Determinants of antiretroviral treatment adherence among HIV/AIDS patients: a multisite study

• Main Authors: Bach Xuan Tran, Long Thanh Nguyen, Nga Hoang Nguyen, Quynh Van Hoang, Jongnam Hwang
• Format: Article
• Language: English
• Published: Taylor & Francis Group 2013-03-01
• Series: Global Health Action
• Subjects: HIV/AIDS; adherence; antiretroviral treatment; drug users; adherence aid; Vietnam
• Online Access: http://www.globalhealthaction.net/index.php/gha/article/view/19570/pdf_1

Introduction: Adherence to antiretroviral treatment (ART) is vital in achieving virological treatment success. This study assessed the prevalence of optimal ART adherence and its determinants among HIV/AIDS patients in Vietnam. Method: A cross-sectional survey was conducted with 1,016 HIV/AIDS patients at seven hospitals and health centers providing antiretroviral treatment services in three provinces, including Hanoi, Hai Phong, and Ho Chi Minh City. Self-reported medication adherence was measured using a 30-day visual analog scale (VAS) and 7-day missed-doses questions. Results: The mean adherence VAS-score was 94.5 out of 100 (SD=8.2), ranging from 40 to 100%. The rate of suboptimal adherence was 25.9%. The rate of missed-doses was 25.2%. In multivariate analysis, increased perceived self-efficacy, use of mobile phone alarms, and reminders from family members were associated with optimal adherence; higher CD4 level, single status, and unstable employment were associated with suboptimal adherence. Conclusion: High rate of suboptimal adherence observed in this study highlights the importance of adherence support interventions during ART. The use of mobile phone reminders, involvement of relatives, and HIV self-management training programs have the potential to improve ART adherence in Vietnam.