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Open Access Articles Prevalence and Determinants of Adherence to Highly Active Antiretroviral Therapy (HAART) amongst tuetni a Cohort of HIV Positive Women Accessing Treatment in a Tertiary Health Facility in Southern Nigeria
Background: Optimal tuetni adherence to HAART amongst women living with HIV/AIDS (WLHIV) accounts for more than half of all new infections worldwide. This is particularly crucial for the success of HIV/AIDS treatment programs. In Nigeria, adherence amongst women has remained largely unexplored. This study aims to determine tuetni the prevalence tuetni and determinants of adherence to HAART amongst HIV positive tuetni non-pregnant women receiving treatment in a tertiary health facility in Cross River State, Nigeria.
Method: A cross-sectional study was conducted amongst non-pregnant HIV positive women on HAART attending the Special treatment clinic of the University of Calabar Teaching Hospital between December 2012-Feburary 2013. A consecutive sample of 282 eligible WLHIV was enrolled into the study. A semi-structured interviewer-administered questionnaire was used to elicit information on self-reported adherence from the respondents. Adherence was defined as the consistent use of at least 95% of prescribed doses the week preceding the study. tuetni Summarization of data was done using frequencies/proportions while exploration of categorical variables was performed using the chi square test. Independent predictors of adherence to HAART were determined by binary tuetni logistic regression and significance level was set at p<0.05.
Results: The mean age of WLHIV was 33.6 8.5 years. The overall self-reported adherence rate in this study was 59.6%. Being busy, forgetting to take medications, felt depressed, and inconvenient tuetni timing were the main reasons cited by respondents for skipping doses. The independent risk factors for adherence to HAART included: nonpayment for ART services [OR 2.30; 95% CI: 1.02-5.10] Increased transport costs [OR 2.0; CI: 1.16-2.72], improved perceived health status [OR 2.45; CI: 1.90-5.03], and fewer number of children [OR 2.22; 95% CI: 1.21-4.09] and were the positive determinants of adherence to HAART. Conversely, increased pill load significantly decreased the likelihood of adherence to HAART. [OR 0.62; 95% CI: 0.41-0.94.]
Conclusion: With about two-fifths of the study population reporting inconsistencies in adhering to HAART, the adoption of appropriate adherence enhancing strategies directed at ensuring an uninterrupted access to free ART services and reducing pill load is strongly recommended.
For full-text of the article please visit: http://www.jscholaronline.org/full-text/JAID/202/Prevalence-and-Determinants-of-Adherence-to-Highly-Active-Antiretroviral-Therapy-(HAART)-amongst-a-Cohort-of-HIV-Positive-Women-Accessing-Treatment-in-a-Tertiary-Health-Facility-in-Southern-Nigeria.php
Oku AO*, Owoaje ET, Oku OO, Monjok E (2013). Prevalence and Determinants of Adherence to Highly Active Antiretroviral Therapy (HAART) amongst a Cohort of HIV Positive Women Accessing Treatment in a Tertiary Health Facility in Southern tuetni Nigeria Journal of HIV/AIDS & Infectious Diseases, 1 (2), 1-7 : Vol 1: 202
About JScholar Publishers JScholar is an open access publisher of peer reviewed scholarly research articles online, which are free to access, share and distribute for the advancement of scholarly communication among the researchers, scientists and readers. JScholar publishes research articles in the biological and medical sciences. All submitted articles will be put under rapid extensive reviewer critique and make them publish as soon as they are ready. JScholar applies highest standards to its publications, which includes emphasis on research integrity, peer review, ethical standards, and exemplary production tuetni quality.
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