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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Delayed initiation of antiretroviral therapy among HIV-discordant couples in Kenya
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 25, No. 3, Year 2013
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Description
Timely initiation of antiretroviral therapy (ART) is particularly important for HIV-discordant couples because viral suppression greatly reduces the risk of transmission to the uninfected partner. To identify issues and concerns related to ART initiation among HIV-discordant couples, we recruited a subset of discordant couples participating in a longitudinal study in Nairobi to participate in in-depth interviews and focus group discussions about ART. Our results suggest that partners in HIV-discordant relationships discuss starting ART, yet most are not aware that ART can decrease the risk of HIV transmission. In addition, their concerns about ART initiation include side effects, sustaining an appropriate level of drug treatment, HIV/AIDS-related stigma, medical/biological issues, psychological barriers, misconceptions about the medications, the inconvenience of being on therapy, and lack of social support. Understanding and addressing these barriers to ART initiation among discordant couples is critical to advancing the HIV "treatment as prevention" agenda. © 2013 Copyright Taylor and Francis Group, LLC.
Authors & Co-Authors
Kahn, Talia R.
United States, Seattle
University of Washington School of Medicine
United States, Seattle
University of Washington
Desmond, Michelle
United States, Seattle
University of Washington
Rao, Deepa
United States, Seattle
University of Washington
Marx, Grace E.
United States, Aurora
University of Colorado Anschutz Medical Campus
Guthrie, Brandon L.
United States, Seattle
University of Washington
Bosire, Rose Kerubo
Kenya, Nairobi
Kenya Medical Research Institute
Choi, Robert Y.
United States, Seattle
University of Washington
Kiarie, James Njogu
Kenya, Nairobi
University of Nairobi
Farquhar, Carey
United States, Seattle
University of Washington
Statistics
Citations: 24
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.1080/09540121.2012.712660
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Infectious Diseases
Study Design
Cohort Study
Study Approach
Qualitative
Quantitative
Study Locations
Kenya