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Revista Cubana de Enfermería

versión impresa ISSN 0864-0319versión On-line ISSN 1561-2961


CHAVARRY-YSLA, Patricia del Rocío et al. Cross-cultural public policy and factors not adherent to HIV-aids HAART-Peru-Amazon ethnic group Kusu Pagata. Rev Cubana Enfermer [online]. 2020, vol.36, n.4, e3479.  Epub 01-Dic-2021. ISSN 0864-0319.


One of the problems affecting Latin American indigenous peoples is the lack of epidemiological data regarding the prevalence of HIV-Aids, due to the fact that the information and surveillance systems do not register the ethnicity variable.


To propose a cross-cultural public policy to prevent factors associated with non-adherence to highly active antiretroviral therapy for HIV-Aids of the Amazon Kusu Pagata ethnic group.


Descriptive, cross-sectional study with 18 residents diagnosed with HIV-Aids in the Kusu Pagata community, Peru. 2018-2019. An expertly validated questionnaire and Cronbach's alpha reliability (0.71) were applied. The variable investigated was factors associated with non-adherence to antiretroviral therapy; the proposal was a public policy based on the Theory of Madeleine Leininger. Descriptive (mean, standard deviation) and inferential statistics (means comparison test for homogeneous Shapiro - Wilk variances and F-test for comparison of 1-tail variances) were used.


The average age of the patient not adherent to the treatment was 21 years, significantly higher than that of the adherents (18.2) years. 80.00 % of those who went to the healer were non-adherent to the treatment, 50.00 % were adherent and went to the health facility. 64.00 % consumed treatments with products made with plants, those who were considered non-adherent to the pharmacological treatment, 71.00 % took other alternative treatments.


A cross-cultural public policy was proposed according to Madeleine Leininger's Theory to prevent factors associated with non-adherence to antiretroviral therapy for HIV-AIDS of the Amazon Kusu Pagata ethnic group.

Palabras clave : Shamanism; Transcultural Nursing; Indigenous population; Public politics; Acquired immunodeficiency syndrome; Highly Active Antiretroviral Therapy.

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