Abstract
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.
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