Brief Report

Effects of tobacco use on non-adherence to antiretroviral therapy among HIV-positive patients in South Africa

Published in: Journal of Psychology in Africa
Volume 29 , issue 3 , 2019 , pages: 265–269

DOI: 10.1080/14330237.2019.1616421

Author(s): Supa Pengpid ASEAN Institute for Health Development, Thailand , Diana Huis in ‘t Veld Department of Internal Medicine and Infectious Diseases, Belgium , Karl Peltzer Department for Management of Science and Technology Development, Vietnam

Keywords: adherence , antiretroviral therapy , problem drinking , South Africa , tobacco use

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Abstract

This study aimed to estimate the relationship between tobacco use and non-adherence to antiretroviral therapy (ART) in a South African sample. Participants were 1 963 HIV patients who attended a primary care clinic in Pretoria (female = 68.5%; black African = 99.5%; median age = 37.0 years; tobacco users only = 8.6%, problem drinkers only = 14.9%, and tobacco users and problem drinkers = 10.5%). In adjusted logistic regression analysis, tobacco use only was not significantly associated with non-adherence to ART. Alcohol use only (OR: 1.72; CI: 1.26, 2.36) and tobacco use and problem drinking (OR: 2.31; CI: 1.60, 3.33) were highly associated with non-adherence to ART.

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