To identify perceived barriers and facilitators for HAART
adherence among people living with HIV/AIDS in Southern Puerto Rico using a
Social Ecological framework.
Individual in-depths interviews were conducted with 12 HIV
patients with a history of HAART non-adherence. Interviews were audio-taped and
transcribed. Content analysis was performed for each transcribed interview by
three independent coders using a codebook. Using Atlas TI, super-codes and
families were generated to facilitate the categorization tree as well as
grounded analyses and density estimates
Most participants reported a monthly income of $500 or less, a high school education level, being unemployed and
being recipients of government health insurance. Fifty percent of women reported living alone with their children and most men informed living
with their parents or other relatives. For the grounded analyses, the
top four sub-categories linked to high number of quotations were mental health
barriers followed by treatment regimen, health system and interpersonal relations. The top four sub-categories linked to
high number of codes are treatment regimen, health status perception, interpersonal relations and health system.
The results of this study suggest the interconnection of HIV
treatment adherence barriers at various system levels. Future studies on HIV
treatment barriers should explore these interactions and investigate the
possible synergistic effect on non-adherent behavior.
Below: Key Findings and implications for HAART adherence barriers and facilitators
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