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Evaluating Barriers to Viral Suppression among People with HIV in Santiago, Dominican Republic.
McCarthy, Meghan; Tao, Jun; Lerebours, Alain; Rodriguez, Claudia; Flanigan, Timothy P; Sanchez, Martha C.
Afiliação
  • McCarthy M; 12321Brown University, Providence, RI, USA.
  • Tao J; 12321Brown University, Providence, RI, USA.
  • Lerebours A; Pontificia Universidad Catolica Madre y Maestra, Santiago, DR.
  • Rodriguez C; Hospital Regional Universitario Jose Maria Cabral y Baez, Santiago, DR, Dominican Republic.
  • Flanigan TP; 12321Brown University, Providence, RI, USA.
  • Sanchez MC; The Miriam Hospital, Providence, RI, USA.
J Int Assoc Provid AIDS Care ; 21: 23259582221096522, 2022.
Article em En | MEDLINE | ID: mdl-35532067
The Dominican Republic (DR) has the second-highest prevalence of HIV infection in the Caribbean, but viral suppression and treatment adherence are not well understood. We conducted a cross-sectional study among people living with HIV/AIDS(PLWHA) to fill in the knowledge gap. Questionnaire was used to collect demographic data, antiretroviral therapy (ART) adherence, and barriers and facilitators to HIV care. Viral load and other clinical information were extracted through chart reviews. Descriptive analyzes and logistic regression were conducted to explore factors associated with non-viral suppression and imperfect ART adherence. Of 193 PLWHA 83.9% were virally suppressed. Those that were non-virally suppressed were more likely of being male (odds ratio [OR]: 2.55, 95% confidence interval [CI]: 1.17-5.58) and less likely of being unemployed (OR: 0.28, 95% CI: 0.08-0.96). However, being male (OR: 0.78, 95% CI:0.40-1.53) and unemployed (OR: 0.28, 95% CI:0. 08-1.21) were less likely to report imperfect adherence. Tailored interventions are needed to improve adherence and viral suppression in DR.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / Fármacos Anti-HIV Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: J Int Assoc Provid AIDS Care Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / Fármacos Anti-HIV Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: J Int Assoc Provid AIDS Care Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos