Intention to start ART after the launch of expanded treatment strategy among people living with HIV in China: a behavioral theory-based cross-sectional study.

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Title: Intention to start ART after the launch of expanded treatment strategy among people living with HIV in China: a behavioral theory-based cross-sectional study.
Authors: Du, Xuan, He, Qiangsheng, Yang, Tinglong, Wang, Yu, Xu, Huifang, Hao, Chun, Zhou, Kai, Gu, Jing, Hao, Yuantao
Source: AIDS Care. Sep2020, Vol. 32 Issue 9, p1182-1190. 9p. 4 Charts.
Subjects: Confidence intervals, Health services accessibility, HIV infections, HIV-positive persons, Intention, Mathematical models, Psychology, Self-efficacy, Social sciences, Logistic regression analysis, Theory, Highly active antiretroviral therapy, Disease prevalence, Cross-sectional method, Severity of illness index, Patients' attitudes, Descriptive statistics, Odds ratio
Geographic Terms: China
Abstract: This study investigated the prevalence of intention to start antiretroviral therapy (ART) immediately among people living with HIV (PLWH) in China and associated perceptions toward ART based on behavioral theories. The study was initiated after the launch of an expanded ART strategy. A cross-sectional study was conducted among 450 PLWH who were ART naive in the city of Guangzhou, China, from June 2016 to February 2017. Among the participants, 311 (69.1%) showed intention to start ART immediately. The summary logistic regression analysis indicated that intention to start ART immediately was significantly associated with perceived severity [multivariate odds ratios (ORm) = 1.62, 95%CI = 1.15–2.28, p < 0.01], perceived barriers (ORm=0.56, 95%CI = 0.38–0.84, p < 0.01), self-efficacy (ORm=2.90, 95%CI = 2.05–4.09, p < 0.001), and subjective norms (ORm=1.95, 95%CI = 1.17–3.25, p < 0.05). The intention to start ART immediately among PLWH in Guangzhou was below the 90-90-90 target. Further promotion research should focus on these perceptional factors. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:This study investigated the prevalence of intention to start antiretroviral therapy (ART) immediately among people living with HIV (PLWH) in China and associated perceptions toward ART based on behavioral theories. The study was initiated after the launch of an expanded ART strategy. A cross-sectional study was conducted among 450 PLWH who were ART naive in the city of Guangzhou, China, from June 2016 to February 2017. Among the participants, 311 (69.1%) showed intention to start ART immediately. The summary logistic regression analysis indicated that intention to start ART immediately was significantly associated with perceived severity [multivariate odds ratios (ORm) = 1.62, 95%CI = 1.15–2.28, p < 0.01], perceived barriers (ORm=0.56, 95%CI = 0.38–0.84, p < 0.01), self-efficacy (ORm=2.90, 95%CI = 2.05–4.09, p < 0.001), and subjective norms (ORm=1.95, 95%CI = 1.17–3.25, p < 0.05). The intention to start ART immediately among PLWH in Guangzhou was below the 90-90-90 target. Further promotion research should focus on these perceptional factors. [ABSTRACT FROM AUTHOR]
ISSN:09540121
DOI:10.1080/09540121.2019.1686601