Livelihood security and adherence to antiretroviral therapy in low and middle income settings: a systematic review.

<h4>Introduction</h4>We sought to examine the association between livelihood security and adherence to antiretroviral therapy (ARVs) in low- and middle-income countries (LIMC).<h4>Methods</h4>Performing a systematic review, we searched, independently and in duplicate, 7 elect...

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Autores principales:	Beth S Rachlis, Edward J Mills, Donald C Cole
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/526dc6c2ee354b8e9a0dc9f97ab813db
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spelling	oai:doaj.org-article:526dc6c2ee354b8e9a0dc9f97ab813db2021-11-18T06:54:04ZLivelihood security and adherence to antiretroviral therapy in low and middle income settings: a systematic review.1932-620310.1371/journal.pone.0018948https://doaj.org/article/526dc6c2ee354b8e9a0dc9f97ab813db2011-05-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21589911/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>We sought to examine the association between livelihood security and adherence to antiretroviral therapy (ARVs) in low- and middle-income countries (LIMC).<h4>Methods</h4>Performing a systematic review, we searched, independently and in duplicate, 7 electronic databases and 2 conference websites for quantitative surveys that examined the association between indicators of livelihood security and adherence to ARVs in LIMC between 2000-2010. Criteria for relevance were applied to complete papers (quantitative study with estimates of associations) and quality assessment was conducted on those deemed relevant. We performed three regressions to measure the association between each type of livelihood and adherence.<h4>Results</h4>Twenty original studies and 6 conference abstracts were included, the majority from Africa (n = 16). Seventeen studies and 3 conference abstracts were cross-sectional and 3 studies and 3 abstracts were prospective clinical cohort studies, with considerable variation in quality for studies of each design type. Among the diverse populations represented, we observed considerable variation in associations between measurements of livelihood indicators and increasingly accepted adherence measures, irrespective of study design or quality. A financial capital indicator, financial constraints/payment for ARV medication, was more commonly associated with non-adherence (3/5 studies). A human capital indicator, educational level, was most commonly associated with adherence (11/20 studies).<h4>Discussion</h4>Additional better quality research examining livelihood security is required to inform provision of optimal supports for adherence and mitigation of the impacts of HIV/AIDS.Beth S RachlisEdward J MillsDonald C ColePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 6, Iss 5, p e18948 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Beth S Rachlis Edward J Mills Donald C Cole Livelihood security and adherence to antiretroviral therapy in low and middle income settings: a systematic review.
description	<h4>Introduction</h4>We sought to examine the association between livelihood security and adherence to antiretroviral therapy (ARVs) in low- and middle-income countries (LIMC).<h4>Methods</h4>Performing a systematic review, we searched, independently and in duplicate, 7 electronic databases and 2 conference websites for quantitative surveys that examined the association between indicators of livelihood security and adherence to ARVs in LIMC between 2000-2010. Criteria for relevance were applied to complete papers (quantitative study with estimates of associations) and quality assessment was conducted on those deemed relevant. We performed three regressions to measure the association between each type of livelihood and adherence.<h4>Results</h4>Twenty original studies and 6 conference abstracts were included, the majority from Africa (n = 16). Seventeen studies and 3 conference abstracts were cross-sectional and 3 studies and 3 abstracts were prospective clinical cohort studies, with considerable variation in quality for studies of each design type. Among the diverse populations represented, we observed considerable variation in associations between measurements of livelihood indicators and increasingly accepted adherence measures, irrespective of study design or quality. A financial capital indicator, financial constraints/payment for ARV medication, was more commonly associated with non-adherence (3/5 studies). A human capital indicator, educational level, was most commonly associated with adherence (11/20 studies).<h4>Discussion</h4>Additional better quality research examining livelihood security is required to inform provision of optimal supports for adherence and mitigation of the impacts of HIV/AIDS.
format	article
author	Beth S Rachlis Edward J Mills Donald C Cole
author_facet	Beth S Rachlis Edward J Mills Donald C Cole
author_sort	Beth S Rachlis
title	Livelihood security and adherence to antiretroviral therapy in low and middle income settings: a systematic review.
title_short	Livelihood security and adherence to antiretroviral therapy in low and middle income settings: a systematic review.
title_full	Livelihood security and adherence to antiretroviral therapy in low and middle income settings: a systematic review.
title_fullStr	Livelihood security and adherence to antiretroviral therapy in low and middle income settings: a systematic review.
title_full_unstemmed	Livelihood security and adherence to antiretroviral therapy in low and middle income settings: a systematic review.
title_sort	livelihood security and adherence to antiretroviral therapy in low and middle income settings: a systematic review.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/526dc6c2ee354b8e9a0dc9f97ab813db
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Livelihood security and adherence to antiretroviral therapy in low and middle income settings: a systematic review.

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