Adherence to antiretroviral therapy by people living with HIV/AIDS in Florianópolis, Santa Catarina State, Brazil
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Cadernos de Saúde Pública |
| Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8296 |
Resumo: | Adherence to antiretroviral therapy (ART) is essential to control HIV infections and avoid clinical complications and the development of resistant HIV strains. Several Brazilian municipalities have committed themselves to the 90-90-90 target, which aims at diagnosing 90% of HIV/AIDS cases, treating 90% of them, and virally suppressing 90% of them. However, only three Brazilian studies have assessed adherence to ART from secondary dispensing data. This study aimed to estimate the prevalence of adherence to treatment in the Municipality of Florianópolis, Santa Catarina State, Brazil, examining its association with demographic, health access, and clinical characteristics. A cross-sectional study was conducted using secondary national data from electronic medical records and Medication Logistic Control System (SICLOM) and Laboratory Test Control System (SISCEL) regarding people living with HIV/AIDS in the municipality from April 2020 to March 2021. We found an about 85% prevalence of adherence to ART. White men with follow-ups both in primary and secondary care showed greater adherence to treatment. Age and number of consultations directly related to adherence. Decentralizing care for users living with HIV/AIDS is the way to more comprehensive care but technical and ethical challenges still require solutions. Professional training, correct network referrals, and attention to confidentiality issues must be reinforced to expand treatment adherence. |
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Adherence to antiretroviral therapy by people living with HIV/AIDS in Florianópolis, Santa Catarina State, BrazilAdherencia al tratamiento de personas que viven con VIH/SIDA en Florianópolis, Santa Catarina, BrasilAdesão à terapia antirretroviral de pessoas vivendo com HIV/aids em Florianópolis, Santa Catarina, BrasilSíndrome de Imunodeficiência AdquiridaHIVTerapia Antirretroviral de Alta AtividadeAdesão à MedicaçãoSíndrome de Inmunodeficiencia AdquiridaVIHTerapia Antirretroviral Altamente ActivaCumplimiento de la MedicaciónAcquired Immunodeficiency SyndromeHIVHighly Active Antiretroviral TherapyMedication AdherenceAdherence to antiretroviral therapy (ART) is essential to control HIV infections and avoid clinical complications and the development of resistant HIV strains. Several Brazilian municipalities have committed themselves to the 90-90-90 target, which aims at diagnosing 90% of HIV/AIDS cases, treating 90% of them, and virally suppressing 90% of them. However, only three Brazilian studies have assessed adherence to ART from secondary dispensing data. This study aimed to estimate the prevalence of adherence to treatment in the Municipality of Florianópolis, Santa Catarina State, Brazil, examining its association with demographic, health access, and clinical characteristics. A cross-sectional study was conducted using secondary national data from electronic medical records and Medication Logistic Control System (SICLOM) and Laboratory Test Control System (SISCEL) regarding people living with HIV/AIDS in the municipality from April 2020 to March 2021. We found an about 85% prevalence of adherence to ART. White men with follow-ups both in primary and secondary care showed greater adherence to treatment. Age and number of consultations directly related to adherence. Decentralizing care for users living with HIV/AIDS is the way to more comprehensive care but technical and ethical challenges still require solutions. Professional training, correct network referrals, and attention to confidentiality issues must be reinforced to expand treatment adherence. La adherencia a la terapia antirretroviral (TARV) es fundamental para controlar la infección por VIH, evitando complicaciones clínicas y el desarrollo de cepas de VIH resistentes. Varios municipios brasileños están comprometidos con la meta 90-90-90, que estima el diagnóstico del 90% de los casos de VIH/SIDA, que el 90% de estos reciban tratamiento y, de estos, el 90% logran llegar a la supresión viral. Sin embargo, solo hay tres estudios brasileños que evalúan la adherencia al TARV con base en datos secundarios sobre la dispensación. Este estudio tuvo por objetivo estimar la prevalencia de adherencia al tratamiento en la ciudad de Florianópolis, Santa Catarina, Brasil y su asociación con aspectos demográficos, uso de la salud y características clínicas. Se realizó un estudio transversal con los datos secundarios de la historia clínica electrónica y los datos nacionales del Sistema de Control Logístico de Medicamentos (SICLOM) y Sistema de Control de Pruebas de Laboratorio (SISCEL) de las personas que viven con VIH/SIDA en ese municipio en el período de abril de 2020 a marzo de 2021. La prevalencia de adherencia al TARV fue casi del 85%. Las personas de raza blanca, del sexo masculino, que recibían seguimiento en la atención primaria o en la atención secundaria tuvieron mayor adherencia al tratamiento. La edad y el número de consultas se asociaron directamente con la adherencia al TARV. El proceso de descentralización de la atención a los usuarios que viven con VIH/SIDA y sida es la forma de brindar una atención más integral, pero aún se deben enfrentar desafíos técnicos y éticos. Es necesario mejorar la calificación profesional, la correcta derivación con articulación en red y tener cuidado al secreto y la confidencialidad para que se intensifique aún más la adherencia al tratamiento. A adesão à terapia antirretroviral (TARV) é fundamental para obter o controle da infecção por HIV, evitando complicações clínicas e o desenvolvimento de cepas de HIV resistentes. Vários municípios brasileiros estão comprometidos com a meta 90-90-90, que prevê que 90% dos casos de HIV/aids sejam diagnosticados, que 90% destes estejam em tratamento e, destes, 90% alcancem a supressão viral. Entretanto, existem apenas três estudos brasileiros que avaliam a adesão à TARV a partir de dados secundários de dispensação. Este estudo objetivou estimar a prevalência de adesão ao tratamento no Município de Florianópolis, Santa Catarina, Brasil, examinando sua associação com aspectos demográficos, de utilização de saúde e características clínicas. Realizou-se um estudo transversal com o uso de dados secundários do prontuário eletrônico e dados nacionais, dos Sistema de Controle Logístico de Medicamentos (SICLOM) e Sistema de Controle de Exames Laboratoriais (SISCEL), de pessoas vivendo com HIV/aids no município de abril de 2020 a março de 2021. A prevalência de adesão à TARV foi de cerca de 85%. Pessoas brancas, do sexo masculino, que tinham acompanhamento tanto na atenção primária à saúde (APS) quanto na atenção secundária tinham maior adesão ao tratamento. A idade e o número de consultas apresentaram associação direta com adesão à TARV. O processo de descentralização do cuidado ao usuário vivendo com HIV/aids é o caminho para uma assistência mais integral, porém desafios técnicos e éticos ainda precisam ser enfrentados. A qualificação profissional, o correto referenciamento com articulação em rede e a atenção às questões de sigilo e confidencialidade precisam ser reforçadas de forma a ampliar a adesão ao tratamento.Reports in Public HealthCadernos de Saúde Pública2023-07-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8296Reports in Public Health; Vol. 39 No. 1 (2023): JanuaryCadernos de Saúde Pública; v. 39 n. 1 (2023): Janeiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8296/18530https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8296/18531Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessPaulo Marzollo Maria, MarcosPeres de Carvalho, MaitêGastal Fassa, Anaclaudia2023-07-02T21:51:14Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8296Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:28.420088Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
| dc.title.none.fl_str_mv |
Adherence to antiretroviral therapy by people living with HIV/AIDS in Florianópolis, Santa Catarina State, Brazil Adherencia al tratamiento de personas que viven con VIH/SIDA en Florianópolis, Santa Catarina, Brasil Adesão à terapia antirretroviral de pessoas vivendo com HIV/aids em Florianópolis, Santa Catarina, Brasil |
| title |
Adherence to antiretroviral therapy by people living with HIV/AIDS in Florianópolis, Santa Catarina State, Brazil |
| spellingShingle |
Adherence to antiretroviral therapy by people living with HIV/AIDS in Florianópolis, Santa Catarina State, Brazil Paulo Marzollo Maria, Marcos Síndrome de Imunodeficiência Adquirida HIV Terapia Antirretroviral de Alta Atividade Adesão à Medicação Síndrome de Inmunodeficiencia Adquirida VIH Terapia Antirretroviral Altamente Activa Cumplimiento de la Medicación Acquired Immunodeficiency Syndrome HIV Highly Active Antiretroviral Therapy Medication Adherence |
| title_short |
Adherence to antiretroviral therapy by people living with HIV/AIDS in Florianópolis, Santa Catarina State, Brazil |
| title_full |
Adherence to antiretroviral therapy by people living with HIV/AIDS in Florianópolis, Santa Catarina State, Brazil |
| title_fullStr |
Adherence to antiretroviral therapy by people living with HIV/AIDS in Florianópolis, Santa Catarina State, Brazil |
| title_full_unstemmed |
Adherence to antiretroviral therapy by people living with HIV/AIDS in Florianópolis, Santa Catarina State, Brazil |
| title_sort |
Adherence to antiretroviral therapy by people living with HIV/AIDS in Florianópolis, Santa Catarina State, Brazil |
| author |
Paulo Marzollo Maria, Marcos |
| author_facet |
Paulo Marzollo Maria, Marcos Peres de Carvalho, Maitê Gastal Fassa, Anaclaudia |
| author_role |
author |
| author2 |
Peres de Carvalho, Maitê Gastal Fassa, Anaclaudia |
| author2_role |
author author |
| dc.contributor.author.fl_str_mv |
Paulo Marzollo Maria, Marcos Peres de Carvalho, Maitê Gastal Fassa, Anaclaudia |
| dc.subject.por.fl_str_mv |
Síndrome de Imunodeficiência Adquirida HIV Terapia Antirretroviral de Alta Atividade Adesão à Medicação Síndrome de Inmunodeficiencia Adquirida VIH Terapia Antirretroviral Altamente Activa Cumplimiento de la Medicación Acquired Immunodeficiency Syndrome HIV Highly Active Antiretroviral Therapy Medication Adherence |
| topic |
Síndrome de Imunodeficiência Adquirida HIV Terapia Antirretroviral de Alta Atividade Adesão à Medicação Síndrome de Inmunodeficiencia Adquirida VIH Terapia Antirretroviral Altamente Activa Cumplimiento de la Medicación Acquired Immunodeficiency Syndrome HIV Highly Active Antiretroviral Therapy Medication Adherence |
| description |
Adherence to antiretroviral therapy (ART) is essential to control HIV infections and avoid clinical complications and the development of resistant HIV strains. Several Brazilian municipalities have committed themselves to the 90-90-90 target, which aims at diagnosing 90% of HIV/AIDS cases, treating 90% of them, and virally suppressing 90% of them. However, only three Brazilian studies have assessed adherence to ART from secondary dispensing data. This study aimed to estimate the prevalence of adherence to treatment in the Municipality of Florianópolis, Santa Catarina State, Brazil, examining its association with demographic, health access, and clinical characteristics. A cross-sectional study was conducted using secondary national data from electronic medical records and Medication Logistic Control System (SICLOM) and Laboratory Test Control System (SISCEL) regarding people living with HIV/AIDS in the municipality from April 2020 to March 2021. We found an about 85% prevalence of adherence to ART. White men with follow-ups both in primary and secondary care showed greater adherence to treatment. Age and number of consultations directly related to adherence. Decentralizing care for users living with HIV/AIDS is the way to more comprehensive care but technical and ethical challenges still require solutions. Professional training, correct network referrals, and attention to confidentiality issues must be reinforced to expand treatment adherence. |
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2023 |
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2023-07-02 |
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Reports in Public Health; Vol. 39 No. 1 (2023): January Cadernos de Saúde Pública; v. 39 n. 1 (2023): Janeiro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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