Determinantes da adesão ao tratamento anti-retroviral em Brasília, DF: um estudo de caso-controle

Carvalho, Célia; Merchán-Hamann, Edgar; Matsushita, Raul

doi:10.1590/s0037-86822007000500013

Cited by 29 publications

(35 citation statements)

References 17 publications

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“…In accordance with Carvalho et al 19 , adherence to antiretroviral (ARV) therapy is the effective use of drugs as prescribed by the health practitioner. It is directly related to acceptance of the disease and is influenced by the sociocultural setting of the individual 14,19 .…”

Section: Introductionmentioning

confidence: 74%

“…It is directly related to acceptance of the disease and is influenced by the sociocultural setting of the individual 14,19 .…”

Section: Introductionmentioning

confidence: 99%

“…Factors that influence adherence to HAART include those related to the individuals themselves, the presence of morbid conditions, the prescribed HAART therapy, and the health-care clinic that serves the patient 7,11,12,19,25,26,27 . Bonolo et al 28 mentioned the relation between non-adherence with socio-demographic characteristics, access to and use of health services, psychosocial factors, perception of the disease, and treatment-related factors.…”

Section: Introductionmentioning

confidence: 99%

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Fatores associados à não adesão aos antirretrovirais em adultos com AIDS nos seis primeiros meses da terapia em Salvador, Bahia, Brasil

Silva¹,

Dourado

Brito

et al. 2015

Cad. Saúde Pública

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O controle da replicação viral é essencial na terapia antirretroviral altamente potente (TARV) e a adesão ao tratamento é o fundamento para esse controle. Fatores individuais e externos influenciam a adesão aos antirretrovirais (ARV). Estudo transversal para investigar fatores associados à não adesão à TARV, em indivíduos com AIDS em Salvador, Bahia, Brasil, com idade ≥ 13 anos e primeira prescrição em 2009. Dados coletados em prontuários e registros da farmácia. Dos 216 pacientes, 65,3% eram homens; idade média 37,8 ± 9,5 anos, solteiros 67,9%; heterossexuais 64%; > 8 anos de estudo 65,3%, etilistas 61,5% e não relatou tabagismo 75,1% ou uso de drogas 93,7%. Iniciaram a TARV com TCD4+ < 350 células/mm3 94%, 61,8% sintomáticos e 68,4% apresentaram reação adversa ao medicamento. Prevalência de não adesão 25%. Variáveis associadas: maior tempo entre o diagnóstico de infecção pelo HIV e a AIDS (aOR = 3,9), reação adversa ao medicamento (aOR = 2,4), idade menor que 34 anos (aOR = 2,2), menos que 8 anos de estudo (aOR = 2,2) e uso de drogas (aOR = 2,6). A alta taxa de não adesão é um problema importante nos seis primeiros meses da TARV.

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Section: Introductionmentioning

confidence: 74%

“…It is directly related to acceptance of the disease and is influenced by the sociocultural setting of the individual 14,19 .…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fatores associados à não adesão aos antirretrovirais em adultos com AIDS nos seis primeiros meses da terapia em Salvador, Bahia, Brasil

Silva¹,

Dourado

Brito

et al. 2015

Cad. Saúde Pública

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“…Este resultado converge con estudios que identificaron la prevalencia de la adhesión y la no adhesión al TARV en personas de diferentes grupo de edades. 10,11 La población analizada de no adherente, el 80,9% tenían edad entre 50 y 59 años, 76,2% eran hombres, el 57,1% eran blancos, el 61,9% con educación primaria incompleta, el 23,8% eran casado: 52.4% tenían una renta fija, el 69,9% tenía una renta per cápita hasta un salario mínimo, y el 57,1% informó haber adquirido el VIH por transmisión sexual (Tabla I).…”

Section: Resultados Y Discusiónunclassified

Terapia antirretroviral del AIDS en adultos mayores de 50 años: prevalencia y clasificación de los no adherentes

Padoin

Paula

Züge

et al. 2013

eglobal

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“…The low prevalence of HIV infection in the male sex demonstrates that the disease profile has been changing, in which feminization is evident 13 . Although at the beginning of the epidemic homosexual men were most commonly affected by HIV, the current proportion of infected men and women is very similar 14,15 .…”

Section: Discussionmentioning

confidence: 99%

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

Miyada

Garbín

Gatto

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction:In the 1990s, Brazil adopted a public policy that allowed for universal, free access to antiretroviral therapy (ART). Since then, treatment adherence has become a new challenge for administrators of sexually transmitted disease/acquired immunodeficiency syndrome (STD/AIDS) policies. This study quantified adherence to ART and verified whether there is an association between sociodemographic variables and clinical/laboratory data in human immunodeficiency virus (HIV)-infected patients. Methods: This was a cross-sectional, exploratory study with a quantitative approach that was conducted over 8 months.The target population contained patients who were assisted at the ambulatory care facility specialized in STD/AIDS of a mediumsize city located in Northwest São Paulo. In order to verify the level of adherence to ART, a validated CEAT-VIH (Assessment of Adherence to Antiretroviral Therapy Questionnaire) questionnaire was used. Sociodemographic aspects and clinical/laboratory data were obtained from the medical records. The results were analyzed using the Student's t-test and Pearson's coefficient. Results: Herein, 109 patients were interviewed, 56% of whom were male. The age of the population ranged 18-74 years (mean 45.67 years). Adherence to ART was classified as insufficient in 80.7% of cases. There was an association between ART adherence and presence of symptoms and/or opportunistic infection (p=0.008) and economic status (p<0.001). Conclusions: Adherence to ART among HIV carriers cared for by the public health system is low. Patients who reported a favorable economic status and those without symptoms and/or opportunistic infection demonstrated greater treatment adherence than those who needed to take more than 3 pills a day.

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Determinantes da adesão ao tratamento anti-retroviral em Brasília, DF: um estudo de caso-controle

Cited by 29 publications

References 17 publications

Fatores associados à não adesão aos antirretrovirais em adultos com AIDS nos seis primeiros meses da terapia em Salvador, Bahia, Brasil

Fatores associados à não adesão aos antirretrovirais em adultos com AIDS nos seis primeiros meses da terapia em Salvador, Bahia, Brasil

Terapia antirretroviral del AIDS en adultos mayores de 50 años: prevalencia y clasificación de los no adherentes

Treatment adherence in patients living with HIV/AIDS assisted at a specialized facility in Brazil

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