Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/0037-8682-0266-2017 http://hdl.handle.net/11449/159908 |
Resumo: | Introduction: In the 1990s, Brazil adopted a public policy that allowed for universal, free access to antiretroviral therapy (ART). Since then, treatment adherence has become a new challenge for administrators of sexually transmitted disease/acquired immunodeficiency syndrome (STD/AIDS) policies. This study quantified adherence to ART and verified whether there is an association between sociodemographic variables and clinical/laboratory data in human immunodeficiency virus (HIV)-infected patients. Methods: This was a cross-sectional, exploratory study with a quantitative approach that was conducted over 8 months. The target population contained patients who were assisted at the ambulatory care facility specialized in STD/AIDS of a medium-size city located in Northwest Sao Paulo. In order to verify the level of adherence to ART, a validated CEAT-VIH (Assessment of Adherence to Antiretroviral Therapy Questionnaire) questionnaire was used. Sociodemographic aspects and clinical/laboratory data were obtained from the medical records. The results were analyzed using the Student's t-test and Pearson's coefficient. Results: Herein, 109 patients were interviewed, 56% of whom were male. The age of the population ranged 18-74 years (mean 45.67 years). Adherence to ART was classified as insufficient in 80.7% of cases. There was an association between ART adherence and presence of symptoms and/or opportunistic infection (p=0.008) and economic status (p<0.001). Conclusions: Adherence to ART among HIV carriers cared for by the public health system is low. Patients who reported a favorable economic status and those without symptoms and/or opportunistic infection demonstrated greater treatment adherence than those who needed to take more than 3 pills a day. |
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Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in BrazilHIV SeropositivityMedication adherenceUnified Health SystemIntroduction: In the 1990s, Brazil adopted a public policy that allowed for universal, free access to antiretroviral therapy (ART). Since then, treatment adherence has become a new challenge for administrators of sexually transmitted disease/acquired immunodeficiency syndrome (STD/AIDS) policies. This study quantified adherence to ART and verified whether there is an association between sociodemographic variables and clinical/laboratory data in human immunodeficiency virus (HIV)-infected patients. Methods: This was a cross-sectional, exploratory study with a quantitative approach that was conducted over 8 months. The target population contained patients who were assisted at the ambulatory care facility specialized in STD/AIDS of a medium-size city located in Northwest Sao Paulo. In order to verify the level of adherence to ART, a validated CEAT-VIH (Assessment of Adherence to Antiretroviral Therapy Questionnaire) questionnaire was used. Sociodemographic aspects and clinical/laboratory data were obtained from the medical records. The results were analyzed using the Student's t-test and Pearson's coefficient. Results: Herein, 109 patients were interviewed, 56% of whom were male. The age of the population ranged 18-74 years (mean 45.67 years). Adherence to ART was classified as insufficient in 80.7% of cases. There was an association between ART adherence and presence of symptoms and/or opportunistic infection (p=0.008) and economic status (p<0.001). Conclusions: Adherence to ART among HIV carriers cared for by the public health system is low. Patients who reported a favorable economic status and those without symptoms and/or opportunistic infection demonstrated greater treatment adherence than those who needed to take more than 3 pills a day.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Univ Estadual Paulista, Programa Posgrad Stricto Sensu Odontol Prevent &, Fac Odontol Aracatuba, Aracatuba, SP, BrazilUniv Estadual Paulista, Programa Posgrad Stricto Sensu Odontol Prevent &, Fac Odontol Aracatuba, Aracatuba, SP, BrazilSoc Brasileira Medicina TropicalUniversidade Estadual Paulista (Unesp)Miyada, Simone [UNESP]Isper Garbin, Artenio Jose [UNESP]Joaquim Gatto, Renata Colturato [UNESP]Saliba Garbin, Clea Adas [UNESP]2018-11-26T15:45:41Z2018-11-26T15:45:41Z2017-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article607-612application/pdfhttp://dx.doi.org/10.1590/0037-8682-0266-2017Revista Da Sociedade Brasileira De Medicina Tropical. Brasilia: Soc Brasileira Medicina Tropical, v. 50, n. 5, p. 607-612, 2017.0037-8682http://hdl.handle.net/11449/15990810.1590/0037-8682-0266-2017S0037-86822017000500607WOS:000414732300005S0037-86822017000500607.pdf44191585257096860000-0001-5069-8812Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista Da Sociedade Brasileira De Medicina Tropical0,658info:eu-repo/semantics/openAccess2023-12-06T06:17:25Zoai:repositorio.unesp.br:11449/159908Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T19:37:22.573206Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil |
title |
Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil |
spellingShingle |
Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil Miyada, Simone [UNESP] HIV Seropositivity Medication adherence Unified Health System |
title_short |
Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil |
title_full |
Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil |
title_fullStr |
Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil |
title_full_unstemmed |
Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil |
title_sort |
Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil |
author |
Miyada, Simone [UNESP] |
author_facet |
Miyada, Simone [UNESP] Isper Garbin, Artenio Jose [UNESP] Joaquim Gatto, Renata Colturato [UNESP] Saliba Garbin, Clea Adas [UNESP] |
author_role |
author |
author2 |
Isper Garbin, Artenio Jose [UNESP] Joaquim Gatto, Renata Colturato [UNESP] Saliba Garbin, Clea Adas [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Miyada, Simone [UNESP] Isper Garbin, Artenio Jose [UNESP] Joaquim Gatto, Renata Colturato [UNESP] Saliba Garbin, Clea Adas [UNESP] |
dc.subject.por.fl_str_mv |
HIV Seropositivity Medication adherence Unified Health System |
topic |
HIV Seropositivity Medication adherence Unified Health System |
description |
Introduction: In the 1990s, Brazil adopted a public policy that allowed for universal, free access to antiretroviral therapy (ART). Since then, treatment adherence has become a new challenge for administrators of sexually transmitted disease/acquired immunodeficiency syndrome (STD/AIDS) policies. This study quantified adherence to ART and verified whether there is an association between sociodemographic variables and clinical/laboratory data in human immunodeficiency virus (HIV)-infected patients. Methods: This was a cross-sectional, exploratory study with a quantitative approach that was conducted over 8 months. The target population contained patients who were assisted at the ambulatory care facility specialized in STD/AIDS of a medium-size city located in Northwest Sao Paulo. In order to verify the level of adherence to ART, a validated CEAT-VIH (Assessment of Adherence to Antiretroviral Therapy Questionnaire) questionnaire was used. Sociodemographic aspects and clinical/laboratory data were obtained from the medical records. The results were analyzed using the Student's t-test and Pearson's coefficient. Results: Herein, 109 patients were interviewed, 56% of whom were male. The age of the population ranged 18-74 years (mean 45.67 years). Adherence to ART was classified as insufficient in 80.7% of cases. There was an association between ART adherence and presence of symptoms and/or opportunistic infection (p=0.008) and economic status (p<0.001). Conclusions: Adherence to ART among HIV carriers cared for by the public health system is low. Patients who reported a favorable economic status and those without symptoms and/or opportunistic infection demonstrated greater treatment adherence than those who needed to take more than 3 pills a day. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-01 2018-11-26T15:45:41Z 2018-11-26T15:45:41Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/0037-8682-0266-2017 Revista Da Sociedade Brasileira De Medicina Tropical. Brasilia: Soc Brasileira Medicina Tropical, v. 50, n. 5, p. 607-612, 2017. 0037-8682 http://hdl.handle.net/11449/159908 10.1590/0037-8682-0266-2017 S0037-86822017000500607 WOS:000414732300005 S0037-86822017000500607.pdf 4419158525709686 0000-0001-5069-8812 |
url |
http://dx.doi.org/10.1590/0037-8682-0266-2017 http://hdl.handle.net/11449/159908 |
identifier_str_mv |
Revista Da Sociedade Brasileira De Medicina Tropical. Brasilia: Soc Brasileira Medicina Tropical, v. 50, n. 5, p. 607-612, 2017. 0037-8682 10.1590/0037-8682-0266-2017 S0037-86822017000500607 WOS:000414732300005 S0037-86822017000500607.pdf 4419158525709686 0000-0001-5069-8812 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista Da Sociedade Brasileira De Medicina Tropical 0,658 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
607-612 application/pdf |
dc.publisher.none.fl_str_mv |
Soc Brasileira Medicina Tropical |
publisher.none.fl_str_mv |
Soc Brasileira Medicina Tropical |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808129096514797568 |