Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2009-12-1
pubmed:abstractText
Antiretroviral therapy (ART) requires nearly perfect adherence to be effective. Although 90% of HIV-infected children live in Africa, there are limited data on pediatric adherence from this multicultural continent.We conducted a qualitative study to identify key factors contributing to pediatric ART adherence. Ten focus group discussions (N = 85) and 35 individual interviews were conducted with parents and guardians of HIV-infected children receiving ART in western Kenya. Interviews covered multiple aspects of the experience of having children take ART and factors that inhibited or facilitated medication adherence. Constant comparison, progressive coding, and triangulation methods were used to arrive at a culturally contextualized, conceptual model for pediatric ART adherence derived from the descriptions of the lived experience in this resource-limited setting. Child care, including sustained ART adherence, depends on interacting cultural and environmental determinants at the levels of the individual child, parent/caregiver, household, community, health care system, and society.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
T
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1049-7323
pubmed:author
pubmed:issnType
Print
pubmed:volume
19
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1716-29
pubmed:meshHeading
pubmed-meshheading:19949221-Adolescent, pubmed-meshheading:19949221-Adult, pubmed-meshheading:19949221-Aged, pubmed-meshheading:19949221-Aged, 80 and over, pubmed-meshheading:19949221-Anti-Retroviral Agents, pubmed-meshheading:19949221-Caregivers, pubmed-meshheading:19949221-Child, pubmed-meshheading:19949221-Child, Preschool, pubmed-meshheading:19949221-Cultural Characteristics, pubmed-meshheading:19949221-Female, pubmed-meshheading:19949221-Focus Groups, pubmed-meshheading:19949221-HIV Infections, pubmed-meshheading:19949221-Humans, pubmed-meshheading:19949221-Infant, pubmed-meshheading:19949221-Kenya, pubmed-meshheading:19949221-Male, pubmed-meshheading:19949221-Middle Aged, pubmed-meshheading:19949221-Parent-Child Relations, pubmed-meshheading:19949221-Patient Compliance, pubmed-meshheading:19949221-Young Adult
pubmed:year
2009
pubmed:articleTitle
Factors sustaining pediatric adherence to antiretroviral therapy in western Kenya.
pubmed:affiliation
Indiana University School of Medicine, Department of Pediatrics, Children's Health Services Research, Indianapolis, Indiana 46202, USA. rvreeman@iupui.edu
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, Non-P.H.S.