tailieunhanh - Báo cáo y học: " Predictors of adherence to antiretroviral therapy among people living with HIV/AIDS in resourcelimited setting of southwest ethiopia"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Predictors of adherence to antiretroviral therapy among people living with HIV/AIDS in resourcelimited setting of southwest ethiopia. | Tiyou et al. AIDS Research and Therapy 2010 7 39 http content 7 1 39 AIDS RESEARCH AND THERAPY RESEARCH Open Access Predictors of adherence to antiretroviral therapy among people living with HIV AIDS in resourcelimited setting of southwest ethiopia Ayele Tiyou1 Tefera Belachew2 Fisehaye Alemseged3 Sibhatu Biadgilign3 Abstract Background Good adherence to antiretroviral therapy is necessary to achieve the best virological response lower the risk that drug resistance will develop and reduce morbidity and mortality. Little is known about the rate and predictors of adherence in Ethiopia. Therefore this study determines the magnitude and predictors of adherence to antiretroviral therapy among people living with HIV AIDS in Southwest Ethiopia. Methods A cross sectional study was carried out from January 1 2009 to March 3 2009 among 319 adult PLWHA 18 years attending ART clinic at Jimma university Specialized Hospital JUSH . Multiple Logistic regression models were constructed with adherence and independent variables to identify the predictors. Results About 303 95 of the study subjects were adherent based on self report of missed doses dose adherence in a one-week recall before the actual interview. The rate of self reported adherence in the study based on the combined indicator of the dose time and food adherence measurement was . Patients who got family support were 2 times more likely to adhere than those who didn t get family support as an independent predictor of overall adherence dose time and food . The reasons given for missing drugs were 9 running out of medication drug 7 being away from home and 7 being busy with other things. Conclusion The adherence rate found in this study is similar to other resource limited setting and higher than the developed country. This study highlights emphasis should be given for income generating activities and social supports that helps to remember the patients for .