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首页> 外文期刊>AIDS care. >Structural barriers to adherence to antiretroviral therapy in a resource-constrained setting: the perspectives of health care providers.
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Structural barriers to adherence to antiretroviral therapy in a resource-constrained setting: the perspectives of health care providers.

机译：在资源有限的环境中坚持抗逆转录病毒疗法的结构性障碍：卫生保健提供者的观点。

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摘要

The present study examined the chief structural barriers to antiretroviral treatment (ART) adherence from the perspective of health care workers who provide treatment to patients living with HIV and AIDS in South Africa. The main barrier to adherence as identified by participants in the study was the stigma associated with living with HIV, and thus with receiving AIDS treatment. A second barrier was the fact that some patients willfully decide to forgo treatment so that they could retain state disability benefits associated with a low CD4 count. Other barriers included the lack of finances for transport to clinics and food insecurity, especially when medication needed to be taken with food. These barriers to ART adherence are conceptualized in terms of Bronfenbrenner's Ecological Systems Theory.
机译：本研究从医护人员的角度研究了抗逆转录病毒治疗（ART）依从性的主要结构性障碍，这些人员为南非的HIV和AIDS患者提供治疗。研究参与者确定的坚持依从性的主要障碍是与艾滋病病毒感染者以及因此接受艾滋病治疗有关的污名化。第二个障碍是，一些患者自愿决定放弃治疗，以便他们可以保留与CD4计数低有关的国家残疾福利。其他障碍包括缺乏运往诊所的资金和粮食不安全，特别是在需要与食物一起服用药物的情况下。这些对ART依从性的障碍是根据布朗芬布伦纳的生态系统理论来概念化的。

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