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

Journal: AIDS care

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Affiliated Institutions:  Department of Mental Health, Obafemi Awolowo University, Ile-Ife, Nigeria. Department of Mental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. RAND Corporation, Santa Monica, CA, USA. Heartland Alliance, Nigeria. Department of Community Health, Obafemi Awolowo University, Ile-Ife, Nigeria.

Abstract summary 

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.

Authors & Co-authors:  Oginni O A OA Adelola A I AI Ogunbajo A A Opara O J OJ Akanji M M Ibigbami O I OI Afolabi O T OT Akinsulore A A Mapayi B M BM Mosaku S K SK

Study Outcome 

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Citations : 
Authors :  10
Identifiers
Doi : 10.1080/09540121.2024.2366511
SSN : 1360-0451
Study Population
Men
Mesh Terms
Other Terms
ART non-adherence;HIV;Nigerian sexual minority men;SDG 10: Reduced inequalities;SDG 3: Good health and well-being;psychosocial adversity
Study Design
Study Approach
Country of Study
Niger
Publication Country
England