Psychosocial and Personal Level Circumstances Associated with Antiretroviral Therapy Non-adherence among HIV Positive Antiretroviral Therapy User Clients in Debre Birhan Referral Hospital

Abstract

The purpose of the study was to examine psychosocial and personal level circumstances associated with ART non-adherence among HIV positive ART user clients in Debre Birhan referral hospital. This study used cross-sectional descriptive design. A total of 122 participants were selected through simple random and purposive sampling techniques. Adherence Attitude Inventory Scale and self-reported adherence questionnaire were administered. The result of chi square analysis revealed that social support, personal self-efficacy, age, marital status, religion, educational level and occupation had significant association with non-adherence at 95% CI,  6.371 (2, N =117) = 0.006, p< 0.05), 11.873 (2,N =117) = 0.012, p< 0.05),   (x2) 5.630 (6,N =117) = 0.003, p< 0.05), 0.017 (6, N =117) =0.014, p< 0.05) and 14.497(6,=N=117) = 0.025, p< 0.05. No significant sex difference was observed in attitude towards ART adherence. Besides, the result of multiple regression also showed that only single, unemployment and vocational education were accounted for non- adherence to ART (β = .228, t (113) = 2.655, P< 0.05), (β = .297, t (114) = 3.451, p< 0.05) and (  β = .231, t (113) = 2.652, p< 0.05) respectively. Conclusively, Personal level factors; marital status (singlehood), unemployment and vocational education accounted for variance in adherence to ART. Thus, Counselors, social workers and health care providers should give adherence counseling and psycho education.