Información sobre la medicación y adherencia al tratamiento antirretroviral de gran actividad en pacientes con VIH/SIDA de un hospital de Lima, Perú

Pacífico, Juana; Gutiérrez, César

doi:10.17843/rpmesp.2015.321.1576

Cited by 13 publications

(15 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, studies [67] with small samples from the region report adherence rates for PLHIV as high as 90%. Yet, older but slightly large studies in Peru [36] identified higher adherence rates only among people with higher education (OR = 0.45. 95% CI 0.27–0.75) and age (OR = 1.05.…”

Section: Discussionmentioning

confidence: 99%

Adherence to antiretroviral therapy and the associated factors among people living with HIV/AIDS in Northern Peru: a cross-sectional study

et al. 2019

View full text Add to dashboard Cite

Background There are approximately 72,000 people living with HIV/AIDS (PLHIV) in Peru. Non-adherence to antiretroviral therapy (ART) is the most important factor for therapeutic failure and the development of resistance. Peru has achieved moderate progress in meeting the 90-90-90 targets, but only 60% of PLHIV receiving ART are virally suppressed. The purpose of this study was to understand ART adherence in the Peruvian context, including developing sociodemographic and clinical profiles, evaluating the clinical management strategies, and analyzing the relationships between the variables and adherence of PLHIV managed at a regional HIV clinic in Lambayeque Province (Northern Peru). Methods This was a cross-sectional study with 180 PLHIV adults, non-randomly but consecutively selected with self-reported ART compliance (78.2% of the eligible population). The PLHIV profile (PLHIV-Pro) and the Simplified Medication Adherence Questionnaire (SMAQ) were used to collect sociodemographic information, clinical variables, and data specific to ART adherence. Descriptive analysis of sociodemographic and clinical characteristics was performed. Bivariate analysis was performed with the Mann–Whitney test, Chi square test, and Yates correction. Results The 180 PLHIV sample included 78.9% men, 49.4% heterosexual, 45% with a detectable HIV-1 viral load less than 40 copies/ml, 58.3% not consistently adherent, and only 26.1% receiving Tenofovir + Lamivudine + Efavirenz. Risk factors significant for non-adherence included concurrent tuberculosis, discomfort with the ART regime, and previous pauses in ART. Multivariate analysis of nested models indicated having children is a protector factor for adherence. Conclusions Self-reported adherence appeared to be low and the use of first-line therapy is not being prescribed homogeneously. Factors associated with nonadherence are both medical and behavioral, such as having tuberculosis, pausing ART, or experiencing discomfort with ART. The Peruvian government needs to update national technical standards, monitor medication availability, and provide education to health care professionals in alignment with evidence-based guidelines and international recommendations. Instruments to measure adherence need to be developed and evaluated for use in Latin America.

show abstract

Section: Discussionmentioning

confidence: 99%

Adherence to antiretroviral therapy and the associated factors among people living with HIV/AIDS in Northern Peru: a cross-sectional study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…El paciente constantemente evalúa al médico en su (11) atención, tiempo, preocupación y explicación; además de querer recibir una información clara y (12) concreta , lo que convierte a la satisfacción del paciente en una prioridad durante el acto médico, de aquí la importancia de esta investigación, que ayudará a corregir o conservar las características de la práctica médica en 4 ciudades de nuestro país.…”

Section: Discussionunclassified

“…Por esto y otras conductas se pueden dar las críticas al proceso de atención, siendo sobre todo por el hecho de inadecuada atención, tiempo, preocupación y (9) explicación ; además de la obtención de información (10) poco clara y concreta . En el Perú se realizó un reporte que menciona que un poco menos de la mitad (11) de las atenciones no tuvieron una alta satisfacción , siendo esto evaluado sobre todo en países desarrollados, con resultados distintos obtenidos en (12)…”

Section: Introductionunclassified

Factores asociados a la percepción de problemas presentados en la consulta

et al. 2016

View full text Add to dashboard Cite

El objetivo del estudio fue determinar los factores asociados a la percepción de problemas presentados en la consulta médica en cuatro ciudades del Perú. Material y métodos: Estudio multicéntrico, analítico y transversal, realizado entre mayo-junio del 2015, en sedes hospitalarios de cuatro ciudades peruanas (Lima, Ucayali, Piura e Ica). Se utilizó la escala PREMEPA para medir las características de la consulta médica, además, se consignó los datos del médico. El análisis estadístico buscó asociaciones y valores p, mediante los modelos lineales generalizados. Resultados: Fueron 804 encuestados, el 57% fueron mujeres (459), la edad promedio fue 45 años (rango de 26-59). Lima fue la ciudad con mayor frecuencia de problemas presentados durante la consulta externa (35%). En el análisis multivariado, disminuyó la frecuencia de problemas presentados durante la consulta externa una mejor atención (RPa: 0,7; IC95%: 0,6-3,09), trato (RPa: 0,5; IC95%: 0,4-0,6) y explicación por parte de los médicos tratantes (RPa: 0,7; IC95%: 0,6-0,8), ajustado por el sexo del médico, la especialidad y el tener algún antecedente de problemas con un médico. Conclusiones: Se encontró que ciertas características del trato del médico durante la consulta pueden generar la percepción de problemas por parte de los usuarios, por lo que esto debería ser tomado en cuenta para generar programas de capacitación y sensibilización de las distintas instituciones de salud. Palabras clave: satisfacción del paciente, práctica profesional, relaciones médico-paciente. Factors associated with the perception of problems presented in medical consultation in four cities of Peru ABSTRACT Objetive: The aim of the study was to determine the factors associated with the perception of problems presented in medical consultation in four cities in Peru. Material and methods: Multicenter, analytic and transverse study, carried out between May and June 2015 in hospitals of four Peruvian cities (Lima, Ucayali, Piura and Ica). The PREMEPA scale was used to measure the characteristics of the medical consultation also medical data was recorded. Statistical analysis sought associations and p-values, through generalized linear models. Results: 804 people were surveyed. 57% were women (459); the average age was 45 years (range 26-59). Lima was the city with higher frequency of problems presented during external consultation (35%). In multivariate analysis, the frequency of problems presented during external consultation decreased with a better service (RPa: 0,7; IC95%: 0,6-3,09), better care (RPa: 0,5; IC95%: 0,4-0,6) and explanation from the treating physicians (RPA: 0.7; 95% CI: 0.6-0.8),adjusted whether the doctor was male or female, specialty and having a history of problems with a doctor. Conclusions: It was found that certain characteristics of doctor treatment during consultation can generate the perception of problems by users, so this should be taken into account to generate training and sensitization programs of the various health institutions.

show abstract

“…In Lima, Peru, although the level of HIV related knowledge among PLWH has not been quantified in this context, some studies shed a light on health information and outcomes among PLWH. In a study in Lima, 77% of PLWH said that they understood all information given by the doctors [ 15 ] and a qualitative study in Piura, Peru concluded that PLWH on ARV have important misconceptions on HIV transmission and treatment and maintain sexual behaviors that can facilitate HIV transmission [ 16 ] .…”

Section: Introductionmentioning

confidence: 99%

HIV and antiretroviral treatment knowledge gaps and psychosocial burden among persons living with HIV in Lima, Peru

et al. 2021

View full text Add to dashboard Cite

This study aims to describe knowledge on HIV and antiretroviral (ARV) treatment and psychosocial factors among people living with HIV (PLWH) in Lima, Perú, to explore characteristics associated to this knowledge, and determine its impact on sustained viral suppression. A cross-sectional survey was conducted among 171 PLWH at the largest referral health care center in Lima. The psychosocial factors measured were depression, risk of alcoholism, use of illegal drugs and disclosure. A participant had “poor knowledge” when less than 80% of replies were correct. Sustained viral suppression was defined as two consecutive viral loads under 50 copies/mL. A total of 49% and 43% had poor HIV and ARV knowledge respectively; 48% of the study population screened positive for depression and 27% reported feeling unsupported by the person they disclosed to. The largest gaps in HIV and ARV knowledge were among 98 (57%) that did not recognize that HIV increased the risk of cancer and among 57 (33%) participants that did not disagree with the statement that taking a double dose of ARV if they missed one. Moderate depression was significantly associated to poor HIV and ARV knowledge. Non-disclosure and being on ARVs for less than 6 months were associated with not achieving sustained viral suppression. Our findings highlight important HIV and ARV knowledge gaps of PLWH and a high burden of psychosocial problems, especially of depression, among PLWH in Lima, Peru. Increasing knowledge and addressing depression and disclosure could improve care of PLWH.

show abstract

Información sobre la medicación y adherencia al tratamiento antirretroviral de gran actividad en pacientes con VIH/SIDA de un hospital de Lima, Perú

Cited by 13 publications

References 20 publications

Adherence to antiretroviral therapy and the associated factors among people living with HIV/AIDS in Northern Peru: a cross-sectional study

Adherence to antiretroviral therapy and the associated factors among people living with HIV/AIDS in Northern Peru: a cross-sectional study

Factores asociados a la percepción de problemas presentados en la consulta

HIV and antiretroviral treatment knowledge gaps and psychosocial burden among persons living with HIV in Lima, Peru

Contact Info

Product

Resources

About