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Antiretroviral treatment sharing among highly mobile Ugandan fisherfolk living with HIV: a qualitative study.

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Title: Antiretroviral treatment sharing among highly mobile Ugandan fisherfolk living with HIV: a qualitative study.
Authors: Rosen, Joseph G., Nakyanjo, Neema, Isabirye, Dauda, Wawer, Maria J., Nalugoda, Fred, Reynolds, Steven J., Nakigozi, Gertrude, Grabowski, M. Kathryn, Kennedy, Caitlin E.
Source: AIDS Care. Jul2020, Vol. 32 Issue 7, p912-915. 4p. 1 Chart.
Subjects: Conceptual structures, Drugs, Employment, Experience, Fear, Fishing, Health services accessibility, HIV infections, Interviewing, Research methodology, Patient-professional relations, Patient compliance, Sex work, Sales personnel, Social stigma, Transportation, Qualitative research, Antiretroviral agents, Disease prevalence
Geographic Terms: Uganda
Abstract: Antiretroviral treatment (ART) diversion from prescribed to non-prescribed users (i.e., sharing or selling) is an understudied dimension of HIV treatment adherence. We sought to explore ART diversion patterns in high-prevalence fishing communities on Lake Victoria, Uganda. We implemented a qualitative study in two fishing communities on Lake Victoria in south-central Uganda to identify facilitators of and pathways to ART diversion. We conducted 25 semi-structured interviews with HIV-positive fishermen (n = 25) and female sex workers (n = 10) covering personal and community experiences with ART selling/sharing, reasons for medication diversion, and potential solutions to reduce diversion. Data were analyzed using an adapted framework analysis approach. Participants reported frequent ART sharing within occupational networks, but no selling. Mobility was the principal driver of ART sharing and was associated with other barriers to treatment access including stigma, fear of negative health provider interactions, and transportation. ART sharing appears to emerge in response to short-term treatment interruptions in this setting. Future studies should explore characteristics and drivers of ART diversion in other high-burden settings and identify how these practices are correlated with key health outcomes like virologic failure and drug resistance. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Antiretroviral treatment sharing among highly mobile Ugandan fisherfolk living with HIV: a qualitative study.
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  Data: <searchLink fieldCode="AR" term="%22Rosen%2C+Joseph+G%2E%22">Rosen, Joseph G.</searchLink><br /><searchLink fieldCode="AR" term="%22Nakyanjo%2C+Neema%22">Nakyanjo, Neema</searchLink><br /><searchLink fieldCode="AR" term="%22Isabirye%2C+Dauda%22">Isabirye, Dauda</searchLink><br /><searchLink fieldCode="AR" term="%22Wawer%2C+Maria+J%2E%22">Wawer, Maria J.</searchLink><br /><searchLink fieldCode="AR" term="%22Nalugoda%2C+Fred%22">Nalugoda, Fred</searchLink><br /><searchLink fieldCode="AR" term="%22Reynolds%2C+Steven+J%2E%22">Reynolds, Steven J.</searchLink><br /><searchLink fieldCode="AR" term="%22Nakigozi%2C+Gertrude%22">Nakigozi, Gertrude</searchLink><br /><searchLink fieldCode="AR" term="%22Grabowski%2C+M%2E+Kathryn%22">Grabowski, M. Kathryn</searchLink><br /><searchLink fieldCode="AR" term="%22Kennedy%2C+Caitlin+E%2E%22">Kennedy, Caitlin E.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jul2020, Vol. 32 Issue 7, p912-915. 4p. 1 Chart.
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  Data: <searchLink fieldCode="DE" term="%22Uganda%22">Uganda</searchLink>
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  Data: Antiretroviral treatment (ART) diversion from prescribed to non-prescribed users (i.e., sharing or selling) is an understudied dimension of HIV treatment adherence. We sought to explore ART diversion patterns in high-prevalence fishing communities on Lake Victoria, Uganda. We implemented a qualitative study in two fishing communities on Lake Victoria in south-central Uganda to identify facilitators of and pathways to ART diversion. We conducted 25 semi-structured interviews with HIV-positive fishermen (n = 25) and female sex workers (n = 10) covering personal and community experiences with ART selling/sharing, reasons for medication diversion, and potential solutions to reduce diversion. Data were analyzed using an adapted framework analysis approach. Participants reported frequent ART sharing within occupational networks, but no selling. Mobility was the principal driver of ART sharing and was associated with other barriers to treatment access including stigma, fear of negative health provider interactions, and transportation. ART sharing appears to emerge in response to short-term treatment interruptions in this setting. Future studies should explore characteristics and drivers of ART diversion in other high-burden settings and identify how these practices are correlated with key health outcomes like virologic failure and drug resistance. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=144524742
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2019.1668528
    Languages:
      – Code: eng
        Text: English
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        PageCount: 4
        StartPage: 912
    Subjects:
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Drugs
        Type: general
      – SubjectFull: Employment
        Type: general
      – SubjectFull: Experience
        Type: general
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Fishing
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Patient-professional relations
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Sex work
        Type: general
      – SubjectFull: Sales personnel
        Type: general
      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Transportation
        Type: general
      – SubjectFull: Qualitative research
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      – SubjectFull: Antiretroviral agents
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Uganda
        Type: general
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      – TitleFull: Antiretroviral treatment sharing among highly mobile Ugandan fisherfolk living with HIV: a qualitative study.
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              Text: Jul2020
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