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Exploring linkages between drought and HIV treatment adherence in Africa: a systematic review

Orievulu, KS; Ayeb-Karlsson, S; Ngema, S; Baisley, K; Tanser, F; Ngwenya, N; Seeley, J; ... Iwuji, CC; + view all (2022) Exploring linkages between drought and HIV treatment adherence in Africa: a systematic review. The Lancet Planetary Health , 6 (4) e359-e370. 10.1016/S2542-5196(22)00016-X. Green open access

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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.

Type: Article
Title: Exploring linkages between drought and HIV treatment adherence in Africa: a systematic review
Location: Netherlands
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/S2542-5196(22)00016-X
Publisher version: https://doi.org/10.1016/S2542-5196(22)00016-X
Language: English
Additional information: © 2022 The Authors. Article available under the Creative Commons Attribution 4.0 International (CC BY 4.0) licence.
UCL classification: UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences > Inst for Risk and Disaster Reduction
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10147048
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