title: Beliefs in Antiretroviral Treatment and Self-Efficacy in HIV Management are Associated with Distinctive HIV Treatment Trajectories.
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.
authors.affiliation: Centre for Social Research in Health, UNSW Australia, Room 307, Level 3 John Goodsell Building, Sydney, NSW, 2052, Australia. limin.mao@unsw.edu.au.
authors.forename: Limin
authors.identifier: 0000-0003-0995-5789
authors.initials: L
authors.lastname: Mao
authors.affiliation: Centre for Social Research in Health, UNSW Australia, Room 307, Level 3 John Goodsell Building, Sydney, NSW, 2052, Australia.|Department of Interdisciplinary Social Science, Utrecht University, Utrecht, The Netherlands.
authors.forename: John
authors.initials: J
authors.lastname: de Wit
authors.affiliation: Centre for Social Research in Health, UNSW Australia, Room 307, Level 3 John Goodsell Building, Sydney, NSW, 2052, Australia.
authors.forename: Philippe
authors.initials: P
authors.lastname: Adam
authors.affiliation: Prince of Wales Clinical School, UNSW Australia, Sydney, Australia.
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Post
authors.affiliation: Centre for Social Research in Health, UNSW Australia, Room 307, Level 3 John Goodsell Building, Sydney, NSW, 2052, Australia.
authors.forename: Sean
authors.initials: S
authors.lastname: Slavin
authors.affiliation: National Association of People With HIV Australia, Sydney, Australia.
authors.forename: Aaron
authors.initials: A
authors.lastname: Cogle
authors.affiliation: Department of Infectious Disease, The Alfred Hospital and Monash University, Melbourne, Australia.|The Burnet Institute, Melbourne, Australia.
authors.forename: Edwina
authors.initials: E
authors.lastname: Wright
authors.affiliation: Faculty of Medicine, Nursing and Health Sciences, Flinders University, Adelaide, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Kidd
mesh_terms: D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D023241:Antiretroviral Therapy, Highly Active; D001315:Australia; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology; D006801:Humans; D008297:Male; D055118:Medication Adherence; D010465:Perception; D020377:Self Efficacy; D011795:Surveys and Questionnaires
chemical_list: D044966:Anti-Retroviral Agents
keywords: Antiretroviral treatment beliefs; HIV treatment trajectories; HIV treatment uptake and adherence; Self-efficacy in HIV management