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HIV/AIDS treatment adherence in economically better off women in Colombia

机译：哥伦比亚在经济上较富裕的妇女中遵守艾滋病毒/艾滋病治疗

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Studies on HIV/AIDS treatment adherence have been carried out in a limited number of geographic settings, but few studies have explored it in people of higher socioeconomic status in Latin America. This qualitative study explored and compared determinants of adherence behaviors among 52 HIV-positive Colombian women in medium and high socioeconomic positions (SPs). Findings indicated that the two SP groups reported high adherence behaviors related to taking medication, following a diet, and executing lifestyle changes in line with healthcare providers recommendations. Nevertheless, differences were observed between the two groups. While women with a medium SP disclosed their diagnosis, were empowered, and had acceptable access to economic resources that resulted in favorable adherence, their better off counterparts tended to hide their status and made a conscious effort to keep their adherence behaviors in secret due to HIV-related stigma. More studies on adherence of people living with HIV/AIDS from high SPs should be conducted to better understand how psychosocial support can be provided and to advance the knowledge of how and why adherence practices in these groups are undertaken.
机译：关于艾滋病毒/艾滋病治疗依从性的研究已经在有限的几个地理环境中进行，但很少有研究在拉丁美洲具有较高社会经济地位的人中进行探索。这项定性研究探索并比较了52位处于中等和较高社会经济地位（SPs）的HIV阳性哥伦比亚女性中依从行为的决定因素。调查结果表明，两个SP组报告了与服药，节食和按照医疗保健提供者的建议进行生活方式改变有关的高度依从行为。尽管如此，两组之间仍存在差异。虽然中度SP的妇女公开了诊断，被授权并且可以接受经济资源以产生良好的依从性，但相对较富裕的女性却倾向于掩盖自己的身份，并有意识地努力将依从行为保密，因为艾滋病毒相关的污名。应该对来自高SP人群的HIV / AIDS感染者的依从性进行更多研究，以更好地理解如何提供心理支持，并增进对这些人群中如何以及为什么进行依从性实践的知识。

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