| Literature DB >> 28361454 |
Maria L Alcaide1, Shandir Ramlagan2, Violeta J Rodriguez3, Ryan Cook3,4, Karl Peltzer2,5,6, Stephen M Weiss3, Sibusiso Sifunda2, Deborah L Jones3.
Abstract
Antiretroviral (ARV) adherence is essential to prevent mother-to-child transmission of HIV. This study compared self-reported adherence versus ARV detection in dried blood spots (DBS) among N = 392 HIV-infected pregnant women in South Africa (SA). Women completed two self-reported adherence measures [visual analog scale (VAS), AIDS Clinical Trials Group Adherence (ACTG)]. Adherence was 89% (VAS), 80% (ACTG), and 74% (DBS). Self-report measures marginally agreed with DBS (VAS: Kappa = 0.101, Area under the ROC curve (AUROC) = 0.543; ACTG: Kappa = 0.081, AUROC = 0.538). Self-reported adherence was overestimated and agreement with DBS was poor. Validation of self-reported ARV adherence among pregnant HIV+ women in SA is needed.Entities:
Keywords: Adherence; Antiretrovirals; HIV; Measurement; South Africa; Women
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Year: 2017 PMID: 28361454 PMCID: PMC5493507 DOI: 10.1007/s10461-017-1760-3
Source DB: PubMed Journal: AIDS Behav ISSN: 1090-7165