Association Between Belief in Medicine and Adherence to Antiretroviral Therapy Among Human Immunodeficiency Virus Adults in Zaira, Kaduna State, Nigeria

Rosemary A Eze; Norhasmah Sulaiman; Zulfitri 'Azuan Mat Daud; Aliyu Babadoko

doi:10.7759/cureus.36489

Association Between Belief in Medicine and Adherence to Antiretroviral Therapy Among Human Immunodeficiency Virus Adults in Zaira, Kaduna State, Nigeria

Cureus. 2023 Mar 21;15(3):e36489. doi: 10.7759/cureus.36489. eCollection 2023 Mar.

Authors

Rosemary A Eze¹, Norhasmah Sulaiman¹, Zulfitri 'Azuan Mat Daud², Aliyu Babadoko³

Affiliations

¹ Department of Nutrition, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MYS.
² Department of Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MYS.
³ Department of Haematology, Ahmadu Bello University Teaching Hospital, Zaria, NGA.

Abstract

Background: Negative perceptions of antiretroviral treatment (ART)'s efficacy and consequences may operate as roadblocks to adherence. This research aimed to determine the association between belief in medicine and adherence to antiretroviral therapy among HIV adults on ART in Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria.

Method: Using a cross-sectional design, a systematic random sampling method was used to select respondents aged 18-64 years on antiretroviral therapy for at least six months at Ahmadu Bello University Teaching Hospital, outpatients of the President's Emergency Plan for AIDS Relief Clinic. Socio-demographics, belief in medicine and adherence to ART were obtained using a self-administered questionnaire. Descriptive statistics, chi-square test, and multiple logistic regression were used for data analysis.

Results: Among the 385 people who took part in the study, about 67.5% were females and 32.5% were males. About 54% of adults adhered to ART. More than half (55.8%) of the respondents had negative perceptions (beliefs) of personal need for ART medication and about 42.3% of the respondents had more concerns about the potential negative effects of the ART medication. Government employment (odds ratio (OR) = 2.842, p = <0.01), self-employment (OR = 2.6, p = <0.001), and being divorced or widowed (OR = 2.0, p = <0.01), negative perceptions (beliefs) of personal need for the ART medication (adjusted OR (AOR) = 1.525, p=<0.01) and more concerns about the potential negative effects of the ART medication (AOR= 1.362, p = <0.05) were all significantly associated with ART adherence.

Conclusion: Employment, marital status and belief in medicine were associated with adherence to ART. Therefore, during adherence counseling, healthcare personnel should address respondents' false views and fears regarding ART medication in order to strengthen proper information and the benefits of ART. This article was previously presented as a meeting poster at the 36th Scientific Conference of the Nutrition Society of Malaysia (7th and 8th September 2021).

Keywords: antiretroviral therapy; belief for medicine; human immunodeficiency virus; kaduna state; nigeria; zaria.