| Title |
Who takes the medicine? Adherence to antiretroviral therapy in Southern Ethiopia
|
|---|---|
| Published in |
Patient preference and adherence, October 2015
|
| DOI | 10.2147/ppa.s90816 |
| Pubmed ID | |
| Authors |
Wondu Teshome, Mihretu Belayneh, Mathewos Moges, Misganu Endriyas, Emebet Mekonnen, Sinafiksh Ayele, Tebeje Misganaw, Mekonnen Shiferaw, Palanivel Chinnakali, Sven Gudmund Hinderaker, Ajay MV Kumar |
| Abstract |
Treatment adherence is critical for the success of antiretroviral therapy (ART) for people living with HIV. There is limited representative information on ART drug adherence and its associated factors from Southern Ethiopia. We aimed at estimating the level of adherence to ART among people living with HIV and factors associated with it in 20 randomly selected ART clinics of Southern Ethiopia. In this cross-sectional study, we interviewed consecutive HIV patients on first-line antiretroviral regimen attending the clinics in June 2014 using a pretested and structured questionnaire. For measuring adherence, we used 4-day recall method based on "The AIDS Clinical Trial Group adherence assessment tool". Patients were classified as "Incomplete adherence" if they missed any of the doses in the last 4 days. Data were singly entered using EpiData and descriptive analysis, and unadjusted odds ratios were calculated using EpiDataStat software. Multivariate logistic regression analysis was performed using Stata v12.0. Of 974 patients interviewed, 539 (56%) were females, and mean age was 35 years. The proportion of patients with incomplete adherence was 13% (95% confidence interval: 11%-15%). In multivariate analysis, factors significantly associated with incomplete adherence included young age, being Protestant Christian, consuming alcohol, being single, and being a member of an HIV association. Psychosocial factors like stigma, depression, and satisfaction to care were not associated with incomplete adherence in the current context. The overall adherence to ART was good. However, there were certain subgroups with incomplete adherence who need special attention. The health care providers (especially counselors) need to be aware of these subgroups and tailor their counseling to improve adherence among these groups. Exploratory qualitative studies may help uncover the exact reasons for incomplete adherence. |
X Demographics
The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 25% |
| Unknown | 3 | 75% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 2 | 50% |
| Members of the public | 2 | 50% |
Mendeley readers
The data shown below were compiled from readership statistics for 120 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | <1% |
| India | 1 | <1% |
| Unknown | 118 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 18 | 15% |
| Student > Ph. D. Student | 16 | 13% |
| Researcher | 14 | 12% |
| Student > Bachelor | 11 | 9% |
| Student > Doctoral Student | 9 | 8% |
| Other | 25 | 21% |
| Unknown | 27 | 23% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 32 | 27% |
| Nursing and Health Professions | 16 | 13% |
| Psychology | 14 | 12% |
| Social Sciences | 8 | 7% |
| Agricultural and Biological Sciences | 5 | 4% |
| Other | 13 | 11% |
| Unknown | 32 | 27% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 December 2015.
All research outputs
#14,915,133
of 25,374,917 outputs
Outputs from Patient preference and adherence
#778
of 1,757 outputs
Outputs of similar age
#136,331
of 286,876 outputs
Outputs of similar age from Patient preference and adherence
#28
of 51 outputs
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