Table 7. Financial, Human, Social Capital factors associated* with adherence or non-adherence to antiretroviral therapy in included cross-sectional papers [n = 6, (37–42)].
Financial Capital | Human Capital | Social Capital | |||||||||
Author/Year | Financial constraints/ARV payment | Household Income | Distance to clinic/Transport costs | Education | Employment Status | Food-related restrictions | Marital Status | Household size | Social support | Fear of Stigma/non-disclosure | Reasons for missing doses |
Silva/2009 | Higher income associated with adherence: p = 0.08, AOR: 2.33 (1.17–4.66) | 8 years of schooling vs. 11 years, ns | |||||||||
Stout/2004 | Difficulty finding transport vs. other associated with non-adherence OR: 6.3, (1.5–26.9) | Difficulty taking meds on empty stomach vs. other OR: 6.7 (1.3-35.7) | travel away from home: 17% | ||||||||
Uzochukwu/2009 | Ns | Living 20+Km associate with adherence, p = 0.038 | formal education associated with non-adherence (p = 0.0394) | being single associated with non-adherence p = 0.02 | Cost and transport (30.1%), sold drugs because need money (28.2%) | ||||||
Wang/2007 | HIV knowledge associated with adherence OR: 5.59, (2.48–12.57), AOR: 3.20, (1.24–8.26) | Support as reminder tool associated with adherence: OR: 4.22, (1.90–9.39), AOR: 3.49, (1.36–8.96) | Community/social activities (16.3), food restrictions (11.2%), stigma (14.3%) | ||||||||
Weiser/2003 | Cost as a barrier to treatment associated with adherence: OR: 0.15 (0.06–0.35), AOR: 0.11 (0.04–0.30) | Incomplete secondary ed compared to complete associated with adherence OR: 3.87 (1.21–12.40) | ns | Disclosure to others associated with adherence OR: 3.55 (0.91–13.92) | Financial difficulties (48%), travelling (12%), distance to clinic (5%), stigma (3%) | ||||||
Williams/2007 | positive, ns | positive, ns | No food, social problems |
*OR: Odds Ratio, AOR: Adjusted Odds Ratio, (n1–n2): 95% Confidence Intervals, sig: significant, ns: not significant.