Exploring linkages between drought and HIV treatment adherence in Africa: a systematic review.
Lancet Planet Health
; 6(4): e359-e370, 2022 04.
Article
em En
| MEDLINE
| ID: mdl-35397224
ABSTRACT
Climate change is directly and indirectly linked to human health, including through access to treatment and care. Our systematic review presents a systems understanding of the nexus between drought and antiretroviral therapy (ART) adherence in HIV-positive individuals in the African setting. Narrative synthesis of 111 studies retrieved from Web of Science, PubMed/MEDLINE, and PsycINFO suggests that livelihoods and economic conditions, comorbidities and ART regimens, human mobility, and psychobehavioural dispositions and support systems interact in complex ways in the drought-ART adherence nexus in Africa. Economic and livelihood-related challenges appear to impose the strongest impact on human interactions, actions, and systems that culminate in non-adherence. Indeed, the complex pathways identified by our systems approach emphasise the need for more integrated research approaches to understanding this phenomenon and developing interventions.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções por HIV
/
Secas
Tipo de estudo:
Systematic_reviews
Limite:
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
Lancet Planet Health
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Reino Unido