Determinants of antiretroviral treatment adherence among HIV/AIDS patients: a multisite study
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 patie...
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2013-03-01
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doaj-f8f4ec3d47504db7a7fffb63860c11b12020-11-24T23:50:07ZengTaylor & Francis GroupGlobal Health Action1654-98802013-03-01601710.3402/gha.v6i0.19570Determinants of antiretroviral treatment adherence among HIV/AIDS patients: a multisite studyBach Xuan TranLong Thanh NguyenNga Hoang NguyenQuynh Van HoangJongnam HwangIntroduction: 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.http://www.globalhealthaction.net/index.php/gha/article/view/19570/pdf_1HIV/AIDSadherenceantiretroviral treatmentdrug usersadherence aidVietnam |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bach Xuan Tran Long Thanh Nguyen Nga Hoang Nguyen Quynh Van Hoang Jongnam Hwang |
spellingShingle |
Bach Xuan Tran Long Thanh Nguyen Nga Hoang Nguyen Quynh Van Hoang Jongnam Hwang Determinants of antiretroviral treatment adherence among HIV/AIDS patients: a multisite study Global Health Action HIV/AIDS adherence antiretroviral treatment drug users adherence aid Vietnam |
author_facet |
Bach Xuan Tran Long Thanh Nguyen Nga Hoang Nguyen Quynh Van Hoang Jongnam Hwang |
author_sort |
Bach Xuan Tran |
title |
Determinants of antiretroviral treatment adherence among HIV/AIDS patients: a multisite study |
title_short |
Determinants of antiretroviral treatment adherence among HIV/AIDS patients: a multisite study |
title_full |
Determinants of antiretroviral treatment adherence among HIV/AIDS patients: a multisite study |
title_fullStr |
Determinants of antiretroviral treatment adherence among HIV/AIDS patients: a multisite study |
title_full_unstemmed |
Determinants of antiretroviral treatment adherence among HIV/AIDS patients: a multisite study |
title_sort |
determinants of antiretroviral treatment adherence among hiv/aids patients: a multisite study |
publisher |
Taylor & Francis Group |
series |
Global Health Action |
issn |
1654-9880 |
publishDate |
2013-03-01 |
description |
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. |
topic |
HIV/AIDS adherence antiretroviral treatment drug users adherence aid Vietnam |
url |
http://www.globalhealthaction.net/index.php/gha/article/view/19570/pdf_1 |
work_keys_str_mv |
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