Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/535
Title: Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil
Authors: Fehringer, Jéssica
Bastos, Francisco Inácio Pinkusfeld Monteiro
Massard, Elize
Maia, Leonardo
Pilotto, Jose Henrique da Silva
Kerrigan, Deanna
Affilliation: Johns Hopkins Bloomberg School of Public Health. Baltimore, Maryland, USA.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Laboratório de Informação em Saúde. Rio de Janeiro, RJ, Brasil
Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil.
Ribeiro Neto Hospital. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Rio de Janeiro, RJ, Brazil.
Johns Hopkins Bloomberg School of Public Health. Baltimore, Maryland, USA.
Abstract: This exploratory study examined patient–provider communication dynamics regarding adherence to highly active antiretroviral therapy (HAART) and protective sexual behavior among people living with HIV/AIDS (PLWHA). We conducted 20 direct observations of routine consultations between PLWHA and care providers in two large public health clinics providing free HIV medications and clinical care to PLWHA in the greater Rio de Janeiro area of Brazil. Immediately after these observations, 20 semistructured in-depth interviews were conducted with observation participants regarding their communication with providers, overall clinic experience, and questions and concerns about adherence to HAART and safe sex. Findings from observations showed that patient–provider communication focused almost exclusively on biomedical aspects of HIV-related treatment such as symptom management. In most observations, adherence to HAART was addressed. However, questions posed by providers regarding adherence were generally close-ended and leading, discouraging an open exchange regarding potential difficulties related to adherence. HIV/sexually transmitted infection (STI)- related protective behaviors were seldom addressed except when the patient displayed STI symptoms or was thought to be pregnant. In qualitative interviews, patients generally reported satisfaction with their providers, but also reported a variety of concerns and challenges related to adherence to HAART and protective sexual behavior that were not expressed in patient–provider interactions. We conclude that one way in which adherence to HAART and protective sexual behavior among PLWHA could be facilitated is by improving patient –provider communication on these topics, including increasing the frequency of openended, nonjudgmental dialogue initiated by care providers.
Issue Date: 2006
Publisher: Mary Ann Liebert, Inc.
Citation: FEHRINGER, J. et al. Supporting adherence to highly active antiretroviral therapy and protected sex among people living with HIV/AIDS: the role of patient-provider communication in Rio de Janeiro, Brazil. AIDS Patient Care and STDs, Larchmont, v. 20, n. 9, p. 637-648, 2006.
ISSN: 1087-2914
Copyright: open access
Appears in Collections:ICICT - Artigos de Periódicos

Files in This Item:
File Description SizeFormat 
Bastos_Supporting adherence_2006.pdf69.95 kBAdobe PDFThumbnail
View/Open


FacebookTwitterDeliciousLinkedInGoogle BookmarksBibTex Format mendeley Endnote DiggMySpace

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.