Evidence map›Paper›PMID 38537178›Full record

ArticleAIDS care2024

"What if I got rejected by the girl? I would rather stop the pills": barriers and facilitators of adherence to antiretroviral therapy for emerging adults aged 18-29 living with HIV in Zimbabwe.

Rebecca Jopling, Wilson Mutsvuke, Madison Fertig, Conall O'Cleirigh, Walter Mangezi, Melanie Abas

Open access · hybridAbstract read
In one paragraph

Article in AIDS care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Effectiveness of simplified ART regimens in older adults living with HIV: real-world evidence from a Brazilian cohort.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2026
    Observational
  3. Article
  4. Article
  5. Article
  6. Review
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

6 authors at 4 institutions in 3 countries.

Rebecca JoplingHealth Services and Population Research Department, King's College London, London, UK.
Wilson MutsvukeUniversity of Zimbabwe, Harare, Zimbabwe.
Madison FertigDepartment of Psychological & Brain Sciences, Boston University, Boston, MA, USA.
Conall O'CleirighDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Walter MangeziDepartment of Primary Health Care Sciences, Unit of Mental Health, University of Zimbabwe, Harare, Zimbabwe.
Melanie AbasHealth Services and Population Research Department, King's College London, London, UK.
King's College London · GBUniversity of Zimbabwe · ZWBoston University · USFenway Health · US

Funding

The TENDAI study: Task shifting to treat depression and HIV medication nonadherence in low resource settings: Supplementary funding to fulfill the scope of work after Covid-19 delaysR01MH114708 · NIMH · KING'S COLLEGE LONDON · PI ABAS, MELANIE AMNA, O'CLEIRIGH, CONALL MICHAEL · 2018 to 2023
$4.1M
NIMH NIH HHS R01 MH114708
6 · The paper itself

Abstract

Emerging adults aged 18-29 have high rates of viral non-suppression, and poorer adherence to ART when compared to older adults. Semi-structured interviews were conducted with 24 emerging adults in Zimbabwe who had a recent history of viral non-suppression, to explore barriers and facilitators of adherence to ART. Interviews were coded using inductive thematic analysis. The mean age of participants was 23, 65% were male, and 79% reported acquiring HIV at birth. Twelve barriers to adherence were identified. Hiding HIV status due to the possible negative consequences of disclosure had a significant impact on adherence to ART. This was particularly important for emerging adults navigating starting intimate relationships. Being away from home, poverty, poor mental health, isolation, significant life events, alcohol, health systems barriers, and stigma were reported as barriers to adherence. Support from peers and family after disclosure of HIV status, phone-based reminders, problem-solving strategies to adhere, knowing others living with HIV, acted as facilitators to adherence to ART. Beliefs about medicines and relationships with health care providers acted as both barriers and facilitators to adherence. Interventions to reduce stigma, foster peer support, and therapy for common mental disorders could facilitate emerging adults aged 18-29 to adhere to ART.

Indexed as

Anti-HIV AgentsDrug MonitoringHIV InfectionsMedication AdherenceSocial StigmaAdolescentAdultFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleQualitative ResearchSocial SupportYoung AdultZimbabweAnti-HIV AgentsadherencebarrierHIVSDG 3: Good health and well-beingstigmayouth

Identifiers

PMID38537178
PMCPMC11283961
OpenAlexW4393214341

What OpenQuestion holds

Textmetadata
LicenceTDM
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.