scholarly journals Socio-Demographic Factors Associated with Medication Adherence Among People Living with HIV in Kumasi Metropolis, Ghana.

Author(s):  
Collins Adu ◽  
Kofi Akohene Mensah ◽  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Anita Yeboah Minta ◽  
...  

Abstract Background Medication adherence plays a great role in the survival of people living with HIV globally. In Ghana, there is a considerable decline in the prevalence rate of HIV/AIDS, however, the number of people on antiretroviral therapy keeps adding up. We assessed the socio-demographic factors associated with medication adherence among people living with HIV in Kumasi Metropolis, Ghana. Method A quantitative study using descriptive, and analytical cross-sectional study design was carried out among 420 people living with HIV (PLHIV) accessing healthcare at Kumasi South Regional Hospital. A structured questionnaire was used to gather information on medication adherence and socio-demographic factors influencing medication adherence. Analyses of the data were done using Excel version 2013 and Stata version 14.2. The descriptive data were presented using frequencies and percentages. Univariate and multivariate analyses were performed to establish the association between socio-demographic factors and adherence to medication among people living with HIV. Statistical significance for all testing was set as p<0.05. Results About 69 out of 100 PLHIV accessing healthcare at Kumasi South Regional Hospital adhered to their medication. Socio-demographic factors such as age and monthly disposable income were established to be influencing medication adherence among PLHIV. For instance, PLHIV aged more than 41 (aOR=12.67; CI= 1.36-118.11) were more likely to adhere to medication as compared to those aged 18-23. Also, PLHIV who earned less than GH₵500 (aOR=2.18; CI= 1.05-4.50) were more likely to adhere to medication as compared to those who earned more than GH₵1,000. Conclusion Majority of PLHIV adhered to their medication. Therefore, policy makers such as Ghana AIDS Commission, Ministry of Health, Ghana Health Service, and National AIDS Control Programme should consider factors such as socio-demographic factors when designing and implementing programmes on medication adherence among PLHIV.

2013 ◽  
Vol 16 (2) ◽  
pp. 432-443 ◽  
Author(s):  
Joanna d’Arc Lyra Batista ◽  
Maria de Fátima Pessoa Militão de Albuquerque ◽  
Ricardo Arraes de Alencar Ximenes ◽  
Demócrito de Barros Miranda-Filho ◽  
Heloisa Ramos Lacerda de Melo ◽  
...  

Introduction: Smoking is the leading cause of preventable death in the world. The prevalence of smoking is higher in people infected with HIV than in the general population. Although it is biologically plausible that smoking increases the morbidity and mortality of people living with HIV/AIDS, few studies in developing countries have analyzed the determinants and consequences of smoking in HIV infected people. Objective: To estimate the prevalence of smoking and identify the socioeconomic factors associated with smoking and smoking cessation in patients with HIV by sex. Methods: A cross-sectional study was conducted with baseline data, obtained from an ongoing prospective cohort study of patients with HIV attending two referral centers in Recife, Northeast Region of Brazil, between July 2007 and October 2009. Results: The prevalence of current smoking was 28.9%. For both sexes, smoking was independently associated with heavy alcohol drinking and marijuana use. Among women, smoking was associated with living alone, not being married and illiteracy; and among men, being 40 years or older, low income and using crack. Compared with ex-smokers, current smokers were younger and more likely to be unmarried, heavy drinkers and marijuana users. Conclusions: It is important to incorporate smoking cessation interventions for the treatment of heavy alcohol drinkers and marijuana users with HIV/AIDS, which may increase life expectancy and quality of life, as smoking is related to risk of death, relapse of tuberculosis, and non communicable diseases.


2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Ketema Bizuwork Gebremedhin ◽  
Tadesse Bedada Haye

Background. Globally, anemia, among people living with HIV/AIDS, is a major public health problem. It has a significant effect on the progression of HIV/AIDS to advanced stages and there are a number of factors that often affect anemia. However, there is little insight regarding factors affecting anemia among HIV/AIDS patients in developing countries, including Ethiopia. Objective. This study aimed at investigating factors affecting anemia among people living with HIV/AIDS taking ART drug at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods. A hospital based cross-sectional study design was used to assess factors affecting anemia among people living with HIV/AIDS. Structured checklist was used to gather information from charts of patients selected by simple random sampling method. We analyzed the data to identify factors associated with anemia among people with HIV/AIDS using logistic regression models. Results. A total of 301 selected charts were reviewed. The median age was 38 ± 10.38. The majority (62.5%) of the patients were taking ZDV-containing ART drug (ZDV/3TC/NVP). The overall anemia prevalence was 34.6%, while about 5%, 15.6%, and 14% of the patients had severe, moderate, and mild prevalence of anemia, respectively. Factors that were found to affect anemia among these patients include gender (OR = 2.26 [95% CI: 1.22, 4.16]), occupation (OR: 0.57 [95%CI: 0.35, 0.92]), WBC count (OR = 2.30 [95% CI: 1.29, 4.09]), platelet count (OR = 2.89 [95% CI: 0.99, 8.41]), nutritional status (OR = 2.05 [95% CI: 0.69, 6.02]), and WHO clinical stage of HIV/AIDS (OR = 3.69 [95% CI: 1.86, 7.31]). Conclusions. About one in three patients was found to be anemic. Intervention aimed at diagnosing and treating anemia among people living with HIV/AIDS should be considered.


2017 ◽  
Vol 149 (9) ◽  
pp. 383-390
Author(s):  
Raquel Arias Vega ◽  
Luis Angel Pérula de Torres ◽  
Celia Jiménez García ◽  
Julia Carrasco Valiente ◽  
Maria José Requena Tapia ◽  
...  

2020 ◽  
Author(s):  
Zelalem Belay Adugna ◽  
Belachew Etana Tolessa ◽  
Mekdes Tigistu Yilma

Abstract Background: Tuberculosis is a contagious air born disease caused by Mycobacterium tuberculosis species and the leading causes of morbidity and mortality among people living with HIV/AIDS worldwide. Globally, it causes ill-health among millions of people living with HIV/AIDS each year. Objective: To identify determinants of Tuberculosis among HIV infected adults in public health facilities, in Horro Guduru Wollega Zone, 2019. Methods: Unmatched case-control study was conducted among 127 cases and 255 controls which were selected using systematic random sampling technique. Data were collected by record review and through face to face interview. Then, analysis was done using SPSS version 25.To identify determinants of tuberculosis multivariable logistic regression was employed. Adjusted odds ratio was calculated with 95 % CI to show strength of association and P-value < 0.05 was used to declare statistical significance.Results: - A total of 127 cases and 255 controls were participated into the study with 97.2% response rate. Aged ≥35 years [ AOR= 2.63, 95% CI(1.29,5.36)], alcohol consumption [AOR=3.34,95%CI(1.68,6.99)], Having CD4 cells <200 [AOR=3.67, 95% CI (1.5, 9.1)], Having Haemoglobin <11g/dl [AOR=3.77, 95%CI(1.84,7.72)], Imprisoned in the past 2 years [AOR=4.22, 95%CI(1.56, 11.37)], Living with TB patients in the same house [AOR=14.97, 95% CI(1.99, 21.63)] were factors associated with TB among HIV infected adults. Importantly, using Cotrimoxazole prophylaxis [AOR=0.193, 95% CI(0.81,0.46)] had a protective effect from acquiring TB. Conclusion and Recommendation: Being in old age, alcohol use, Chewing khat, Having CD4cells <200, Advanced WHO clinical stage, Hgb <11g/dl, Imprisoned in the past 2 years, History of previous TB and living with TB patients in the same house were factors associated with TB/HIV co-infection. Using Cotrimoxazole had a protective effect from acquiring TB/HIV co-infection. For most of these determinants interventions can be made at individual and institutional levels, whereas, some factors need societal level integrations.


2019 ◽  
Author(s):  
Yao Yin ◽  
Angela Chia-Chen Chen ◽  
Shaoping Wan ◽  
Hong Chen

Abstract Background The Liangshan Yi Autonomous Prefecture has one of the most serious human immunodeficiency virus (HIV) epidemics in China. Evidence shows HIV-related stigma toward people living with HIV (PLWH) among nurses impedes HIV prevention and treatment. However, only limited research about HIV-related stigma toward PLWH from the perspective of nurses in Liangshan has been conducted. This cross-sectional study aimed to assess HIV-related stigma toward PLWH among nurses and determine factors associated with it in Liangshan, China. Methods Using a stratified, random cluster sampling method, registered nurses (N=1,248; primary hospitals=102, secondary hospitals=592, tertiary hospitals=554) were recruited 10 hospitals in Liangshan. All participants completed an anonymous online survey measuring sociodemographic characteristics, HIV-related stigma and HIV knowledge. We used multiple stepwise regression analysis to examine factors associated with HIV-related stigma toward PLWH among these nurses. Results The mean score of HIV-related stigma among nurses was 50.7 (SD = 8.3; range 25-78). Nurses who were more experienced, had higher levels of education, and were working in tertiary hospitals reported higher level of HIV-related stigma. Those who had better HIV knowledge, reported a willingness to receive HIV-related training, were working in areas that had a high prevalence of HIV, had prior experience working in acquired immune deficiency syndrome (AIDS) specialized hospitals, and worked in hospitals that had policies to protect PLWH showed a lower level of HIV-related stigma toward PLWH. Conclusions Findings suggested that providing culturally congruent education and training about HIV and care, and having hospitals that promoted policies protecting PLWH, may reduce HIV-related stigma toward PLWH among nurses in China.


2020 ◽  
Author(s):  
Masanja Robert ◽  
Jim Todd ◽  
Bernard J Ngowi ◽  
Sia Msuya ◽  
Angella Ramadhani ◽  
...  

Abstract Background: Tuberculosis (TB) disease is a common opportunistic infection among people living with HIV (PLHIV). WHO recommends at least six months of isoniazid Preventive Therapy (IPT) to reduce the risk of active TB. It is important to monitor completion of IPT, as a suboptimal dose may not protect PLHIV from TB infection. This study determined IPT completion and its determinants among PLHIV aged 15 years or more in Dar es Salaam region, Tanzania. Methods: A Cross-sectional analytical study was conducted using secondary analysis of routine data from 58 care and treatment clinics in Dar es Salaam region. The study recruited clients who screened negative for TB symptoms and initiated IPT between January 2013 and June 2017. Modified Poisson regression model with robust standard errors were used to estimate prevalence ratios (PR) and 95% confidence interval (CI) for factors associated with IPT completion. Multilevel analysis was used to account the health facility random effects in order to estimate independent factors associated with IPT completion. Results : A total of 29,382 clients were initiated on IPT, with 21,808 (74%) female. Overall 17,092 (58%) completed IPT, increasing from 42% (773/1,857) in year 2013 to 76% (2,929/3,856) in 2017. Multilevel multivariable model accounting for health facility as clusters, found that clients with CD4 counts between 100 to 349 cells/ had 3% lower prevalence of IPT completion as compared to those with 100 cells/ (PR:0.97: 95%CI:0.94-1.01). Patients who were not on ART had 46% lower IPT completion compared to those were on ART (PR: 0.54: 95%CI: 0.45-0.64). There was lower IPT completion among clients who transferred to another clinic compared to those attended the same clinic where they were initiated IPT (PR: 0.63: 95% CI (0.54-0.74). Conclusion: IPT completion is low at care and treatment clinics although it increased over time. Lower IPT completion was seen in PLHIV with CD4 counts between 100 to 349 cells/ , those who transferred to other clinics and those not on ART. Thus it indicates the need for better IPT interventions with greater support PLHIV in those groups.


Author(s):  
Thu Ha Nguyen ◽  
◽  
Thi Ngoc Diep Huynh ◽  
Khanh Phuong Nguyen

To describe the situation and factors associated with the use of health insurance cards among people living with HIV/AIDS in Sa Dec city, Dong Thap province in 2019.A qualitative cross-sectional study combnied with a quantitative section were employed to describe the situation and factors associated with the use of health insurance cards among 210 people living with HIV/AIDS in Ward 1, 2 and 3 of Sa Dec city, Dong Thap province from March 2019 to December 2019.There were 125 people living with HIV/AIDS (59.5%) used health insurance cards during medical examination and treatment within the last 12 months. In which, only 5 people living with HIV/AIDS (4%) use health insurance cards for ARV treatment. The main reason for not using health insurance cards is self-discrimination (accounting for 83.5%). The study also found that many factors that belong to individuals, peer/family members and communication/education about health insurance are related to the proportion of people using health insurance cards in the past 12 months.The health sector and Provincial Social Security in Dong Thap need to be well-prepared for the upcoming transition period when the Global Fund no longer funding for ARV treatment. Besides, it is necessary to strengthen communication and education strategies to improve knowledge and reduce the issue of self-discrimination among people living with HIV/AIDS when using health insurance cards. Keywords: HIV/AIDS, social health insurance, treatment, ARV.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Mohammed A. Soghaier ◽  
Sayed Himatt ◽  
Kamal ElDin Osman ◽  
Somia I. Okoued ◽  
Osama E. Seidahmed ◽  
...  

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