psychosocial and personal level circumstances associated with antiretroviral therapy non-adherence among hiv positive antiretroviral therapy user clients in debre birhan referral hospital

the purpose of the study was to examine psychosocial and personal level circumstances associated with art non-adherence among hiv positive art user clients in debre birhan referral hospital. this study used cross-sectional descriptive design. a total of 122 participants were selected through simple random and purposive sampling techniques. adherence attitude inventory scale and self-reported adherence questionnaire were administered. the result of chi square analysis revealed that social support, personal self-efficacy, age, marital status, religion, educational level and occupation had significant association with non-adherence at 95% ci, 6.371 (2, n =117) = 0.006, p 0.05), 11.873 (2,n =117) = 0.012, p 0.05), (x2) 5.630 (6,n =117) = 0.003, p 0.05), 0.017 (6, n =117) =0.014, p 0.05) and 14.497(6,=n=117) = 0.025, p 0.05. no significant sex difference was observed in attitude towards art adherence. besides, the result of multiple regression also showed that only single, unemployment and vocational education were accounted for non- adherence to art (β = .228, t (113) = 2.655, p 0.05), (β = .297, t (114) = 3.451, p 0.05) and ( β = .231, t (113) = 2.652, p 0.05) respectively. conclusively, personal level factors; marital status (singlehood), unemployment and vocational education accounted for variance in adherence to art. thus, counselors, social workers and health care providers should give adherence counseling and psycho education.