularly amidst the stigma prevalent in HIV. OBJECTIVE: The purpose of this study was to examine characteristics related to social support and antiretroviral medication adherence. DESIGN: This cross-sectional, descriptive study explored the nature of the relationships among social support and other selected variables, including sociodemographic variables, quality of life, and adherence. SETTINGS: After ethical review board approval, the sample of HIV-infected individuals who received care in outpatient clinics were recruited and completed the self-report instruments. PARTICIPANTS: The sample included English and/or isiZulu-speaking (n=149) individuals over the age of 18 years receiving treatment for HIV/AIDS. A total of 149 patients with a diagnosis of HIV/AIDS agreed to participate and completed questionnaires after completing informed consent procedures. The study participants were recruited at four outpatient settings in Durban, KwaZulu-Natal province of South Africa. METHODS: A descriptive, exploratory, cross-sectional design was utilized to explore the research questions: What are the characteristics of social support and the relationship to antiretroviral adherence in KwaZulu-Natal, South Africa? Descriptive statistics and regression analyses were used to answer the research questions. RESULTS: Data analyses indicated that social support scores on the Medical Outcomes Study Social Support Survey were moderate (M=64.4; S.D.=14.7) among the study participants. The number of close friends and family were significantly correlated with a greater sense of social support. Despite this, the lowest scores on the quality-of-life measure using the Medical Outcomes Study Short Form 36 item survey were reported on the Social Functioning Scale. CONCLUSIONS: In summary, the study findings suggest that a supportive social network is essential for those living with HIV/AIDS. However, social functioning and quality of life amidst the stigma of living with HIV in South Africa may be a concern and require further investigation. SN - 0020-7489 UR - https://www.unboundmedicine.com/medline/citation/18653188/Social_support_and_medication_adherence_in_HIV_disease_in_KwaZulu_Natal_South_Africa_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(08)00153-3 DB - PRIME DP - Unbound Medicine ER -