Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Detalhes bibliográficos
Autor(a) principal: Miyada, Simone [UNESP]
Data de Publicação: 2017
Outros Autores: Isper Garbin, Artenio Jose [UNESP], Joaquim Gatto, Renata Colturato [UNESP], Saliba Garbin, Clea Adas [UNESP]
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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spelling 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
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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
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv 607-612
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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)
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instname_str Universidade Estadual Paulista (UNESP)
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