A Self-Reported Adherence Measure to Screen for Elevated HIV Viral Load in Pregnant and Postpartum Women on Antiretroviral Therapy.
Identifieur interne : 000C24 ( Main/Exploration ); précédent : 000C23; suivant : 000C25A Self-Reported Adherence Measure to Screen for Elevated HIV Viral Load in Pregnant and Postpartum Women on Antiretroviral Therapy.
Auteurs : Tamsin Phillips [Afrique du Sud] ; Kirsty Brittain [Afrique du Sud] ; Claude A. Mellins [États-Unis] ; Allison Zerbe [États-Unis] ; Robert H. Remien [États-Unis] ; Elaine J. Abrams [États-Unis] ; Landon Myer [Afrique du Sud] ; Ira B. Wilson [États-Unis]Source :
- AIDS and behavior [ 1573-3254 ] ; 2017.
Abstract
Maternal adherence to antiretroviral therapy (ART) is a concern and monitoring adherence presents a significant challenge in low-resource settings. We investigated the association between self-reported adherence, measured using a simple three-item scale, and elevated viral load (VL) among HIV-infected pregnant and postpartum women on ART in Cape Town, South Africa. This is the first reported use of this scale in a non-English speaking setting and it achieved good psychometric characteristics (Cronbach α = 0.79). Among 452 women included in the analysis, only 12 % reported perfect adherence on the self-report scale, while 92 % had a VL <1000 copies/mL. Having a raised VL was consistently associated with lower median adherence scores and the area under the curve for the scale was 0.599, 0.656 and 0.642 using a VL cut-off of ≥50, ≥1000 and ≥10000 copies/mL, respectively. This simple self-report adherence scale shows potential as a first-stage adherence screener in this setting. Maternal adherence monitoring in low resource settings requires attention in the era of universal ART, and the value of this simple adherence scale in routine ART care settings warrants further investigation.
DOI: 10.1007/s10461-016-1448-0
PubMed: 27278548
Affiliations:
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Wilson</name><affiliation wicri:level="2"><nlm:affiliation>Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI</wicri:regionArea><placeName><region type="state">Rhode Island</region></placeName></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="eISSN">1573-3254</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Maternal adherence to antiretroviral therapy (ART) is a concern and monitoring adherence presents a significant challenge in low-resource settings. We investigated the association between self-reported adherence, measured using a simple three-item scale, and elevated viral load (VL) among HIV-infected pregnant and postpartum women on ART in Cape Town, South Africa. This is the first reported use of this scale in a non-English speaking setting and it achieved good psychometric characteristics (Cronbach α = 0.79). Among 452 women included in the analysis, only 12 % reported perfect adherence on the self-report scale, while 92 % had a VL <1000 copies/mL. Having a raised VL was consistently associated with lower median adherence scores and the area under the curve for the scale was 0.599, 0.656 and 0.642 using a VL cut-off of ≥50, ≥1000 and ≥10000 copies/mL, respectively. This simple self-report adherence scale shows potential as a first-stage adherence screener in this setting. Maternal adherence monitoring in low resource settings requires attention in the era of universal ART, and the value of this simple adherence scale in routine ART care settings warrants further investigation.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>Rhode Island</li><li>État de New York</li></region><settlement><li>New York</li></settlement><orgName><li>Université Columbia</li></orgName></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Phillips, Tamsin" sort="Phillips, Tamsin" uniqKey="Phillips T" first="Tamsin" last="Phillips">Tamsin Phillips</name></noRegion><name sortKey="Brittain, Kirsty" sort="Brittain, Kirsty" uniqKey="Brittain K" first="Kirsty" last="Brittain">Kirsty Brittain</name><name sortKey="Myer, Landon" sort="Myer, Landon" uniqKey="Myer L" first="Landon" last="Myer">Landon Myer</name></country><country name="États-Unis"><region name="État de New York"><name sortKey="Mellins, Claude A" sort="Mellins, Claude A" uniqKey="Mellins C" first="Claude A" last="Mellins">Claude A. Mellins</name></region><name sortKey="Abrams, Elaine J" sort="Abrams, Elaine J" uniqKey="Abrams E" first="Elaine J" last="Abrams">Elaine J. Abrams</name><name sortKey="Remien, Robert H" sort="Remien, Robert H" uniqKey="Remien R" first="Robert H" last="Remien">Robert H. Remien</name><name sortKey="Wilson, Ira B" sort="Wilson, Ira B" uniqKey="Wilson I" first="Ira B" last="Wilson">Ira B. Wilson</name><name sortKey="Zerbe, Allison" sort="Zerbe, Allison" uniqKey="Zerbe A" first="Allison" last="Zerbe">Allison Zerbe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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