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High ambient temperature and water rationing impacts on antiretroviral adherence in Greater Gaborone, Botswana in 2016

机译:2016年博茨瓦纳大歌唱龙对抗逆转录病毒粘附的高环境温度和水对抗影响

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Countries with the highest HIV prevalence, Botswana, Eswatini, Lesotho and South Africa are also experiencing an increase in climate variability, rising temperatures and drought. This study investigates perceived challenges of high temperatures and water scarcity/rationing on monthly clinic attendance and ARV adherence for people living with HIV in Greater Gaborone, Botswana. A systematic random sample of adult women [n=419], including 67 pregnant women and mothers, and men [n=239] attending 21 HIV clinics were surveyed. Health care workers [n=84] were interviewed. Close-ended and open-ended questions were analyzed using logistic and multilevel models and content analysis. Women and men reporting exposure to high temperatures were at increased odds of ARV non-adherence, especially in rural areas; missing clinic appointments due to heat in rural areas and water rationing in peri-urban and rural areas increased the odds of ARV non-adherence; almost half of respondents reported water rationing negatively affected their health; and perceptions of available clinic services during water shortages, differed for some men and health care providers. Infrastructural and health education messaging improvements are needed in HIV clinics, particularly in rural villages to adapt to climate variability and ensure ARV adherence for people living with HIV in these areas.
机译:艾滋病毒盛行,博茨瓦纳,埃斯瓦蒂尼,莱索托和南非的国家也经历了气候变异性的增加,温度升高和干旱。本研究调查了高温和水资源稀缺/对每月诊所出席和ARV粘附性的挑战,对博茨瓦纳的艾滋病毒艾滋病毒的艾滋病毒患者。调查了有67名孕妇和母亲的成人女性的系统随机样本,以及参加21艾滋病毒诊所的男性[n = 239]。受访医疗保健工作者[n = 84]。使用逻辑和多级模型和内容分析分析了近端和开放式问题。报告暴露在高温下的妇女和男子均采取阶段不遵守的可能性,特别是农村地区;由于农村地区的热量和围城和农村地区的水分缺失,缺失诊所约会增加了ARV非遵守的几率;几乎一半的受访者报告了水分对抗他们的健康状况;和对水资源短缺期间可用诊所服务的看法,不同于某些男性和医疗保健提供者。艾滋病毒诊所需要基础设施和健康教育消息传递改善,特别是在农村村庄,以适应气候变异性,并确保在这些地区患有艾滋病毒的人们依从性。

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