ArticleBMC public health2019
"For us here, we remind ourselves": strategies and barriers to ART access and adherence among older Ugandans.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Exploring HIV provider framings of living and aging with HIV.SSM. Qualitative research in health · 2025Article
- Impact of differentiated care service delivery systems on adherence among the HIV-positive patients receiving antiretroviral therapy in a Southeastern Nigerian State.AIDS research and therapy · 2025Article
- Predictors of survival among older adults with HIV in Uganda's AIDS support organization centers of excellence (1987-2023): a retrospective longitudinal study.AIDS research and therapy · 2025Article
- Barriers and facilitators of adherence to long-term antiretroviral treatment in Kampala, Uganda.PLOS global public health · 2025Article
- Expanding the food environment framework to include family dynamics: A systematic synthesis of qualitative evidence using HIV as a case study.Global food security · 2024Review
- Household transport ownership and HIV viral suppression in rural Uganda: a cross- sectional, population-based study.Research square · 2024Article
- Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial Model.International journal of public health · 2023Article
- Mapping age- and sex-specific HIV prevalence in adults in sub-Saharan Africa, 2000-2018.BMC medicine · 2022Article
- Patients' and Providers' Views on Optimal Evidence-Based and Scalable Interventions for Individuals at High Risk of HIV Treatment Failure: Sequential Explorations Among Key Stakeholders in Cape Town, South Africa.AIDS and behavior · 2022Article
- The Relationship Between Harmful Alcohol Use and Antiretroviral Non-adherence in People Accessing HIV Treatment in Cape Town, South Africa: An Event-Level Analysis.AIDS and behavior · 2022Article
- Exploring drivers and barriers to the utilization of community client-led ART delivery model in South-Western Uganda: patients' and health workers' experiences.BMC health services research · 2021Article
- Factors Contributing to Medication Adherence in Patients with a Chronic Condition: A Scoping Review of Qualitative Research.Pharmaceutics · 2021Article
- Article
- Article
- Testing for saturation in qualitative evidence syntheses: An update of HIV adherence in Africa.PloS one · 2021Article
- Navigating Life with HIV as an Older Adult in South African Communities: A Phenomenological Study.International journal of environmental research and public health · 2020Article
- Survival of people aged 50 years and older by HIV and HIV treatment status: findings from three waves of the SAGE-Wellbeing of Older People Study (SAGE-WOPS) in Uganda.AIDS research and therapy · 2020Article
- Putting women in the centre of the global HIV response is key to achieving epidemic control!Journal of the International AIDS Society · 2020Review
- Challenges with seeking HIV care services: perspectives of older adults infected with HIV in western Kenya.BMC public health · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundVery little is known about the barriers and facilitators to antiretroviral therapy (ART) access and adherence among older Africans. Most studies on ART have focused on individuals who are 15-49 years of age.
methodsWe used in-depth interviews with 40 persons living with HIV, aged 50 to 96 years, who had either initiated ART (n = 26) or were waiting to initiate ART (n = 14), to explore barriers and facilitators to ART access and adherence in rural Uganda.
resultsGuided by the Andersen Behavior Model, thematic content analysis highlighted 21 primary factors related to environment, patient and health behavior. Nine of the factors were common to both access and adherence, the remaining 12 were evenly split between access and adherence. Transportation costs, food insecurity, and healthcare workers' knowledge, attitudes and behaviors were key barriers.
conclusionsThese barriers were similar to those outlined for younger populations in other studies, but were compounded by age. Despite barriers, either due to the exceptional nature of HIV care or overreporting, both ART access and self-reported adherence were better than expected. Older persons living with HIV highlighted health care needs for non-HIV-related illnesses, suggesting while HIV care is adequate, care for the ailments of "old age" is lagging.
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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.