Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil
Abstract 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) po...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Sociedade Brasileira de Medicina Tropical (SBMT)
|
Series: | Revista da Sociedade Brasileira de Medicina Tropical |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822017000500607&lng=en&tlng=en |
id |
doaj-b0c18e4915ab431891dd0c5f66bda3de |
---|---|
record_format |
Article |
spelling |
doaj-b0c18e4915ab431891dd0c5f66bda3de2020-11-24T22:20:56ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-984950560761210.1590/0037-8682-0266-2017S0037-86822017000500607Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in BrazilSimone MiyadaArtênio José Ísper GarbinRenata Colturato Joaquim GattoCléa Adas Saliba GarbinAbstract 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 São 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822017000500607&lng=en&tlng=enHIV SeropositivityMedication adherenceUnified Health System |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Simone Miyada Artênio José Ísper Garbin Renata Colturato Joaquim Gatto Cléa Adas Saliba Garbin |
spellingShingle |
Simone Miyada Artênio José Ísper Garbin Renata Colturato Joaquim Gatto Cléa Adas Saliba Garbin Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil Revista da Sociedade Brasileira de Medicina Tropical HIV Seropositivity Medication adherence Unified Health System |
author_facet |
Simone Miyada Artênio José Ísper Garbin Renata Colturato Joaquim Gatto Cléa Adas Saliba Garbin |
author_sort |
Simone Miyada |
title |
Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil |
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 |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
series |
Revista da Sociedade Brasileira de Medicina Tropical |
issn |
1678-9849 |
description |
Abstract 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 São 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. |
topic |
HIV Seropositivity Medication adherence Unified Health System |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822017000500607&lng=en&tlng=en |
work_keys_str_mv |
AT simonemiyada treatmentadherenceinpatientslivingwithhivaidsassistedataspecializedfacilityinbrazil AT arteniojoseispergarbin treatmentadherenceinpatientslivingwithhivaidsassistedataspecializedfacilityinbrazil AT renatacolturatojoaquimgatto treatmentadherenceinpatientslivingwithhivaidsassistedataspecializedfacilityinbrazil AT cleaadassalibagarbin treatmentadherenceinpatientslivingwithhivaidsassistedataspecializedfacilityinbrazil |
_version_ |
1725773151920455680 |