Adherence to antiretrovirals in people coinfected with the human immunodeficiency virus and tuberculosis

被引:13
作者
Lemos, Larissa de Araujo [1 ,2 ]
Teles Fiuza, Maria Luciana [1 ,3 ]
Reis, Renata Karina [4 ]
Ferrer, Andre Carvalho [5 ]
Gir, Elucir [4 ]
Gimeniz Galvao, Marli Teresinha [1 ]
机构
[1] Univ Fed Ceara, Dept Enfermagem, Rua Alexandre Barauna 1115, BR-60430160 Fortaleza, Ceara, Brazil
[2] Inst Saude & Gestao Hosp, Fortaleza, Ceara, Brazil
[3] Hosp Univ Walter Cantideo, Fortaleza, Ceara, Brazil
[4] Univ Sao Paulo, Escola Enfermagem Ribeirao Preto, PAHO WHO Collaborating Ctr Nursing Res Dev, BR-14049 Ribeirao Preto, SP, Brazil
[5] Univ Fed Ceara, Fac Med, Rua Alexandre Barauna 1115, BR-60430160 Fortaleza, Ceara, Brazil
关键词
Medication Adherence; Coinfection; HIV; Tuberculosis; SOUTH-AFRICA; HIV/AIDS; THERAPY; CARE; TB;
D O I
10.1590/1518-8345.0537.2691
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: assess the adherence levels to antiretroviral therapy in people coinfected with HIV/tuberculosis and correlate these levels with the sociodemographic and clinical variables of the study population. Method: cross-sectional study involving 74 male and female adults coinfected with HIV/tuberculosis. For the data collection, a sociodemographic and clinical assessment form and the Antiretroviral Treatment Adherence Assessment Questionnaire were used. For the data analysis, the software STATA version 11 was used, through descriptive statistics, Fisher's chi-square exact test and the probability test. Results: men were predominant (79.7%), between 30 and 39 years of age (35.1%), low income (75.7%) and pulmonary tuberculosis (71.6%). Adherence to antiretroviral therapy was inappropriate in 78.1% of the men; 61.0% of single people; 47.0% unemployed and 76.5% among people gaining less than one minimum wage. A significant difference was observed between compliance and length of use of antiretrovirals (p=0.018), sexual orientation (p=0.024) and number of children (p=0.029). Conclusion: the coinfected patients presented inappropriate adherence to the antiretrovirals, a fact that negatively affects the health conditions of the people living with HIV/tuberculosis coinfection. A statistically significant correlation was found between the levels of adherence and some sociodemographic and clinical characteristics.
引用
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页数:7
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