Literacy, education and adherence to antiretroviral therapy in The Gambia
Hegazi, A.; Bailey, R.L.; Ahadzie, B.; Alabi, A.; Peterson, K.
Aids Care 22(11): 1340-1345
2010
ISSN/ISBN: 0954-0121 PMID: 20711888 DOI: 10.1080/09540121003693514Document Number: 578195
We examined the relationship of patients' literacy and education to antiretroviral therapy (ART) adherence in an urban treatment centre in The Gambia. Information on education and literacy systematically collected before ART initiation was compared against selected adherence outcomes. Formally educated patients were significantly more likely to achieve virological suppression at both six and 12 months (87% vs. 67%, OR=3.13, P=0.03; 88% vs. 63%, OR=4.49, P=0.007, respectively). Literate patients had similar benefit at 12 months (OR=3.39 P=0.03), with improved virological outcomes associated with degree of literacy (P=0.003). A trend towards similar results was seen at 6 months for Koranically educated patients; however, this was no longer apparent at 12 months. No significant correlation was seen between socio-demographic characteristics and missed appointments. Our study suggests that literacy, formal education and possibly Koranic education may impact favourably on adherence to ART.