ArticleJournal of acquired immune deficiency syndromes (1999)2014
Reduced adherence to antiretroviral therapy among HIV-infected Tanzanians seeking cure from the Loliondo healer.
Article in Journal of acquired immune deficiency syndromes (1999), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 35 citations in OpenAlex.
- The Role of Traditional and Religious Beliefs in HIV Testing and Prevention in Africa: A Scoping Review Protocol.International journal of environmental research and public health · 2025Article
- The Relationship between Distress Tolerance and Spiritual Well-Being towards ARV Therapy Adherence in People Living with HIV/AIDS.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Predictors of mortality in treatment experienced HIV-infected patients in northern Tanzania.PloS one · 2020Article
- Barriers to HIV Treatment Adherence: A Qualitative Study of Discrepancies Between Perceptions of Patients and Health Providers in Tanzania and Uganda.AIDS patient care and STDs · 2019Article
- Traditional, complementary, and alternative medical cures for HIV: rationale and implications for HIV cure research.Global public health · 2019Review
- Influence of Religious and Spiritual Elements on Adherence to Pharmacological Treatment.Journal of religion and health · 2018Review
- Traditional, complementary and alternative medicine use in Sub-Saharan Africa: a systematic review.BMJ global health · 2018Article
- Examination of the Role of Religious and Psychosocial Factors in HIV Medication Adherence Rates.Journal of religion and health · 2017Article
- False-negative HIV tests using oral fluid tests in children taking antiretroviral therapy from Harare, Zimbabwe.Journal of the International AIDS Society · 2017Article
- ART access-related barriers faced by HIV-positive persons linked to care in southern Ghana: a mixed method study.BMC infectious diseases · 2016Article
- Understanding Sustained Retention in HIV/AIDS Care and Treatment: a Synthetic Review.Current HIV/AIDS reports · 2016Review
- Determinants of adherence to antiretroviral therapy among HIV-positive adults in sub-Saharan Africa: a systematic review.BMJ global health · 2016Article
- First-line antiretroviral therapy durability in a 10-year cohort of naïve adults started on treatment in Uganda.Journal of the International AIDS Society · 2016Article
- Physician perceptions of HIV cure in China: A mixed methods review and implications for HIV cure research.Asian Pacific journal of tropical disease · 2015Article
- The ethics of talking about 'HIV cure'.BMC medical ethics · 2015Article
- Incomplete adherence among treatment-experienced adults on antiretroviral therapy in Tanzania, Uganda and Zambia.AIDS (London, England) · 2015Article
- HIV serostatus disclosure in the treatment cascade: evidence from Northern Tanzania.AIDS care · 2015Article
- Treatment retention and care transitions during and after the scale-up of HIV care and treatment in Northern Tanzania.AIDS care · 2014Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
Abstract
: The predictors for seeking alternative therapies for HIV-infection in sub-Saharan Africa are unknown. Among a prospective cohort of 442 HIV-infected patients in Moshi, Tanzania, 249 (56%) sought cure from a newly popularized religious healer in Loliondo (450 km away), and their adherence to antiretrovirals (ARVs) dropped precipitously (odds ratio = 0.20, 95% confidence interval: 0.09 to 0.44, P < 0.001) after the visit. Compared with those not attending Loliondo, attendees were more likely to have been diagnosed with HIV more remotely (3.8 vs. 3.0 years before, P < 0.001), have taken ARVs longer (3.4 vs. 2.5 years, P < 0.001), have higher median CD4 lymphocyte counts (429 vs. 354 cells/mm, P < 0.001), be wealthier (wealth index: 10.9 vs. 8.8, P = 0.034), and receive care at the private versus the public hospital (P = 0.012). In multivariable logistic regression, only years since the start of ARVs remained significant (odds ratio = 1.49, 95% confidence interval: 1.23 to 1.80). Treatment fatigue may play a role in the lure of alternative healers.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.