Title |
Medical Pluralism Predicts Non-ART Use among Parents in Need of ART: A Community Survey in KwaZulu-Natal, South Africa
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Published in |
AIDS and Behavior, July 2014
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DOI | 10.1007/s10461-014-0852-6 |
Pubmed ID | |
Authors |
Marija Pantelic, Lucie Cluver, Mark Boyes, Elona Toska, Caroline Kuo, Mosa Moshabela |
Abstract |
Despite documented common use of traditional healers and efforts to scale up antiretroviral treatment (ART) in sub-Saharan Africa, evidence on whether medical pluralism predicts ART use is inconclusive and restricted to clinic settings. This study quantitatively assesses whether medical pluralism predicts ART use among parents in need of ART in South Africa. 2,477 parents or primary caregivers of children were interviewed in HIV-endemic communities of KwaZulu-Natal. Analysis used multiple logistic regression on a subsample of 435 respondents in need of ART, who reported either medical pluralism (24.6 %) or exclusive public healthcare use (75.4 %). Of 435 parents needing ART, 60.7 % reported ART use. Medical pluralism emerged as a persistent negative predictor of ART utilization among those needing it (AOR [95 % CI] = .556 [.344 - .899], p = .017). Use of traditional healthcare services by those who need ART may act as a barrier to treatment access. Effective intersectoral collaboration at community level is urgently needed. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 2 | 29% |
United States | 1 | 14% |
Germany | 1 | 14% |
Australia | 1 | 14% |
Unknown | 2 | 29% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 57% |
Scientists | 3 | 43% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 96 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 16 | 17% |
Student > Master | 15 | 16% |
Researcher | 11 | 11% |
Student > Bachelor | 10 | 10% |
Student > Doctoral Student | 7 | 7% |
Other | 15 | 16% |
Unknown | 22 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Nursing and Health Professions | 18 | 19% |
Medicine and Dentistry | 16 | 17% |
Social Sciences | 14 | 15% |
Psychology | 12 | 13% |
Business, Management and Accounting | 3 | 3% |
Other | 6 | 6% |
Unknown | 27 | 28% |