Spouse support, socio-economic status and adherence to antiretroviral therapy among patients attending art services in Butabika hospital, Kampala Uganda

Abstract

This study assessed the con-elation between support from the spouse and adherence to ART and how socio-economic status modified this relationship. Using a cross-sectional survey, data was collected from 268 patients on ART in Butabika hospital, being aided by a structured questionnaire. Descriptive and inferential statistics were used in analyzing the data mainly through Pearson correlation and regression analysis. It was revealed that instrumental support was strongly and significantly (r =. 65, P<O. OJ) related to adherence to ART. A strong affirmative, and substantial relationship (r=. 64, P< O. OJ) also existed between informational support and Adherence to ART. It fm1her revealed that a strong positive and significant relationship existed between emotional support (r = .62, P<O.OJ=) and adherence to ART. Social economic status significantly modified (B=.23), p<0.05) the relationship between spouse supp011 and adherence to ART. Hence, physical and financial support given by the spouse as well as love, understanding and re-assurance, plus encouragement to live positively by giving relevant information on how to use drugs enhances the resolve of HIV patients to consistently use ART and strengthens intention to stay on therapy. Social economic status enhanced fellow feeling and understanding from the spouse motivating him to provide financial and information support on positive living. Therefore, HIV and AIDS programs should empower PL WH and their spouses economically so as to increase spouse support in adherence to ART. The financial empowerment of HIV and AIDS patients could increase Adherence to the level that will enhance more positive living among PL WH. Fm1her investigation is needed to establish the relationship between instrumental, emotional, informational support and adherence to ART plus the moderating role of socio-economic status on the relationship between spouse support and adherence to ART.