‘Staying alive’ with antiretroviral therapy: a grounded theory study of people living with HIV in Peru

dc.date.accessioned2023-04-05T12:45:51Z
dc.date.available2023-04-05T12:45:51Z
dc.date.issued2021
dc.description.abstractTo achieve an optimal quality of life through chronic disease management, people living with HIV (PLHIV) must adhere to antiretroviral therapy (ART). ART has been available throughout Peru since 2004 without cost in all regions; yet only 60% (43 200) of PLHIV receive ART and 32% are virally suppressed. Despite the low adherence, little is known about the experience of PLHIV with ART adherence in the context of Latin America. A constructivist grounded theory design was used to understand the ART adherence experiences of PLHIV in Northern Peru. Unstructured interviews were conducted with 18 participants resulting in theoretical saturation. All interviews were recorded, immediately transcribed and analysed concurrently with data collection using constant comparative analysis with Atlas.ti (V.8) software. Rigour was maintained through openness, reflexivity, audit trail, memo writing, debriefings, member checks and positionality. The core category ‘staying alive’ emerged through the interaction of four categories, including: (1) overcoming barriers; (2) working with the healthcare team; (3) tailoring self-care strategies; and (4) appreciating antiretrovirals. Adherence is not a spontaneous outcome, instead, the surprise of HIV diagnosis transitions to living with HIV as a chronic disease. The healthcare team helps PLHIV realise ART is their life source by enhancing, supporting and facilitating self-care and overcoming barriers. Adherence emerges from experiential learning as PLHIV recognised ART as their life source in balance with their desire to continue living a normal life. Social support and healthcare team interventions help PLHIV implement tailored self-care strategies to overcome personal, social, and structural barriers to adherence. Healthcare professionals need to recognise the challenges confronted by PLHIV as they learn how to continue living while trying to stay alive. © 2021, BMJ Publishing Group Ltd. All rights reserved.
dc.identifier.issn20597908
dc.identifier.urihttps://doi.org/10.1136/bmjgh-2021-006772
dc.identifier.urihttp://146.190.124.33/handle/123456789/5871
dc.language.isoenges_ES
dc.publisherBMJ Publishing Groupes_ES
dc.sourcePLoS ONE; Vol. 17 Núm. 9 September
dc.title‘Staying alive’ with antiretroviral therapy: a grounded theory study of people living with HIV in Perues_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.type.versioninfo:eu-repo/semantics/publishedVersion
Archivos
Colecciones