Evidence map›Paper›PMID 35284095›Full record

ArticleSouthern African journal of HIV medicine2022

Predictors of low antiretroviral adherence at an urban South African clinic: A mixed-methods study.

Connor P Bondarchuk, Nwabisa Mlandu, Tasneem Adams, Elma de Vries

Open access · goldAbstract read
In one paragraph

Article in Southern African journal of HIV medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Barriers to Antiretroviral Therapy Adherence Among Children in Ekurhuleni, South Africa: A Descriptive Study.International journal of environmental research and public health · 2026
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  17. Primary health care providers' views on managing substance use among people living with HIV.African journal of primary health care & family medicine · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Connor P BondarchukDepartment of Medicine, Harvard University, Boston, Massachusetts, United States of America.ORCID https://orcid.org/0000-0002-3058-9309
Nwabisa MlanduDivision of Neuropsychology, Faculty of Humanities, University of Cape Town, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-3483-2898
Tasneem AdamsCape Town Metro Health Service, Western Cape Department of Health, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-0636-4337
Elma de VriesCape Town Metro Health Service, Western Cape Department of Health, Cape Town, South Africa.ORCID https://orcid.org/0000-0001-6041-5919
University of Cape Town · ZAHarvard University · USWestern Cape Department of Health · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Low adherence to antiretroviral treatment (ART) in people living with HIV (PLHIV) remains a critical issue, especially in vulnerable populations. Although ART is responsible for greatly reducing the mortality and morbidity associated with HIV, low treatment adherence continues to impact the effectiveness of ART. Considering that a high level of adherence to ART is required for the excellent clinical outcomes with which ART is often associated, understanding the complex contextual and personal factors that limit high levels of treatment adherence remains paramount. Poor adherence remains an issue in many South African communities many years after the introduction of ART. Objectives: Our study sought to understand the specific factors and the interactions among them that contribute to non-adherence in this patient population in order to devise successful and contextually appropriate interventions to support ART adherence in PLHIV. Methods: This mixed-methods study employed a study-specific questionnaire ( Results: Over half (57.3%) of participants were ART non-adherent. Non-adherence was correlated with younger age, negative self-image and a low belief in the necessity of ART ( Conclusion: The results suggest that there remains a need for context-sensitive interventions to support PLHIV in South African communities. Future research needs to ensure that these targeted interventions take these factors into consideration.

Indexed as

antiretroviral therapydiscriminationhealth accessHIV stigmamixed methodstreatment adherence

Identifiers

PMID35284095
PMCPMC8905451
OpenAlexW4211199783

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.