Social and structural determinants of household support for ART adherence in low- and middle-income countries: A systematic review

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dc.contributor.authorTabana, Hanani
dc.contributor.authorCampbell, Linda
dc.contributor.authorMasquillier, Caroline
dc.date.accessioned2021-01-07T11:11:28Z
dc.date.available2021-01-07T11:11:28Z
dc.date.issued2020
dc.description.abstractAdherence to HIV antiretroviral therapy (ART) is a crucial factor in health outcomes for people living with HIV (PLWH). Interventions to support ART adherence are increasingly focused on the household as a source of social support. This review aims to examine the social and structural determinants of support for ART adherence within households and families in low- and middleincome countries (LMICs). The review methodology followed the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Seven databases were searched for peer-reviewed literature. The terms searched thematically covered (1) ART adherence, (2) household and family and (3) support and care. Thirty-three studies conducted in 15 LMICs were selected and a mixed methods synthesis was undertaken. Social and structural determinants affected the type, quality and amount of support for PLWH of all ages, which affected PLWH’s ART adherence. Gender norms affected the type of support that household members give to PLWH. Education moderated household support for ART adherence through literacy and language skills.en_US
dc.identifier.citationTabana, H. et al. (2020). Social and structural determinants of household support for ART adherence in low- and middle-income countries: A systematic review. International Journal of Environmental Research and Public Health ,17(11),3808en_US
dc.identifier.issn1660-4601
dc.identifier.uri10.3390/ijerph17113808
dc.identifier.urihttp://hdl.handle.net/10566/5604
dc.language.isoenen_US
dc.publisherMPDIen_US
dc.subjectAdherenceen_US
dc.subjectARTen_US
dc.subjectHIVen_US
dc.subjectSocial determinantsen_US
dc.subjectSocial supporten_US
dc.titleSocial and structural determinants of household support for ART adherence in low- and middle-income countries: A systematic reviewen_US
dc.typeArticleen_US

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