Study of Socio Demographic Predictors of Adherence of Anti Retroviral Therapy (ART) among HIV Positive Patients – A Case Control Study
Journal Title: National Journal of Community Medicine - Year 2017, Vol 8, Issue 12
Abstract
Introduction: After starting free Anti Retroviral Therapy (ART) in India, challenge has changed from gain-ing access to taking the treatment correctly and consistently in order to realize the rewards of improved health status, and reduced morbidi-ty and mortality from HIV. This study was aimed to identify of so-cio-demographic risk factors re-sponsible for non-adherence to ART. Methodology: This Case Control Study was conducted at ART centre where all patients with poor adher-ence percentage i.e. ≤ 95% of Treat-ment Adherence were denoted as ‘Case’ and good adherence percent-age i.e. > 95% of Treatment Adher-ence were denoted as ‘Control’. The ‘Pill Count method’ was used to measure the adherence level. Results: Mean age of 104 cases and 208 unmatched controls was 36.29 years and 39.21 years respectively (p <0.05). Females were more com-mon among cases than controls. To-tal 15.4% of cases and 7.7% of con-trols were from the rural area (OR: 2.18 (1.04 - 4.56) and p-Value < 0.05). Post-test counselling was not done in 10% of cases and 4% of con-trols. [OR: 2.66 (1.02 - 6.96)& p-Value < 0.05]. Conclusion: Poor adherence was more in younger, female, rural resi-dence, low family income, disclo-sure of HIV positive status and pa-tients undergone post test counsel-ling.
Authors and Affiliations
Bhautik Modi, Vaibhav Gharat, Prakash Patel, Sunil Nayak
Keywords
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