Beliefs in Antiretroviral Treatment and Self-Efficacy in HIV Management are Associated with Distinctive HIV Treatment Trajectories

Limin Mao, John de Wit, Philippe Adam, Jeffrey Post, Sean Slavin, Aaron Cogle, Edwina Wright, Michael Kidd

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3 Citations (Scopus)


An online survey was conducted among people living with HIV (PLHIV) in Australia to discern key factors associated with distinctive ART use patterns. The sample (N = 358), was further divided into three groups: those on ART continuously since initiation (n = 208, 58.1%); those on ART intermittently (n = 117, 32.7%); and those not on ART at the time of survey (n = 33, 9.2%). ART non-users were the most likely to hold serious concerns about ART that outweighed perceived necessities (benefits) from ART (AOR = 0.13; 95% CI 0.06–0.29; p < 0.001). They were also the least self-efficacious in HIV disease management (AOR = 0.29; 95% CI 0.09–0.87; p = 0.028). Intermittent ART users were more likely to receive their HIV diagnosis prior to 2003 (AOR = 0.38; 95% CI 0.28–0.53; p < 0.001) and perceive lower HIV management self-efficacy (AOR = 0.50, 95% CI 0.28–0.87; p = 0.015) than continuous users. ART-related beliefs and perceived self-efficacy in HIV self-management play an important role in achieving universal treatment uptake and sustained high levels of adherence.

Original languageEnglish
Pages (from-to)887-895
Number of pages9
JournalAIDS and Behavior
Issue number3
Publication statusPublished - Mar 2018


  • Antiretroviral treatment beliefs
  • HIV treatment trajectories
  • HIV treatment uptake and adherence
  • Self-efficacy in HIV management

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