Factors influencing self-management of adults living with HIV on antiretroviral therapy in Northwest Ethiopia: a cross-sectional study

• DOI: 10.1186/s12879-020-05618-y
• Publication Date: 2020-11-23T20:03:53Z
• Authors: Habtamu Areri; Amy Marshall; Gillian Harvey
• Keywords: Self-Management; Cross-sectional study

Abstract Background Effective self-management is an important consideration for adults living with HIV on therapy to enable people maintain their health and well-being whilst chronic HIV. Although numerous attempts have been made implement improve practice, there limited evidence effective strategies, particularly in sub-Saharan Africa. This study aimed identify the level factors influencing practice of antiretroviral therapy. Methods A cross-sectional survey was conducted a sample 415 at major referral hospital Northwest Ethiopia using convenience sampling. theory – Individual Family Self-Management Theory - guided design, analysis presentation data. face-to-face tool administered data collection, were entered analyzed SPSS version 25.0. Results Over half (58.1%) respondents female. Many did not know stage (76.9%) but reported adequate knowledge treatment (79.5%). The mean score 1.94 + 0.22 out total 3. Female gender associated decreased self-management. Contextual (gender, educational level, job status, income, rural area, awareness stage) explained 8.2% variance explanatory power increased by 9.2% when process variables (self-efficacy, setting goal, therapy, disclosure, use reminders) added. Intervention-focused (encouraging disclosure adherence support) proportion 2.3%. Conclusions findings indicate that amongst population studied low compared international literature. Our support theoretical model previously identified most predictors lower female gender, illiteracy, lack stage, self-efficacy, absence reminders, encouragement disclose support. care providers should seek ways empower self-manage, through enhancing self-efficacy encouraging reminders.