Self-reported adherence to antiretroviral therapy in HIV+ population from Bata, Equatorial Guinea.
Identifieur interne : 001984 ( PubMed/Corpus ); précédent : 001983; suivant : 001985Self-reported adherence to antiretroviral therapy in HIV+ population from Bata, Equatorial Guinea.
Auteurs : Jon Salmanton-García ; Zaida Herrador ; Pilar Ruiz-Seco ; Jesús Nzang-Esono ; Veronica Bendomo ; Emma Bashmakovic ; Gloria Nseng-Nchama ; Agustín Benito ; Pilar AparicioSource :
- AIDS care [ 1360-0451 ] ; 2016.
English descriptors
- KwdEn :
- Adult, Aged, Antiretroviral Therapy, Highly Active (methods), Cross-Sectional Studies, Equatorial Guinea (epidemiology), Female, HIV Infections (drug therapy), HIV Infections (epidemiology), HIV Infections (psychology), Humans, Male, Medication Adherence (psychology), Medication Adherence (statistics & numerical data), Middle Aged, Prevalence, Reproducibility of Results, Self Report, Sex Factors, Socioeconomic Factors, Treatment Outcome, Viral Load.
- MESH :
- drug therapy : HIV Infections.
- epidemiology : Equatorial Guinea, HIV Infections.
- methods : Antiretroviral Therapy, Highly Active.
- psychology : HIV Infections, Medication Adherence.
- statistics & numerical data : Medication Adherence.
- Adult, Aged, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Prevalence, Reproducibility of Results, Self Report, Sex Factors, Socioeconomic Factors, Treatment Outcome, Viral Load.
Abstract
The human immunodeficiency virus (HIV) and the acquired immune deficiency syndrome (AIDS) represent a serious public health problem in Equatorial Guinea, with a prevalence of 6.2% among adults. the high-activity antiretroviral treatment (HAART) coverage data is 10 points below the overall estimate for Sub-Saharan Africa, and only 61% patients continue with HAART 12 months after it started. This study aims to assess HAART adherence and related factors in Litoral Province of Equatorial Guinea. In this cross-sectional study, socio-demographic and clinical data were collected at Regional Hospital of Bata, during June-July 2014. Adherence to treatment was assessed by using the Spanish version of CEAT-VIH. Bivariate and linear regression analyses were employed to assess HAART adherence-related factors. We interviewed 50 men (35.5%) and 91 women (64.5%), with a mean age of 47.7 ± 8.9 and 36.2 ± 11.2, respectively (p < .001). Overall, 55% patients had low or insufficient adherence. CEAT-VIH score varied by ethnic group (p = .005). There was a positive correlation between CEAT-VIH score and current CD4 T-cells count (p = .013). The Cronbach's α value was 0.52. To our knowledge, this is the first study to assess HAART adherence in Equatorial Guinea. Internal reliability for CEAT-VIH was low, nonetheless the positive correlation between the CEAT-VIH score and the immunological status of patients add value to our findings. Our results serve as baseline for future research and will also assist stakeholders in planning and undertaking contextual and evidence-based policy initiatives.
DOI: 10.1080/09540121.2015.1124976
PubMed: 26698540
Links to Exploration step
pubmed:26698540Le document en format XML
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of Social Security of Equatorial Guinea (INSESO in Spanish) , Bata , Equatorial Guinea.</nlm:affiliation></affiliation></author><author><name sortKey="Nzang Esono, Jesus" sort="Nzang Esono, Jesus" uniqKey="Nzang Esono J" first="Jesús" last="Nzang-Esono">Jesús Nzang-Esono</name><affiliation><nlm:affiliation>b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Bendomo, Veronica" sort="Bendomo, Veronica" uniqKey="Bendomo V" first="Veronica" last="Bendomo">Veronica Bendomo</name><affiliation><nlm:affiliation>f Reference Unit for Infectious Diseases (UREI in Spanish), Regional Hospital of Bata , Bata , Equatorial Guinea.</nlm:affiliation></affiliation></author><author><name sortKey="Bashmakovic, Emma" sort="Bashmakovic, Emma" uniqKey="Bashmakovic E" first="Emma" last="Bashmakovic">Emma Bashmakovic</name><affiliation><nlm:affiliation>f Reference Unit for Infectious Diseases (UREI in Spanish), Regional Hospital of Bata , Bata , Equatorial Guinea.</nlm:affiliation></affiliation></author><author><name sortKey="Nseng Nchama, Gloria" sort="Nseng Nchama, Gloria" uniqKey="Nseng Nchama G" first="Gloria" last="Nseng-Nchama">Gloria Nseng-Nchama</name><affiliation><nlm:affiliation>g National Plan Against AIDS (PNLS in Spanish), Ministry of Healthcare and Social Welfare , Malabo , Equatorial Guinea (MINSABS in Spanish).</nlm:affiliation></affiliation></author><author><name sortKey="Benito, Agustin" sort="Benito, Agustin" uniqKey="Benito A" first="Agustín" last="Benito">Agustín Benito</name><affiliation><nlm:affiliation>b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Aparicio, Pilar" sort="Aparicio, Pilar" uniqKey="Aparicio P" first="Pilar" last="Aparicio">Pilar Aparicio</name><affiliation><nlm:affiliation>b National Centre for Tropical Medicine, Instituto de Salud 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sortKey="Herrador, Zaida" sort="Herrador, Zaida" uniqKey="Herrador Z" first="Zaida" last="Herrador">Zaida Herrador</name><affiliation><nlm:affiliation>b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Ruiz Seco, Pilar" sort="Ruiz Seco, Pilar" uniqKey="Ruiz Seco P" first="Pilar" last="Ruiz-Seco">Pilar Ruiz-Seco</name><affiliation><nlm:affiliation>d National Institute of Social Security of Equatorial Guinea (INSESO in Spanish) , Bata , Equatorial Guinea.</nlm:affiliation></affiliation></author><author><name sortKey="Nzang Esono, Jesus" sort="Nzang Esono, Jesus" uniqKey="Nzang Esono J" first="Jesús" last="Nzang-Esono">Jesús Nzang-Esono</name><affiliation><nlm:affiliation>b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Bendomo, Veronica" sort="Bendomo, Veronica" uniqKey="Bendomo V" first="Veronica" last="Bendomo">Veronica Bendomo</name><affiliation><nlm:affiliation>f Reference Unit for Infectious Diseases (UREI in Spanish), Regional Hospital of Bata , Bata , Equatorial Guinea.</nlm:affiliation></affiliation></author><author><name sortKey="Bashmakovic, Emma" sort="Bashmakovic, Emma" uniqKey="Bashmakovic E" first="Emma" last="Bashmakovic">Emma Bashmakovic</name><affiliation><nlm:affiliation>f Reference Unit for Infectious Diseases (UREI in Spanish), Regional Hospital of Bata , Bata , Equatorial Guinea.</nlm:affiliation></affiliation></author><author><name sortKey="Nseng Nchama, Gloria" sort="Nseng Nchama, Gloria" uniqKey="Nseng Nchama G" first="Gloria" last="Nseng-Nchama">Gloria Nseng-Nchama</name><affiliation><nlm:affiliation>g National Plan Against AIDS (PNLS in Spanish), Ministry of Healthcare and Social Welfare , Malabo , Equatorial Guinea (MINSABS in Spanish).</nlm:affiliation></affiliation></author><author><name sortKey="Benito, Agustin" sort="Benito, Agustin" uniqKey="Benito A" first="Agustín" last="Benito">Agustín Benito</name><affiliation><nlm:affiliation>b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Aparicio, Pilar" sort="Aparicio, Pilar" uniqKey="Aparicio P" first="Pilar" last="Aparicio">Pilar Aparicio</name><affiliation><nlm:affiliation>b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.</nlm:affiliation></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="eISSN">1360-0451</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Antiretroviral Therapy, Highly Active (methods)</term><term>Cross-Sectional Studies</term><term>Equatorial Guinea (epidemiology)</term><term>Female</term><term>HIV Infections (drug therapy)</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (psychology)</term><term>Humans</term><term>Male</term><term>Medication Adherence (psychology)</term><term>Medication Adherence (statistics & numerical data)</term><term>Middle Aged</term><term>Prevalence</term><term>Reproducibility of Results</term><term>Self Report</term><term>Sex Factors</term><term>Socioeconomic Factors</term><term>Treatment Outcome</term><term>Viral Load</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Equatorial Guinea</term><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Antiretroviral Therapy, Highly Active</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term><term>Medication Adherence</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Medication Adherence</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Reproducibility of Results</term><term>Self Report</term><term>Sex Factors</term><term>Socioeconomic Factors</term><term>Treatment Outcome</term><term>Viral Load</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The human immunodeficiency virus (HIV) and the acquired immune deficiency syndrome (AIDS) represent a serious public health problem in Equatorial Guinea, with a prevalence of 6.2% among adults. the high-activity antiretroviral treatment (HAART) coverage data is 10 points below the overall estimate for Sub-Saharan Africa, and only 61% patients continue with HAART 12 months after it started. This study aims to assess HAART adherence and related factors in Litoral Province of Equatorial Guinea. In this cross-sectional study, socio-demographic and clinical data were collected at Regional Hospital of Bata, during June-July 2014. Adherence to treatment was assessed by using the Spanish version of CEAT-VIH. Bivariate and linear regression analyses were employed to assess HAART adherence-related factors. We interviewed 50 men (35.5%) and 91 women (64.5%), with a mean age of 47.7 ± 8.9 and 36.2 ± 11.2, respectively (p < .001). Overall, 55% patients had low or insufficient adherence. CEAT-VIH score varied by ethnic group (p = .005). There was a positive correlation between CEAT-VIH score and current CD4 T-cells count (p = .013). The Cronbach's α value was 0.52. To our knowledge, this is the first study to assess HAART adherence in Equatorial Guinea. Internal reliability for CEAT-VIH was low, nonetheless the positive correlation between the CEAT-VIH score and the immunological status of patients add value to our findings. Our results serve as baseline for future research and will also assist stakeholders in planning and undertaking contextual and evidence-based policy initiatives.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26698540</PMID><DateCreated><Year>2016</Year><Month>04</Month><Day>06</Day></DateCreated><DateCompleted><Year>2017</Year><Month>01</Month><Day>02</Day></DateCompleted><DateRevised><Year>2017</Year><Month>01</Month><Day>04</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1360-0451</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>5</Issue><PubDate><Year>2016</Year></PubDate></JournalIssue><Title>AIDS care</Title><ISOAbbreviation>AIDS Care</ISOAbbreviation></Journal><ArticleTitle>Self-reported adherence to antiretroviral therapy in HIV+ population from Bata, Equatorial Guinea.</ArticleTitle><Pagination><MedlinePgn>543-53</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/09540121.2015.1124976</ELocationID><Abstract><AbstractText>The human immunodeficiency virus (HIV) and the acquired immune deficiency syndrome (AIDS) represent a serious public health problem in Equatorial Guinea, with a prevalence of 6.2% among adults. the high-activity antiretroviral treatment (HAART) coverage data is 10 points below the overall estimate for Sub-Saharan Africa, and only 61% patients continue with HAART 12 months after it started. This study aims to assess HAART adherence and related factors in Litoral Province of Equatorial Guinea. In this cross-sectional study, socio-demographic and clinical data were collected at Regional Hospital of Bata, during June-July 2014. Adherence to treatment was assessed by using the Spanish version of CEAT-VIH. Bivariate and linear regression analyses were employed to assess HAART adherence-related factors. We interviewed 50 men (35.5%) and 91 women (64.5%), with a mean age of 47.7 ± 8.9 and 36.2 ± 11.2, respectively (p < .001). Overall, 55% patients had low or insufficient adherence. CEAT-VIH score varied by ethnic group (p = .005). There was a positive correlation between CEAT-VIH score and current CD4 T-cells count (p = .013). The Cronbach's α value was 0.52. To our knowledge, this is the first study to assess HAART adherence in Equatorial Guinea. Internal reliability for CEAT-VIH was low, nonetheless the positive correlation between the CEAT-VIH score and the immunological status of patients add value to our findings. Our results serve as baseline for future research and will also assist stakeholders in planning and undertaking contextual and evidence-based policy initiatives.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Salmanton-García</LastName><ForeName>Jon</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>a Intern of the Spanish Society of Tropical Medicine and International Health , Madrid , Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Herrador</LastName><ForeName>Zaida</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>c Tropical Diseases Research Network (RICET in Spanish) , Madrid , Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ruiz-Seco</LastName><ForeName>Pilar</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>d National Institute of Social Security of Equatorial Guinea (INSESO in Spanish) , Bata , Equatorial Guinea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nzang-Esono</LastName><ForeName>Jesús</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>e Reference Centre for Epidemics Control of Equatorial Guinea (CRCE in Spanish) , Malabo , Equatorial Guinea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bendomo</LastName><ForeName>Veronica</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>f Reference Unit for Infectious Diseases (UREI in Spanish), Regional Hospital of Bata , Bata , Equatorial Guinea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bashmakovic</LastName><ForeName>Emma</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>f Reference Unit for Infectious Diseases (UREI in Spanish), Regional Hospital of Bata , Bata , Equatorial Guinea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nseng-Nchama</LastName><ForeName>Gloria</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>g National Plan Against AIDS (PNLS in Spanish), Ministry of Healthcare and Social Welfare , Malabo , Equatorial Guinea (MINSABS in Spanish).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Benito</LastName><ForeName>Agustín</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>c Tropical Diseases Research Network (RICET in Spanish) , Madrid , Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aparicio</LastName><ForeName>Pilar</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>b National Centre for Tropical Medicine, Instituto de Salud Carlos III (ISCIII) , Madrid , Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>c Tropical Diseases Research Network (RICET in Spanish) , Madrid , Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>12</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>AIDS Care</MedlineTA><NlmUniqueID>8915313</NlmUniqueID><ISSNLinking>0954-0121</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D023241" MajorTopicYN="N">Antiretroviral Therapy, Highly Active</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016703" MajorTopicYN="N">Equatorial Guinea</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055118" MajorTopicYN="N">Medication Adherence</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057566" MajorTopicYN="N">Self Report</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019562" MajorTopicYN="N">Viral Load</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">CEAT-VIH</Keyword><Keyword MajorTopicYN="N">Equatorial Guinea</Keyword><Keyword MajorTopicYN="N">HIV</Keyword><Keyword MajorTopicYN="N">adherence</Keyword><Keyword MajorTopicYN="N">questionnaire</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate 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