Research Article
Insights into Adherence among a Cohort of Adolescents Aged 12–20 Years in South Africa: Reported Barriers to Antiretroviral Treatment
Table 2
Frequency of reported factors, overall and by site.
| | All | Adult-based facility | Pediatric-based facility |
| Median number of factors (IQR) | 4 (3–6) | 4 (3–8) | 4 (3–6) |
| Long distance to clinic; (%) | 77 (61.1) | 10 (52.6) | 67 (62.6) | Visits noticed by friends/school; (%) | 41 (32.5) | 7 (36.8) | 34 (31.8) | Caregiver is elderly; (%) | 40 (31.7) | 10 (52.6) | 30 (28.0) | Transport fee is expensive; (%) | 40 (31.7) | 7 (36.8) | 33 (30.8) | Long waiting queues at clinic; (%) | 39 (31.0) | 6 (31.6) | 33 (30.8) | Visits noticed by family/community; (%) | 28 (22.2) | 6 (31.6) | 22 (20.6) | Treatment fatigue; (%) | 27 (21.4) | 2 (10.5) | 25 (23.4) | Having problems taking ART; (%) | 24 (19.0) | 3 (15.8) | 21 (19.6) | Inconvenient clinic operating hours; (%) | 21 (16.7) | 0 (0.0) | 21 (19.6) | Caregiver financial difficulty; (%) | 19 (15.1) | 3 (15.8) | 16 (15.0) | Not enough time for visits; (%) | 18 (14.3) | 2 (10.5) | 16 (15.0) | No sexual health services; (%) | 14 (11.1) | 1 (5.3) | 13 (12.1) | Caregiver is unsupportive; (%) | 13 (10.3) | 3 (15.8) | 10 (9.3) | Lack of peer support/counselling; (%) | 13 (10.3) | 5 (26.3) | 8 (7.5) | Caregiver changes frequently; (%) | 8 (6.3) | 1 (5.3) | 7 (6.5) | Caregiver is ill and requires care; (%) | 8 (6.3) | 2 (10.5) | 6 (5.6) | Distrust health care workers; (%) | 7 (5.6) | 1 (5.3) | 6 (5.6) | Unfriendly health care workers; (%) | 4 (3.2) | 3 (15.8) | 1 (0.9) | Disinterested in care; (%) | 1 (0.8) | 0 (0.0) | 1 (0.9) |
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