Oumar Guira1, Delwendé S R Kaboré2, Ginette Dao3, Nicaise Zagré3, Théodora M Zohoncon3, Virginio Pietra3, Joseph Y Drabo4, Jacques Simporé3. 1. Unité de Formation et de Recherche en Sciences de la Santé, Université de Ouagadougou, Ouagadougou, Burkina Faso oumgui@yahoo.fr. 2. Centre Médical avec Antenne chirurgicale Saint Camille, Ouagadougou, Burkina Faso. 3. Centre Médical avec Antenne chirurgicale Saint Camille, Ouagadougou, Burkina Faso Centre de Recherche Biomoléculaire Pietro Annigoni, Ouagadougou, Burkina Faso. 4. Unité de Formation et de Recherche en Sciences de la Santé, Université de Ouagadougou, Ouagadougou, Burkina Faso.
Abstract
BACKGROUND: The authors studied the modalities of nonadherence to highly active antiretroviral therapy (HAART) and its sociodemographic associated factors and those in relation to caregiving perception in Ouagadougou. METHODS: A cross-sectional study was performed from December 2013 to February 2014 in 2 health centers. Adults receiving HAART for at least 3 months were included. Adherence was studied according to the quantitative, qualitative, and global criteria. Factors associated with nonadherence were analyzed with chi-square and Fisher tests. A logistic regression model was applied for multivariate analysis. RESULTS: The authors studied 152 patients: mean age 40.7 ± 7.8 years and sex ratio 0.34. Frequencies were 7.2% for self-reported quantitative, 20.4% for calculated quantitative, 31.6% for qualitative, and 38.2% for global nonadherence. Married status (P = .02), patient's dissatisfaction regarding clinical monitoring (P = .01), and therapeutic education (P = .03) were associated with nonadherence. In multivariate analysis, married status remains associated (odds ratio = 7.00, 95% confidence interval = 1.89-25.8, P = .0004). CONCLUSION: Nonadherence to HAART needs to be correctly managed during HIV/AIDS monitoring.
BACKGROUND: The authors studied the modalities of nonadherence to highly active antiretroviral therapy (HAART) and its sociodemographic associated factors and those in relation to caregiving perception in Ouagadougou. METHODS: A cross-sectional study was performed from December 2013 to February 2014 in 2 health centers. Adults receiving HAART for at least 3 months were included. Adherence was studied according to the quantitative, qualitative, and global criteria. Factors associated with nonadherence were analyzed with chi-square and Fisher tests. A logistic regression model was applied for multivariate analysis. RESULTS: The authors studied 152 patients: mean age 40.7 ± 7.8 years and sex ratio 0.34. Frequencies were 7.2% for self-reported quantitative, 20.4% for calculated quantitative, 31.6% for qualitative, and 38.2% for global nonadherence. Married status (P = .02), patient's dissatisfaction regarding clinical monitoring (P = .01), and therapeutic education (P = .03) were associated with nonadherence. In multivariate analysis, married status remains associated (odds ratio = 7.00, 95% confidence interval = 1.89-25.8, P = .0004). CONCLUSION: Nonadherence to HAART needs to be correctly managed during HIV/AIDS monitoring.
Authors: Rafael Tavares Silveira Silva; Richardson Augusto Rosendo da Silva; Iellen Dantas Campos Verdes Rodrigues; Vinicius Lino de Souza Neto; Bárbara Coeli Oliveira da Silva; Francisca Marta de Lima Costa Souza Journal: Rev Lat Am Enfermagem Date: 2018-03-08