Antiretroviral therapy non-adherence and its association with psychosocial factors in Nigeria: comparative study of sexual minority and heterosexual men living with HIV

Sexual minority men (gay, bisexual and other men who have sex with men; SMM) in Nigeria are disproportionately affected by HIV compared to heterosexual men. There is a dearth of research on the correlates of antiretroviral therapy (ART) non-adherence and correlates in both groups. The current study...

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Bibliographic Details
Published in:	AIDS care Vol. 36; no. 10; pp. 1369 - 1381
Main Authors:	Oginni, Olakunle Ayokunmi, Adelola, Aderopo Igbekeleoluwa, Ogunbajo, Adedotun, Opara, Onyedikachi Joseph, Akanji, Michael, Ibigbami, Olanrewaju Ibikunle, Afolabi, Olusegun Temitope, Akinsulore, Adesanmi, Mapayi, Boladale Moyosore, Mosaku, Samuel Kolawole
Format:	Journal Article
Language:	English
Published:	England Taylor & Francis 02-10-2024 Taylor & Francis Ltd
Subjects:	Adherence Adult Anti-HIV Agents - therapeutic use Antiretroviral agents Antiretroviral therapy ART non-adherence Bisexuality Comparative analysis Comparative studies Correlation Cross-Sectional Studies Depression - epidemiology Depression - psychology Heterosexuality Heterosexuality - psychology Heterosexuality - statistics & numerical data HIV HIV Infections - drug therapy HIV Infections - psychology Human immunodeficiency virus Humans Male Medication Adherence - psychology Medication Adherence - statistics & numerical data Men who have sex with men Mental depression Mental health care Mental health services Middle Aged Nigeria - epidemiology Nigerian sexual minority men Prescription drugs Professional associations psychosocial adversity Psychosocial factors Psychosocial support Regression analysis Regression models SDG 10: Reduced inequalities SDG 3: Good health and well-being Self destructive behavior Sexual and Gender Minorities - psychology Sexual and Gender Minorities - statistics & numerical data Sexually transmitted diseases Social Stigma Sociodemographics STD Stigma Suicide Surveys and Questionnaires Young Adult Nigeria Nigerian sexual minority men SDG 10: Reduced inequalities HIV ART non-adherence SDG 3: Good health and well-being psychosocial adversity
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Summary:	Sexual minority men (gay, bisexual and other men who have sex with men; SMM) in Nigeria are disproportionately affected by HIV compared to heterosexual men. There is a dearth of research on the correlates of antiretroviral therapy (ART) non-adherence and correlates in both groups. The current study examined the associations of ART non-adherence with sociodemographic and psychosocial characteristics among a sample of Nigerian heterosexual and SMM. Between March and September 2014, we surveyed 120 SMM and 108 heterosexual men receiving ART in Lagos and Abuja, Nigeria. We specified univariate and multivariable linear regression models to examine correlates of ART non-adherence. We found that 50.8% and 29.6% of sexual minority and heterosexual men respectively self-reported ART non-adherence which was significantly associated with psychosocial factors such as stigma, depressive symptoms, and suicidality. Mental health care and psychosocial support should be incorporated into routine HIV care for Nigerian SMM living with HIV.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0954-0121 1360-0451 1360-0451
DOI:	10.1080/09540121.2024.2366511