Abstract

OLIVEIRA, Patrícia Paiva Carvalho de; SEIDL, Eliane Maria Fleury  and  SCORSOLINI-COMIN, Fabio. Vulnerabilities and Resilience Processes in Adherence to Antiretroviral Therapy. Paidéia (Ribeirão Preto) [online]. 2025, vol.35, e3529.  Epub Dec 08, 2025. ISSN 0103-863X.  https://doi.org/10.1590/1982-4327e3529.

Antiretroviral Therapy has reduced HIV morbidity and mortality. However, its benefits depend on adherence to treatment. The objective was to investigate the factors associated with adherence to antiretroviral medications by people living with HIV. The study was conducted with 237 adults, including adults and the elderly, using: Characterization questionnaire; Depression, Anxiety and Stress Scale; Resilience Assessment Scale; Duke Religiosity Index; Spirituality Self Rating Scale, and Questionnaire to assess adherence to antiretroviral treatment. Descriptive and inferential statistical analyses were performed. Of the participants, 72.6% were considered adherent. Symptoms of anxiety, increased frequency of alcohol consumption, and illicit drug use increased the odds of non-adherence, while resilience had a positive impact on adherence. The findings highlighted the impact of mental health on adherence and can guide the design of interventions that more effectively consider this dimension in the care of this group.

Keywords : HIV; treatment adherence; antiretroviral therapy; health vulnerability; resilience.

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