This mixed-method study examines the influence of medication attitudes on ART utilization among HIV-infected Indonesian prisoners. Randomly-selected HIV-infected male prisoners (n = 102) completed face-to-face in-depth interviews and structured surveys assessing ART attitudes.
- Results show that although half of participants utilized ART,
- a quarter of those meeting ART eligibility guidelines did not.
- Participants not utilizing ART endorsed greater concerns about ART efficacy, safety, and adverse effects,
- and more certainty that ART should be deferred in PLH who feel healthy.
- ART utilization was independently associated with more positive ART attitudes and higher internalized HIV stigma
Social marketing of ART is needed to counteract negative ART attitudes that limit ART utilization among Indonesian prisoners.
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By:
- 1Department of Health Systems Science, University of Illinois at Chicago, College of Nursing, 845 S. Damen Ave., Chicago, IL, 60612, USA. gabriel.culbert@gmail.com.
- 2Center for HIV/AIDS Nursing Research, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia. gabriel.culbert@gmail.com.
- 3Section of Infectious Diseases, Department of Medicine, Yale University School of Medicine, New Haven, CT, USA. gabriel.culbert@gmail.com.
- 4Centre of Excellence for Research in AIDS (CERiA), University of Malaya, Kuala Lumpur, Malaysia. gabriel.culbert@gmail.com.
- 5Section of Infectious Diseases, Department of Medicine, Yale University School of Medicine, New Haven, CT, USA.
- 6Centre of Excellence for Research in AIDS (CERiA), University of Malaya, Kuala Lumpur, Malaysia.
- 7Center for HIV/AIDS Nursing Research, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.
- 8Directorate General of Corrections, Indonesian Ministry of Law and Human Rights, Jakarta, Indonesia.
- 9Bina Nusantara University, Jakarta, Indonesia.
- 10Department of Health Policy & Administration, University of Illinois at Chicago School of Public Health, Chicago, IL, USA.
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