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Mai HT, Le GM, Tran BX, Do HN, Latkin CA, Nguyen LT, Thai TPT, Le HT, Ngo AT, Nguyen CT, Ho CS, Ho RC. Adherence to antiretroviral therapy among HIV/ AIDS patients in the context of early treatment initiation in Vietnam. Patient Prefer Adherence 2018; 12:2131-2137. [PMID: 30349207 PMCID: PMC6188958 DOI: 10.2147/ppa.s175474] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
PURPOSE This study aimed to assess the antiretroviral therapy (ART) compliance among patients with HIV/AIDS and its associated factors in the context of universal ART initiation in Vietnam. PATIENTS AND METHODS A cross-sectional survey was conducted in five ART clinics located in three provinces, such as Hanoi, Thanh Hoa, and Lao Cai, from July to September 2017. Overall, adherence to ART in the last month was measured using a 100-point Visual Analog Scale (VAS). Besides, information about forgetting doses in the last 4 days and delaying taking pills in the last 7 days was also reported. RESULTS Among 482 patients, the suboptimal adherence rate was 54.5%. Noncurrent smoking (coefficient =4.19, 95% CI 0.42-7.97), higher baseline CD4 count (coefficient =4.35, 95% CI 0.58-8.13), and no traveling difficulties (coefficient =6.17, 95% CI 2.27-10.06) were predictors of higher VAS adherence score. Suboptimal adherence was associated with mountainous residence (OR =5.34, 95% CI 2.81-10.16). Female respondents were less likely to delay taking pills in the last 7 days (OR =0.19, 95% CI 0.07-0.52). CONCLUSION Our study embraced early ART initiation in Vietnam; however, this approach should be parallel with appropriate resource allocation and service delivery.
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Affiliation(s)
- Hue Thi Mai
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam,
| | - Giang Minh Le
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam,
- Center for Research and Training on HIV/AIDS (CREATA), Hanoi Medical University, Hanoi, Vietnam
| | - Bach Xuan Tran
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam,
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
- Vietnam Young Physician Association, Hanoi, Vietnam
| | - Ha Ngoc Do
- Youth Research Institute, Vietnam (YRI)-Ho Chi Minh Communist Youth Union, Hanoi, Vietnam
| | - Carl A Latkin
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - Luong Thanh Nguyen
- Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam
| | - Thao Phuong Thi Thai
- Department of General Planning, Friendship Hospital, Hanoi, Vietnam
- Department of Cardiology, Friendship Hospital, Hanoi, Vietnam
| | - Huong Thi Le
- Vietnam Administration of HIV/AIDS Control, Hanoi, Vietnam
| | - Anh Toan Ngo
- National Hospital of Obstetrics and Gynecology, Hanoi, Vietnam
| | - Cuong Tat Nguyen
- Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam
| | - Cyrus Sh Ho
- Department of Psychological Medicine, National University Hospital, Singapore, Singapore
| | - Roger Cm Ho
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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