Table 4.
Likelihood ratio test of the items under each construct of the Health Belief Model to ART adherence
Variables | −2 Log likelihood of reduced model | Chi-square (P-value) | COR (95% CI) (P-value) | df |
---|---|---|---|---|
Perceived threat | ||||
Refusal to attend ART is a serious risk | 271.741 | 1.01 (0.315) | 1 | |
Refusal to adhere leads to getting AIDS faster | 271.567 | 1.36 (0.244) | 1 | |
Severe consequences due to non-adherence | 272.153 | 0.20 (0.652) | 1 | |
Irregular intake of drugs can lead to death | 271.741 | 1.01 (0.315) | 1 | |
Non-adherence is life-threatening | 272.198 | 0.11 (0.735) | 1 | |
Perceived benefits | ||||
Following treatment plan can make me healthy | 271.578 | 1.33 (0.249) | 1 | |
Following treatment plan can reduce viral load | 271.862 | 0.78 (0.378) | 1 | |
Adhering to ART improves condition | 271.395 | 1.68 (0.194) | 1 | |
Strict adherence to treatment plan is crucial | 272.2.7 | 0.09 (0.758) | 1 | |
Perceived barriers | ||||
I develop side effects | 269.885 | 4.66 (0.031) | 1.74 (1.05–2.89) (0.032*) | 1 |
Lots of time spent for refill | 272.075 | 0.36 (0.549) | 1 | |
Expensive transportation cost | 272.197 | 0.12 (0.733) | 1 | |
ART still effective without regular use | 272.205 | 0.10 (0.753) | 1 | |
Lose income | 263.985 | 1.46 (0.035) | 1.71 (1.04–2.83) (0.036*) | 1 |
Self-efficacy | ||||
Recommended ART plan not difficult | 272.170 | 0.17 (0.682) | 1 | |
Confident to take all my ART | 272.170 | 0.84 (0.358) | 1 | |
Self-discipline to adhere to ART | 271.834 | 0.54 (0.461) | 1 | |
ART adherence despite side effects | 269.898 | 4.60 (0.032) | 1.86 (1.04–3.31) (0.034*) | 1 |
Cues to action | ||||
Know friend or family who died of HIV | 272.656 | 0.19 (0.276) | 1 | |
Know friend or family who died of HIV due to non-adherence | 272.000 |
2.46 (0.117) | 1 | |
Reminders from health workers for a refill | 269.985 | 4.42 (0.036) | 1.91 (1.04– 3.53) (0.038*) | 1 |
ART, antiretroviral therapy; CI, confidence interval; COR, crude odds ratio; df, degrees of freedom. *P < 0.05.