Appreciating Reasons for Nonadherence in Women

Jennifer G. OkonskyDepartment of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, California, USACorrespondence[email protected]

Allison WebelBolten School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA

Carol Dawson RoseDepartment of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, California, USA

Mallory JohnsonCenter for AIDS Prevention Studies, School of Medicine, University of California San Francisco, San Francisco, California, USA

Alice AsherSchool of Nursing, University of California San Francisco, San Francisco, California, USA

Yvette CucaDepartment of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, California, USA

Alphoncina KaihuraSchool of Nursing, University of California San Francisco, San Francisco, California, USA

Jan E. HansonDepartments of Anthropology and Public Health, Case Western Reserve University, Cleveland, Ohio, USA

Carmen J. PortilloDepartment of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, California, USA

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Abstract

Women aged 15–24 years have an HIV infection rate twice that of men the same age. In this study we examined reasons why HIV-infected women taking antiretroviral therapy (ART) report missing HIV medications. Women (N = 206) on ART were 2.2 times more likely to endorse reasons pertaining to forgetfulness versus reasons pertaining to problems taking pills (OR = 2.2, 95% CI = 1.63, 2.94, p <.001). There was a difference between the adherent and nonadherent groups in types of reasons overall (p <.001, 95% CI = –3.82, –2.03). Using a patient-centered approach to understand type of nonadherence (intentional vs. unintentional) may support development of novel interventions.

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