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Intention to start ART after the launch of expanded treatment strategy among people living with HIV in China: a behavioral theory-based cross-sectional study.

Authors
  • Du, Xuan1, 2
  • He, Qiangsheng1
  • Yang, Tinglong1
  • Wang, Yu1, 3
  • Xu, Huifang4
  • Hao, Chun1, 3
  • Zhou, Kai1
  • Gu, Jing1, 3
  • Hao, Yuantao1, 3
  • 1 Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China. , (China)
  • 2 Training and Evaluation Center of Guangdong Power Grid Company Limited, Guangzhou, People's Republic of China. , (China)
  • 3 Sun Yat-sen Global Health Institute, Institute of State Governance, Sun Yat-sen University, Guangzhou, People's Republic of China. , (China)
  • 4 Department of HIV/AIDS Prevention and Control, Guangzhou Center for Disease Prevention and Control, Guangzhou, People's Republic of China. , (China)
Type
Published Article
Journal
AIDS care
Publication Date
Sep 01, 2020
Volume
32
Issue
9
Pages
1182–1190
Identifiers
DOI: 10.1080/09540121.2019.1686601
PMID: 31690087
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This study investigated the prevalence of intention to start antiretroviral therapy (ART) immediately among people living with HIV (PLWH) in China and associated perceptions toward ART based on behavioral theories. The study was initiated after the launch of an expanded ART strategy. A cross-sectional study was conducted among 450 PLWH who were ART naive in the city of Guangzhou, China, from June 2016 to February 2017. Among the participants, 311 (69.1%) showed intention to start ART immediately. The summary logistic regression analysis indicated that intention to start ART immediately was significantly associated with perceived severity [multivariate odds ratios (ORm) = 1.62, 95%CI = 1.15-2.28, p < 0.01], perceived barriers (ORm =0.56, 95%CI = 0.38-0.84, p < 0.01), self-efficacy (ORm =2.90, 95%CI = 2.05-4.09, p < 0.001), and subjective norms (ORm =1.95, 95%CI = 1.17-3.25, p < 0.05). The intention to start ART immediately among PLWH in Guangzhou was below the 90-90-90 target. Further promotion research should focus on these perceptional factors.

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