n IFE PsychologIA : An International Journal - Psychological determinants of treatment adherence among people living with HIV and AIDS in Ibadan, Nigeria




The study examined psychological determinants of treatment adherence among people living with HIV and AID in Ibadan, Nigeria. The study was conducted in University college hospital Ibadan. Validated questionnaire with 78 items was administered to 548 participants among people accessing care for minimum of one year comprising 154 males and 394 females. Participants were selected through systematic sampling technique. The psychological variable considered includes; stigma and discrimination, social supports, self-efficacy, depression and anxiety. Data were analyzed using descriptive statistics and chi square. The results revealed that stigma and discrimination though a serious factor in HIV management, it was not strong enough to stop people from following treatment instruction especially adherence to medication (x2= 2.293: P > 0.05). Social support was found to influence treatment adherence (x2 = 25.901: P < 0.05). Also, self-efficacy, depression and anxiety were found to influence adherence (x2= 20.920: P < 0.05), (x2= 41.104: P < 0.05) and (x2= 8.514: P < 0.05) respectively. It could therefore be concluded that psychological factors have key implications for Adherence to HIV/AIDS treatment. Attention should therefore be paid to ensuring that all individuals accessing HIV/AIDS treatment are supported to attain psychological stability which will unequivocally enhance their adherence to treatment with better outcomes.


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