Tuesday 19 March 2013

[wanabidii] RE: [YP_Ke] Determinants of antiretroviral treatment adherence

among HIV/ AIDS patients: a multisite study
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Interesting paper!

Sent from my Windows Phone From: Yona Maro
Sent: Tuesday, March 19, 2013 2:16 PM
To: Africanhero@yahoogroups.com; AfriCanID@yahoogroups.com;
communist-university@googlegroups.com; kenyaonline@yahoogroups.com;
malawi_lawsociety@googlegroups.com; talkhard@yahoogroups.com;
wanataaluma@googlegroups.com; All Nigerians In Diaspora;
naijaintellects; NigeriansnCanada; Nigerianworldforum;
USAAfricaDialogue; wanabidii; wanakenya@googlegroups.com; Wanazuoni;
youngprofessionals_ke@googlegroups.com
Subject: [YP_Ke] Determinants of antiretroviral treatment adherence
among HIV/ AIDS patients: a multisite study
By Bach Xuan Tran, Long Thanh Nguyen, Nga Hoang Nguyen, Quynh Van Hoang,
Jongnam Hwang

Introduction: Adherence to antiretroviral treatment (ART) is vital in
achieving virological treatment success. This study assessed the prevalence
of optimal ART adherence and its determinants among HIV/AIDS patients in
Vietnam.

Method: A cross-sectional survey was conducted with 1,016 HIV/AIDS patients
at seven hospitals and health centers providing antiretroviral treatment
services in three provinces, including Hanoi, Hai Phong, and Ho Chi Minh
City. Self-reported medication adherence was measured using a 30-day visual
analog scale (VAS) and 7-day missed-doses questions.

Results: The mean adherence VAS-score was 94.5 out of 100 (SD=8.2), ranging
from 40 to 100%. The rate of suboptimal adherence was 25.9%. The rate of
missed-doses was 25.2%. In multivariate analysis, increased perceived
self-efficacy, use of mobile phone alarms, and reminders from family
members were associated with optimal adherence; higher CD4 level, single
status, and unstable employment were associated with suboptimal adherence.

Conclusion: High rate of suboptimal adherence observed in this study
highlights the importance of adherence support interventions during ART.
The use of mobile phone reminders, involvement of relatives, and HIV
self-management training programs have the potential to improve ART
adherence in Vietnam.
Link:http://www.globalhealthaction.net/index.php/gha/article/view/19570

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AD>
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<DIV style=3D"FONT-SIZE: 11pt; FONT-FAMILY: Calibri,sans-serif">Interesting=
paper!<BR><BR>Sent from my Windows Phone</DIV>
<HR>
<SPAN style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Tahoma,sans=
-serif">From: </SPAN><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma,sa=
ns-serif">Yona Maro</SPAN><BR><SPAN style=3D"FONT-WEIGHT: bold; FONT-SIZE: =
10pt; FONT-FAMILY: Tahoma,sans-serif">Sent: </SPAN><SPAN style=3D"FONT-SIZE=
: 10pt; FONT-FAMILY: Tahoma,sans-serif">Tuesday, March 19, 2013 2:16 PM</SP=
AN><BR><SPAN style=3D"FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Taho=
ma,sans-serif">To: </SPAN><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Taho=
ma,sans-serif">Africanhero@yahoogroups.com; AfriCanID@yahoogroups.com; comm=
unist-university@googlegroups.com; kenyaonline@yahoogroups.com; malawi_laws=
ociety@googlegroups.com; talkhard@yahoogroups.com; wanataaluma@googlegroups=
.com; All Nigerians In Diaspora; naijaintellects; NigeriansnCanada; Nigeria=
nworldforum; USAAfricaDialogue; wanabidii; wanakenya@googlegroups.com; Wana=
zuoni; youngprofessionals_ke@googlegroups.com</SPAN><BR><SPAN style=3D"FONT=
-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: Tahoma,sans-serif">Subject: </=
SPAN><SPAN style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Tahoma,sans-serif">[YP_Ke=
] Determinants of antiretroviral treatment adherence among HIV/ AIDS patien=
ts: a multisite study</SPAN><BR><BR></BODY></HTML><div id=3D"all-nodes_sing=
lepost_1" style=3D"color:rgb(68,68,68);font-family:Arial,Helvetica,sans-ser=
if;font-size:13px;background-color:rgb(255,255,255)"><div id=3D"all-nodes_s=
inglepost_text" style=3D"line-height:1.3em;padding-bottom:5px;font-family:V=
erdana;font-size:12px;color:rgb(51,51,51)">
<p class=3D"MsoNormal" style=3D"margin-bottom:1.5em"><span lang=3D"EN-US">B=
y Bach Xuan Tran, Long Thanh Nguyen, Nga Hoang Nguyen, Quynh Van Hoang, Jon=
gnam Hwang</span></p><p class=3D"MsoNormal" style=3D"margin-bottom:1.5em"><=
span lang=3D"EN-US">Introduction: Adherence to antiretroviral treatment (AR=
T) is vital in achieving virological treatment success. This study assessed=
the prevalence of optimal ART adherence and its determinants among HIV/AID=
S patients in Vietnam.</span></p>
<p class=3D"MsoNormal" style=3D"margin-bottom:1.5em"><span lang=3D"EN-US">M=
ethod: A cross-sectional survey was conducted with 1,016 HIV/AIDS patients =
at seven hospitals and health centers providing antiretroviral treatment se=
rvices in three provinces, including Hanoi, Hai Phong, and Ho Chi Minh City=
. Self-reported medication adherence was measured using a 30-day visual ana=
log scale (VAS) and 7-day missed-doses questions.</span></p>
<p class=3D"MsoNormal" style=3D"margin-bottom:1.5em"><span lang=3D"EN-US">R=
esults: The mean adherence VAS-score was 94.5 out of 100 (SD=3D8.2), rangin=
g from 40 to 100%. The rate of suboptimal adherence was 25.9%. The rate of =
missed-doses was 25.2%. In multivariate analysis, increased perceived self-=
efficacy, use of mobile phone alarms, and reminders from family members wer=
e associated with optimal adherence; higher CD4 level, single status, and u=
nstable employment were associated with suboptimal adherence.</span></p>
<p class=3D"MsoNormal"><span lang=3D"EN-US">Conclusion: High rate of subopt=
imal adherence observed in this study highlights the importance of adherenc=
e support interventions during ART. The use of mobile phone reminders, invo=
lvement of relatives, and HIV self-management training programs have the po=
tential to improve ART adherence in Vietnam.</span></p>
</div></div><div style=3D"color:rgb(68,68,68);font-family:Arial,Helvetica,s=
ans-serif;font-size:13px;background-color:rgb(255,255,255);clear:both"></di=
v><div id=3D"all-nodes_singlepost_2" style=3D"color:rgb(68,68,68);font-fami=
ly:Arial,Helvetica,sans-serif;font-size:13px;background-color:rgb(255,255,2=
55)">
<div id=3D"all-nodes_singlepost_4" style=3D"margin:10px 0px"><span id=3D"al=
l-nodes_singlepost_src_l" style=3D"font-family:Verdana;color:rgb(102,102,10=
2);clear:both;display:block;float:left">Link:</span><span id=3D"all-nodes_s=
rc_link" style=3D"float:left;margin-left:10px"><a href=3D"http://www.global=
healthaction.net/index.php/gha/article/view/19570" target=3D"_blank" class=
=3D"ext" style=3D"color:rgb(75,128,178);text-decoration:initial">http://www=
.globalhealthaction.net/index.php/gha/article/view/19570</a></span></div>
</div><div><br></div>-- <br><a href=3D"http://www.wejobs.blogspot.com" targ=
et=3D"_blank">www.wejobs.blogspot.com</a> Jobs in Africa<div><a href=3D"htt=
p://www.jobsunited.blogspot.com" target=3D"_blank">www.jobsunited.blogspot.=
com</a> International Job Opportunities</div>
<div><a href=3D"http://www.naombakazi.blogspot.com" target=3D"_blank">www.n=
aombakazi.blogspot.com</a>=C2=A0</div>

<p></p>

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