Adesão à terapia antirretroviral em pacientes infetados pelo VIH nos cuidados de saúde primários em Nampula, Moçambique

Pires, Paulo; Marega, Abdoulaye; Creagh, José Miguel

doi:10.32385/rpmgf.v33i1.12021

Cited by 6 publications

(5 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The beginning of therapy, as well as the change of antiretroviral drugs, is a delicate moment, which involves, in addition to the acceptance of the diagnosis, the adaptation of the person living with HIV to the new changes that the treatment entails. It is known that antiretroviral drugs can have side effects that, if not followed up, contribute to treatment irregularity or even abandonment 23 .…”

Section: Resultsmentioning

confidence: 99%

Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018

et al. 2021

View full text Add to dashboard Cite

The aim of this study was to evaluate health care quality and medication adherence in people living with human immunodeficiency virus in specialized care services. This is a cross-sectional, evaluative study, with a quantitative approach, carried out in ten services in Pernambuco. Two instruments were validated and analyzed by statistical tests were used and 306 adults and their service managers participated. The quality standard was equivalent for most indicators. Only in the countryside, the indicators referring to the availability of antiretroviral drugs and care in the absence of medication were associated with low adherence (p-value=0.033 and p-value=0.011), the latter being a predictor for low adherence. Services with insufficient quality standards showed a 19% higher occurrence of low medication adherence. 81% of users had low adherence to antiretroviral drugs. There is a deficiency in adherence to antiretroviral drugs, and those assisted in services in the countryside have more complicating factors related to the quality of health care for satisfactory adherence.

show abstract

Section: Resultsmentioning

confidence: 99%

Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Brown skin color was prevalent, in disagreement with other studies reporting that HIV infection affects blacks more (13)(14) . A worrisome finding was the low educational level of the patients, because lower levels of schooling have a negative influence on ART adherence (15) , increasing opportunistic diseases and hospitalizations. On the other hand, higher schooling is related to safe sex practices and regular checkups at health centers (16) .…”

Section: Discussionmentioning

confidence: 99%

Mortality, survival and prognostic factors of people with AIDS in intensive care unit

Cunha

Lima

Lopes

et al. 2021

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective: To analyze mortality, survival and prognostic factors of patients with AIDS in Intensive Care Unit (ICU). Method: Retrospective cohort study with a sample of 202 patients with AIDS in ICU, whose sociodemographic, epidemiological, and clinical characteristics were obtained from medical records and assessed. Results: Patients were mostly male (73.8%) and drug users (59.4%), with no regular health follow-up (61.4%) and no adherence to antiretrovirals (40.6%), presenting low CD4+ T lymphocyte count (94.0%) and high viral load (44.6%). The main causes of hospitalization were sepsis and respiratory and renal insufficiency. The mean duration of hospitalization was 11.9 days (p = 0.0001), with a 41.6% survival; 58.5% died in the ICU. Sepsis upon admission (p < 0.001), pressure injury (p = 0.038), sexual exposure (p = 0.002), high viral load (p = 0.00001) and prolonged hospitalization (p < 0.001) increased the risk of death. Conclusion: Most patients had no regular health follow-up, were drug users and presented low CD4+ T lymphocyte count and high viral load. The high mortality indicated that antiretroviral adherence is essential to reduce viral resistance, opportunistic diseases, and mortality.

show abstract

“…Inequality in the access to education, for instance is an important factor in the search for health and prevention information and in the adherence to the use of condoms (3) . The same is true for drug treatments, due to difficulties understanding the therapy and to the need for follow up (4) . In this regard, the markers of inequality are often systematized and may be the target of intervention (5) .…”

Section: Introductionmentioning

confidence: 99%

HIV/AIDS and the social determinants of health: a time series study

et al. 2022

View full text Add to dashboard Cite

Objective: To analyze the time trend, spatial distribution, and the cases of human immunodeficiency virus/acquired immunodeficiency syndrome cases with social determinants of health. Methods: Ecological and analytical study, carried out based on the cases of human immunodeficiency virus/acquired immunodeficiency syndrome notified in a state in the Brazilian Midwest, from 2009 to 2018. The study used descriptive analysis, polynomial regression, and geospatial analysis. Results: In 10 years, there were 9,157 notifications, growing each year. There was a growing trend for both sexes (p<0.001, r2=0.94). The City Human Development Index was related to the higher number of cases (city of notification, p=0.01; and city where the person lives, p=0.02). The highest concentration was in cities that house health macro-regions. Conclusion: Social determinants have a relationship with the time trend and the spatial distribution of cases and can direct strategies for prevention and care.

show abstract

Adesão à terapia antirretroviral em pacientes infetados pelo VIH nos cuidados de saúde primários em Nampula, Moçambique

Abstract: milhões de pessoas viviam com o vírus da imunodeficiência humana (VIH) no mundo em 2010 e quase metade (47%, 6,6 milhões) das 14,2 milhões de pessoas elegíveis para tratamento tinham acesso à terapia antirretroviral (TARV).

Cited by 6 publications

References 26 publications

Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018

Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018

Mortality, survival and prognostic factors of people with AIDS in intensive care unit

HIV/AIDS and the social determinants of health: a time series study

Contact Info

Product

Resources

About