Despite the potential benefits of antiretrovirals, HIV-infected women
may not be accepting or adhering to recommended drug therapies. To hel
p women make informed decisions surrounding antiretroviral therapy, he
alth care professionals need insight into how HIV-infected women decid
e to take or not to rake antiretroviral drugs. The purpose of this stu
dy was to describe the influences affecting decisions made by women in
the southern United States to accept and adhere to antiretroviral the
rapy. Focus group data with subsequent dimensional analysis were used
to discover themes surrounding antiretroviral decisions among 22 women
in two predominantly rural, southeastern states. The focus groups inc
luded some women who were currently taking antiretrovirals, some who h
ad taken them in the past, and some who had never taken them. The anal
yses revealed four overarching themes that influenced women's decision
s regarding antiretrovirals: health professionals, beliefs about antir
etrovirals, side effects, and attitudes of peers and family.