title: Coping self-efficacy as a predictor of adherence to antiretroviral therapy in men and women living with HIV in Kenya.
abstract: The purpose of this study was to evaluate the relationship between the coping self-efficacy (CSE) scale and adherence to HIV medication in men and women enrolled in a large HIV treatment program in Kenya. Data were collected from a sample of 354 volunteers attending Nazareth Hospital's nine satellite clinics located in parts of Nairobi, and the central province of Kenya. A social demographic survey, Adult Clinical Trials Group adherence questionnaire, and CSE scale were used to obtain information. Descriptive statistics and logistic regressions were performed to analyze data and to test study hypotheses. Females were less likely to be nonadherent than males: the odds of adherence for females were 3.7 of the odds of adherence for males. Controlling for gender, CSE was significant. Adherence to antiretroviral therapy can be partially explained by CSE. Efforts aimed at building self-efficacy are likely to improve and maintain adherence to HIV and other medication. Implications, limitations, and future directions are discussed.
authors.affiliation: Department of Social and Public Health, Ohio University, Zanesville, 43701, USA. kamau@ohio.edu
authors.forename: Thomas Matenjwa
authors.initials: TM
authors.lastname: Kamau
authors.forename: Valerie G
authors.initials: VG
authors.lastname: Olson
authors.forename: Genevieve Pinto
authors.initials: GP
authors.lastname: Zipp
authors.forename: MaryAnn
authors.initials: M
authors.lastname: Clark
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D003625:Data Collection; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000453:epidemiology; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents