Measuring Adherence to Antiretroviral Treatment: The Role of Pharmacy Records of Drug Withdrawals
Contribuinte(s) |
UNIVERSIDADE DE SÃO PAULO |
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Data(s) |
14/10/2013
14/10/2013
2012
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Resumo |
This study aimed to evaluate adherence to anti-retroviral treatment (ART) among HIV + adults, assess its association with HIV viral load (VL) and identify factors associated to adherence. A survey involving a random sample of adults followed at a HIV/AIDS reference center in Sao Paulo city, Brazil, from 2007 to 2009 was done. A questionnaire was applied and data were retrieved from the pharmacy and medical records. The study involved 292 subjects: 70.2% men; median age: 43 years; median duration of ART: 8 years. 89.3% self-reported taken all prescribed pills in the last 3 days but only 39.3% picked up >= 95% of the prescribed ART from the pharmacy in the last 12 months. At the multivariate analysis having symptoms prior to ART, taking fewer ART pills, and not missing medical appointments were independently associated to higher adherence. Adherence was strongly associated with undetectable HIV VL. Rates of undetectable HIV VL did not differ from 80 to >= 95% of adherence. |
Identificador |
AIDS AND BEHAVIOR, NEW YORK, v. 16, n. 6, supl. 4, Part 1, pp. 1482-1490, AUG, 2012 1090-7165 http://www.producao.usp.br/handle/BDPI/34493 10.1007/s10461-012-0168-3 |
Idioma(s) |
eng |
Publicador |
SPRINGER/PLENUM PUBLISHERS NEW YORK |
Relação |
AIDS AND BEHAVIOR |
Direitos |
closedAccess Copyright SPRINGER/PLENUM PUBLISHERS |
Palavras-Chave | #AIDS #HIV #ANTIRETROVIRAL TREATMENT #ADHERENCE #PHARMACY-BASED MEASURES #SELF-REPORTING #PROTEASE INHIBITOR THERAPY #HIV-INFECTED PATIENTS #LESS-THAN 95-PERCENT #BRAZIL #SUPPRESSION #NONADHERENCE #CHALLENGES #OUTCOMES #PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH #SOCIAL SCIENCES, BIOMEDICAL |
Tipo |
article original article publishedVersion |