Adherence to Highly Active Antiretroviral Therapy Among Children in Ethiopia: A Systematic Review and Meta-analysis

被引:0
作者
Aklilu Endalamaw
Nega Tezera
Setegn Eshetie
Sintayehu Ambachew
Tesfa Dejenie Habtewold
机构
[1] University of Gondar,Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences
[2] University of Gondar,Department of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences
[3] University of Gondar,Department of Clinical Chemistry, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences
[4] University of Groningen,University Center for Psychiatry, Rob Giel Research Centre
[5] University Medical Center Groningen,Department of Epidemiology
[6] University of Groningen,undefined
[7] University Medical Center Groningen,undefined
来源
AIDS and Behavior | 2018年 / 22卷
关键词
Adherence; Antiretroviral therapy; Children; Highly active; HIV; Medication; Meta-analysis; Ethiopia; Adherencia; Terapia antirretroviral altamente activa; Niños; VIH; Medicamentos; Meta-análisis; Etiopía;
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学科分类号
摘要
Adherence to highly active antiretroviral therapy (HAART) is the mainstay of the strategy in reducing morbidity and mortality of HIV-infected children. Different primary studies were conducted in Ethiopia. Thus, we aimed to conduct a meta-analysis of the national prevalence of optimal adherence to HAART in children. In addition, associated factors of HAART adherence were reviewed. A weighted inverse variance random-effects model was applied. The 88.7 and 93.7% of children were adhering to HAART at 07 and 03 days prior to an interview respectively. The subgroup analysis showed that HAART adherence was 93.4% in Amhara, 90.1% in Addis Ababa and 87.3% in Tigray at 07 days prior to an interview. Our study suggests that, within short window reported time, adherence to HAART in Ethiopian children may be in a good progress. Emphasis on specific adherence interventions need further based on individual predictors to improve overall HAART adherence of children.
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页码:2513 / 2523
页数:10
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[1]  
Drouin O(2016)Incidence and prevalence of opportunistic and other infections and the impact of antiretroviral therapy among HIV-infected children in low-and middle-income countries: a systematic review and meta-analysis Clin Infect Dis 62 1586-1594
[2]  
Bartlett G(2014)Prevalence of opportunistic infections and associated factors among HIV positive patients taking anti-retroviral therapy in DebreMarkos Referral Hospital, Northwest Ethiopia J AIDS Clin Res. 5 1-300
[3]  
Nguyen Q(2004)Child mortality and HIV infection in Africa: a review Aids. 18 S27-S34
[4]  
Low A(2009)Common elements in self-management of HIV and other chronic illnesses: an integrative framework AIDS care. 21 1321-1334
[5]  
Gavriilidis G(2000)Adherence to protease inhibitor therapy and outcomes in patients with HIV infection Ann Intern Med 133 21-30
[6]  
Easterbrook P(2004)Monitoring the response to antiretroviral therapy in resource-poor settings: the Malawi model Trans R Soc Trop Med Hyg 98 695-701
[7]  
Moges N(2007)Adherence to high activity antiretrovial therapy (HAART) in pediatric patients infected with HIV: issues and interventions Indian J Pediatr 74 55-60
[8]  
Kassa G(2003)Adherence is not a barrier to successful antiretroviral therapy in South Africa Aids. 17 1369-1375
[9]  
Newell M-L(2006)Less than 95% adherence to nonnucleoside reverse-transcriptase inhibitor therapy can lead to viral suppression Clin Infect Dis 43 939-941
[10]  
Brahmbhatt H(2009)Risk factors for virological failure and subtherapeutic antiretroviral drug concentrations in HIV-positive adults treated in rural northwestern Uganda BMC Infect Dis 9 81-1118