TY - JOUR
T1 - Factors associated with HIV testing and HIV treatment adherence
T2 - A systematic review
AU - Detsis, Marios
AU - Tsioutis, Constantinos
AU - Karageorgos, Spyridon A.
AU - Sideroglou, Theologia
AU - Hatzakis, Angelos
AU - Mylonakis, Eleftherios
N1 - Publisher Copyright:
© 2017 Bentham Science Publishers.
PY - 2017
Y1 - 2017
N2 - Background: The impact of the global economic crisis on HIV-related access and care remains unclear. The objective of this systematic review of the literature was to evaluate the association between socioeconomic factors and HIV diagnosis, and adherence to treatment, following the 2008 global economic crisis. Method: A systematic search of PubMed and Scopus for studies published between January 2008 and October 2016 was conducted. Studies providing data on social, demographic, economic and cultural barriers associated with HIV diagnosis and treatment were included. Results: Of 33 studies included, 22 evaluated HIV testing and 11 evaluated treatment adherence. Medical history of a sexually transmitted disease, knowledge of HIV-related risks, and age, were significantly associated with HIV testing in most of the included studies. Absence of social support, and alcohol or substance use, were the most common factors associated with adherence. Financial factors were not as commonly found to be related to access to HIV diagnosis and HIV treatment adherence, compared to knowledge of HIV-related risks and social support. Conclusion: The identification of persons who are less likely to test for HIV, and to adhere to HIV treatment, may serve as a guide for public health interventions, especially in resource-limited areas.
AB - Background: The impact of the global economic crisis on HIV-related access and care remains unclear. The objective of this systematic review of the literature was to evaluate the association between socioeconomic factors and HIV diagnosis, and adherence to treatment, following the 2008 global economic crisis. Method: A systematic search of PubMed and Scopus for studies published between January 2008 and October 2016 was conducted. Studies providing data on social, demographic, economic and cultural barriers associated with HIV diagnosis and treatment were included. Results: Of 33 studies included, 22 evaluated HIV testing and 11 evaluated treatment adherence. Medical history of a sexually transmitted disease, knowledge of HIV-related risks, and age, were significantly associated with HIV testing in most of the included studies. Absence of social support, and alcohol or substance use, were the most common factors associated with adherence. Financial factors were not as commonly found to be related to access to HIV diagnosis and HIV treatment adherence, compared to knowledge of HIV-related risks and social support. Conclusion: The identification of persons who are less likely to test for HIV, and to adhere to HIV treatment, may serve as a guide for public health interventions, especially in resource-limited areas.
KW - AIDS
KW - Adherence
KW - Antiretroviral therapy
KW - HIV
KW - Systematic review
KW - Testing
KW - Treatment
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UR - http://www.scopus.com/inward/citedby.url?scp=85025154200&partnerID=8YFLogxK
U2 - 10.2174/1381612823666170329125820
DO - 10.2174/1381612823666170329125820
M3 - Review article
C2 - 28356038
AN - SCOPUS:85025154200
SN - 1381-6128
VL - 23
SP - 2568
EP - 2578
JO - Current Pharmaceutical Design
JF - Current Pharmaceutical Design
IS - 18
ER -