Adherence to antiretroviral therapy by adults living with HIV/aids: a cross-sectional study

Miranda, Mariana De Morais Fortunato; Oliveira, Dayanne Rakelly de; Quirino, Glauberto da Silva; Oliveira, Célida Juliana de; Pereira, Maria Lúcia Duarte; Cavalcante, Edilma Gomes Rocha

doi:10.1590/0034-7167-2021-0019

Cited by 6 publications

(6 citation statements)

References 12 publications

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“…The lack of a "gold standard" method to measure adherence, makes the choice of evaluation method highly dependent on the economic scenario of the location where the study is taking place [13]. The association of methods such as interviews with self-report, questionnaire structured with a verbal assessment of understanding with a small group of patients (e.g.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Antiretroviral Therapy (ART) Among HIV-1 Patients From Sub-Saharan Africa: A Systematic Review

Almeida,

Rafael,

Pimentel

et al. 2024

Preprint

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Two decades after the antiretroviral therapy (ART) introduction, several challenges still prevail in maintaining people living with HIV (PLHIV), even with "Test and Treat" and/or "Rapid Start of ART" initiatives, as well as the scale-up of ART worldwide to promote access and adherence to treatment. This review examined articles on ART adherence in Africa between 2016 and 2023, published in English and indexed in PubMed. A total of 16 articles out of 2415 were eligible and included for analyses. Overall, ART adherence rates in SSA regions ranged from 43% to 84%. Rates in the centre of the SSA region ranged from 58% to 80%, in the north from 50% to 83%, in the south from 77% to 84%, in the west from 43% to 60% and in the east from 69% to 73%. Most African countries use the self-report to assess treatment adherence, although unreliable. The main factors with negative influence on ART adherence were comorbidities, lack of motivation, socioeconomic difficulties or side effects. Conclusion: Adherence to ART is a good indicator for controlling the spread of HIV. It is important to overcome the barriers that make it difficult to comply with ART and reinforce the factors that facilitate the accession of medication.

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Section: Discussionmentioning

confidence: 99%

Adherence to Antiretroviral Therapy (ART) Among HIV-1 Patients From Sub-Saharan Africa: A Systematic Review

Almeida,

Rafael,

Pimentel

et al. 2024

Preprint

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“…Given this context, health professionals, especially nurses, should evaluate adherence in various aspects, ensuring and respecting the individuality and vulnerabilities of people in specialized healthcare services. The knowledge about the existing influences regarding non-adherence to ART allows Nursing professionals to establish care directed to people diagnosed with HIV/AIDS to improve their quality of life and promote care continuity and adherence to ART through comprehensive care (49).…”

Section: Discussionmentioning

confidence: 99%

Treatment Non-Adherence or Abandonment Among Adolescents and Young Individuals Living with HIV/AIDS: A Scoping Review

et al. 2023

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Objective: to identify and map the scientific literature on the reasons for treatment non-adherence or abandonment among adolescents and young individuals living with HIV/AIDS. Materials and method: a scoping review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) strategy for the presentation of data referring to the reasons for treatment non-adherence or abandonment among adolescents and young people living with HIV/AIDS. Seven information sources were used to search for the articles, namely: Medline via PubMed, Web of Science, LILACS, CINAHL, BDEnf, Scopus, and Embase, without a time frame and with the following search strategy: “patient dropouts” OR “abandonment” OR “lack of medication adherence” AND “adolescent” OR “young adult” AND “Acquired Immunodeficiency Syndrome” OR “HIV” AND “antiretroviral therapy highly active” OR “medication adherence.” Results: eight articles were included in the study, contemplating the reasons for treatment non-adherence or abandonment, which were related to access to health services, sociodemographic, structural, psychosocial and behavioral conditions, and factors associated with the disease or the medication. Conclusions: the findings of this study evidenced how vulnerable adolescents and young people are to the issues inherent to HIV/AIDS treatment and that several reasons can influence its non-adherence or abandonment.

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“…Educational actions on HIV, with the support of educational technologies, were identified as facilitators of improvement in individuals’ coexistence with the disease, patients’ bond with professionals and service ( 5 ) . PLHIV with lack of knowledge about the infection and treatment have low compliance to ART, in addition to self-stigma related to living with HIV ( 23 - 24 ) .…”

Section: Discussionmentioning

confidence: 99%

“Educational Material on HIV”: validity of health educational technology for people living with HIV

et al. 2023

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Objectives: to validate the educational technology “Educational Material on HIV” (INPI - BR 10 2020 003765 0). Methods: a methodological study with 39 expert judges in HIV/AIDS, using a 5-point Likert scale for assessment. Data were tabulated, processed and analyzed through descriptive analysis. Cronbach’s alpha and McDonald’s omega tests were performed to analyze internal consistency, and the Intraclass Correlation Coefficient, for reliability. Agreement was established by a Level Content Validity Index greater than 0.90. Results: the assessment instrument showed high internal consistency (Cronbach’s alpha of 0.89; McDonald’s omega of 0.91) with reliable values. Based on the Intraclass Correlation Coefficient, judges’ answers showed acceptable reliability, mean score 0.89 (p<0.001). Agreement among judges was greater than 0.90 in the three assessed dimensions (objectives, presentation and relevance). Conclusions: the technology was considered a qualified and adequate tool by the judges regarding its objectives, presentation and relevance.

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Adherence to antiretroviral therapy by adults living with HIV/aids: a cross-sectional study

Cited by 6 publications

References 12 publications

Adherence to Antiretroviral Therapy (ART) Among HIV-1 Patients From Sub-Saharan Africa: A Systematic Review

Adherence to Antiretroviral Therapy (ART) Among HIV-1 Patients From Sub-Saharan Africa: A Systematic Review

Treatment Non-Adherence or Abandonment Among Adolescents and Young Individuals Living with HIV/AIDS: A Scoping Review

“Educational Material on HIV”: validity of health educational technology for people living with HIV

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