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Use of Self-Reported Adherence and Keeping Clinic Appointments as Predictors of Viremia in Routine HIV Care in the Gambia.
Peterson, Kevin; Menten, Joris; Peterson, Ingrid; Togun, Toyin; Okomo, Uduak; Oko, Francis; Corrah, Tumani; Jaye, Assan; Colebunders, Robert.
Afiliación
  • Peterson K; Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium kpeterson@itg.be.
  • Menten J; Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
  • Peterson I; Harvard University School of Public Health, Dar es Salaam, Tanzania.
  • Togun T; Medical Research Council, Gambia Unit, Fajara, The Gambia.
  • Okomo U; Medical Research Council, Gambia Unit, Fajara, The Gambia.
  • Oko F; Medical Research Council, Gambia Unit, Fajara, The Gambia.
  • Corrah T; Medical Research Council, Gambia Unit, Fajara, The Gambia.
  • Jaye A; Medical Research Council, Gambia Unit, Fajara, The Gambia Cheikh Anta Diop University, West Africa Platform for HIV Intervention Research, Dakar, Senegal.
  • Colebunders R; Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium Department of Epidemiology and Social Medicine, University of Antwerp, Antwerp, Belgium.
J Int Assoc Provid AIDS Care ; 14(4): 343-7, 2015.
Article en En | MEDLINE | ID: mdl-23995297
We followed 205 HIV-infected adults on antiretroviral therapy for at least 12 weeks in a Gambian clinic, where routine viral load monitoring was performed. The 1- and 4-week self-reported adherence and timeliness in keeping to scheduled appointments were recorded at each visit. Seventy patients had measurable viremia between the 12th week and the 3rd year of therapy. Survival analysis of the first detectable viral load on therapy demonstrated an association with 4-week (hazard ratio [HR] 2.6, 95% confidence interval [CI] 1.5-4.3, P=.001) and 1-week (HR 1.9, 95% CI 1.1-3.3, P=.024) self-reported suboptimal adherence and with 1 to 15 days of late presentation for appointments (HR 1.6-1.8, P .027-.109). In a multiple regression model, only 4-week self-reported adherence remained as a significant predictor of viremia.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Viremia / Infecciones por VIH / Cumplimiento de la Medicación / Autoinforme Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: J Int Assoc Provid AIDS Care Año: 2015 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Viremia / Infecciones por VIH / Cumplimiento de la Medicación / Autoinforme Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: J Int Assoc Provid AIDS Care Año: 2015 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Estados Unidos