Antiretroviral therapy non-adherence and its association with psychosocial factors in Nigeria: comparative study of sexual minority and heterosexual men living with HIV.

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Title: Antiretroviral therapy non-adherence and its association with psychosocial factors in Nigeria: comparative study of sexual minority and heterosexual men living with HIV.
Authors: Oginni, Olakunle Ayokunmi, Adelola, Aderopo Igbekeleoluwa, Ogunbajo, Adedotun, Opara, Onyedikachi Joseph, Akanji, Michael, Ibigbami, Olanrewaju Ibikunle, Afolabi, Olusegun Temitope, Akinsulore, Adesanmi, Mapayi, Boladale Moyosore, Mosaku, Samuel Kolawole
Source: AIDS Care. Oct2024, Vol. 36 Issue 10, p1369-1381. 13p.
Subjects: Patient compliance, Antiretroviral agents, Gay men, Multiple regression analysis, HIV infections, Psychology of men, Multivariate analysis, Descriptive statistics, Psychology of HIV-positive persons, Men who have sex with men, Heterosexuals, Statistics, Nigerians, Sexual minorities, Drugs, Sociodemographic factors, Comparative studies, Social support, Psychosocial factors, Social stigma, Mental depression
Geographic Terms: Nigeria
Abstract: Sexual minority men (gay, bisexual and other men who have sex with men; SMM) in Nigeria are disproportionately affected by HIV compared to heterosexual men. There is a dearth of research on the correlates of antiretroviral therapy (ART) non-adherence and correlates in both groups. The current study examined the associations of ART non-adherence with sociodemographic and psychosocial characteristics among a sample of Nigerian heterosexual and SMM. Between March and September 2014, we surveyed 120 SMM and 108 heterosexual men receiving ART in Lagos and Abuja, Nigeria. We specified univariate and multivariable linear regression models to examine correlates of ART non-adherence. We found that 50.8% and 29.6% of sexual minority and heterosexual men respectively self-reported ART non-adherence which was significantly associated with psychosocial factors such as stigma, depressive symptoms, and suicidality. Mental health care and psychosocial support should be incorporated into routine HIV care for Nigerian SMM living with HIV. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:Sexual minority men (gay, bisexual and other men who have sex with men; SMM) in Nigeria are disproportionately affected by HIV compared to heterosexual men. There is a dearth of research on the correlates of antiretroviral therapy (ART) non-adherence and correlates in both groups. The current study examined the associations of ART non-adherence with sociodemographic and psychosocial characteristics among a sample of Nigerian heterosexual and SMM. Between March and September 2014, we surveyed 120 SMM and 108 heterosexual men receiving ART in Lagos and Abuja, Nigeria. We specified univariate and multivariable linear regression models to examine correlates of ART non-adherence. We found that 50.8% and 29.6% of sexual minority and heterosexual men respectively self-reported ART non-adherence which was significantly associated with psychosocial factors such as stigma, depressive symptoms, and suicidality. Mental health care and psychosocial support should be incorporated into routine HIV care for Nigerian SMM living with HIV. [ABSTRACT FROM AUTHOR]
ISSN:09540121
DOI:10.1080/09540121.2024.2366511