scholarly journals Antiretroviral Therapy and Retention in Care Experiences and Needs of Adolescents Living with HIV in Southern Ethiopia

2021 ◽  
Vol Volume 13 ◽  
pp. 999-1007
Author(s):  
Abayneh Tunje ◽  
Degu Jerene ◽  
Inger Kristensson Hallström
Keyword(s):  
Antiretroviral Therapy ◽  
Retention In Care ◽  
Southern Ethiopia ◽  
Living With Hiv

scholarly journals Adherence to antiretroviral therapy and retention in care for adolescents living with HIV from 10 districts in Uganda

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Nicolette Nabukeera-Barungi ◽  
Peter Elyanu ◽  
Barbara Asire ◽  
Cordelia Katureebe ◽  
Ivan Lukabwe ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Retention In Care ◽  
Living With Hiv

scholarly journals Pilot study of a multi-pronged intervention using social norms and priming to improve adherence to antiretroviral therapy and retention in care among adults living with HIV in Tanzania

PLoS ONE ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. e0177394 ◽  
Author(s):  
Sandra I. McCoy ◽  
Carolyn Fahey ◽  
Aarthi Rao ◽  
Ntuli Kapologwe ◽  
Prosper F. Njau ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Pilot Study ◽  
Social Norms ◽  
Retention In Care ◽  
Living With Hiv

scholarly journals Overview of systematic reviews on strategies to improve treatment initiation, adherence to antiretroviral therapy and retention in care for people living with HIV: part 1

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e034793
Author(s):  
Lawrence Mbuagbaw ◽  
Anisa Hajizadeh ◽  
Annie Wang ◽  
Dominik Mertz ◽  
Daeria O Lawson ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Vulnerable Populations ◽  
Systematic Reviews ◽  
Retention In Care ◽  
Research Quality ◽  
Cochrane Library ◽  
People Living With Hiv ◽  
Community Based ◽  
Overview Of Systematic Reviews ◽  
Living With Hiv

ObjectivesWe sought to map the evidence and identify interventions that increase initiation of antiretroviral therapy, adherence to antiretroviral therapy and retention in care for people living with HIV at high risk for poor engagement in care.MethodsWe conducted an overview of systematic reviews and sought for evidence on vulnerable populations (men who have sex with men (MSM), African, Caribbean and Black (ACB) people, sex workers (SWs), people who inject drugs (PWID) and indigenous people). We searched PubMed, Excerpta Medica dataBASE, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Web of Science and the Cochrane Library in November 2018. We screened, extracted data and assessed methodological quality in duplicate and present a narrative synthesis.ResultsWe identified 2420 records of which only 98 systematic reviews were eligible. Overall, 65/98 (66.3%) were at low risk of bias. Systematic reviews focused on ACB (66/98; 67.3%), MSM (32/98; 32.7%), PWID (6/98; 6.1%), SWs and prisoners (both 4/98; 4.1%). Interventions were: mixed (37/98; 37.8%), digital (22/98; 22.4%), behavioural or educational (9/98; 9.2%), peer or community based (8/98; 8.2%), health system (7/98; 7.1%), medication modification (6/98; 6.1%), economic (4/98; 4.1%), pharmacy based (3/98; 3.1%) or task-shifting (2/98; 2.0%). Most of the reviews concluded that the interventions effective (69/98; 70.4%), 17.3% (17/98) were neutral or were indeterminate 12.2% (12/98). Knowledge gaps were the types of participants included in primary studies (vulnerable populations not included), poor research quality of primary studies and poorly tailored interventions (not designed for vulnerable populations). Digital, mixed and peer/community-based interventions were reported to be effective across the continuum of care.ConclusionsInterventions along the care cascade are mostly focused on adherence and do not sufficiently address all vulnerable populations.

scholarly journals Measuring and explaining inequality of continuous care for people living with HIV receiving antiretroviral therapy in Kunming, China

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251252
Author(s):  
Yongmei Jin ◽  
Sawitri Assanangkornchai ◽  
Yingrong Du ◽  
Jun Liu ◽  
Jingsong Bai ◽  
...  
Keyword(s):  
Mental Health ◽  
Antiretroviral Therapy ◽  
Health Assessment ◽  
Retention In Care ◽  
People Living With Hiv ◽  
Mental Health Assessment ◽  
Continuous Care ◽  
The Rich ◽  
Living With Hiv ◽  
Virological Monitoring

Background In the context of scaling up free antiretroviral therapy (ART), healthcare equality is essential for people living with HIV. We aimed to assess socioeconomic-related inequalities in uptake of continuous care for people living with HIV receiving ART, including retention in care in the last six months, routine toxicity monitoring, adequate immunological and virological monitoring, and uptake of mental health assessment in the last 12 months. We also determined the contributions of socioeconomic factors to the degree of inequalities. Methods A hospital-based cross-sectional survey was conducted among consecutive clients visiting an HIV treatment center in Kunming, China in 2019. Participants were 702 people living with HIV aged ≥18 years (median age: 41.0 years, 69.4% male) who had been on ART for 1–5 years. Socioeconomic-related inequality and its contributing factors were assessed by a normalized concentration index (CIn) with a decomposition approach. Results The uptake of mental health assessment was low (15%) but significantly higher among the rich (CIn 0.1337, 95% CI: 0.0140, 0.2534). Retention in care, toxicity, and immunological monitoring were over 80% but non-significant in favor of the rich (CIn: 0.0117, 0.0315, 0.0736, respectively). The uptake of adequate virological monitoring was 15% and higher among the poor (CIn = -0.0308). Socioeconomic status positively contributed to inequalities of all care indicators, with the highest contribution for mental health assessment (124.9%) and lowest for virological monitoring (2.7%). Conclusions These findings suggest virological monitoring and mental health assessment be given more attention in long-term HIV care. Policies allocating need-oriented resources geared toward improving equality of continuous care should be developed.

scholarly journals Strategies to improve adherence to antiretroviral therapy and retention in care for people living with HIV in high-income countries: a protocol for an overview of systematic reviews

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022982 ◽  
Author(s):  
Lawrence Mbuagbaw ◽  
Dominik Mertz ◽  
Daeria O Lawson ◽  
Marek Smieja ◽  
Anita C Benoit ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
High Risk ◽  
Systematic Reviews ◽  
Retention In Care ◽  
High Income ◽  
Cochrane Library ◽  
People Living With Hiv ◽  
Adherence To Medication ◽  
Overview Of Systematic Reviews ◽  
Living With Hiv

IntroductionWhile access to antiretroviral therapy (ART) for people living with HIV has expanded in recent years, additional efforts are required to support adherence to medication and retention in care. Interventions should be applicable in real-world settings and amenable to widespread use. The objectives of this overview are to identify effective pragmatic interventions that increase adherence to ART and retention in care for people living with HIV at high risk for suboptimal adherence and retention in high-income countries.Methods and analysisWe will conduct an overview of systematic reviews of studies on interventions which target improved adherence to medication and retention in care among high-risk people living with HIV in high-income countries (men who have sex with men, African, Caribbean and black people, sex workers, people who inject drugs, indigenous people and other socially marginalised groups). We will search the following databases: PubMed, EMBASE (Exerpta Medica Database), CINAHL (Cumulative Index to Nursing and Allied Health Literature), PsycINFO, Web of Science and the Cochrane Library. We will conduct screening, data extraction and assessment of methodological quality of the systematic reviews. Analysis will be narrative. Our findings will be interpreted in light of the certainty of the evidence, level of pragmatism, setting and population of interest.Ethics and disseminationOnly published secondary data will be used in this study, and therefore ethics approval is not required. Our findings will be disseminated as peer-reviewed manuscripts, conference abstracts and through community activities. The findings from this overview will inform a mixed-methods study among people living with HIV and health workers in Ontario, Canada.

Metabolic Syndrome in HIV-patients in Antiretroviral Therapy

2020 ◽  
Vol 18 (6) ◽  
pp. 388-395
Author(s):  
Daniel Vargas-Pacherrez ◽  
Helma P. Cotrim ◽  
Leonardo Pires ◽  
Vitor Cunha ◽  
Vitor Coelho ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Antiretroviral Therapy ◽  
International Diabetes Federation ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Anthropometric Data ◽  
Cross Sectional ◽  
History Of ◽  
Family History Of Hypertension ◽  
Living With Hiv

Introduction: The global prevalence of metabolic syndrome (MS) among people living with HIV/AIDS varies from 20% to 33%. Objective: to estimate the prevalence of metabolic syndrome and associated factors in a group of HIV-infected patients on antiretroviral therapy. Methods: This is a cross-sectional study with HIV-infected patients from a reference center in Bahia, Brazil. We evaluated clinical, socio-demographic and anthropometric data. MS was defined according to the guidelines of International Diabetes Federation. Results: We evaluated 152 patients with mean age of 47.3±11.6 years, 59.2% male. The main comorbidities detected were diabetes (3.3%) hypertriglyceridemia (9.3%) and metabolic syndrome (MS,38.2%). Patients with MS were predominantly women (55.2% vs 31.9%; p=0.005), older [52.1 (10.4) vs 44.3 (11.3); p<0.001], and had overweight (74.1% vs 23.4%; p<0.001). After multivariate analysis MS remained associated with age (OR = 1.076; 95% CI: 1.030 – 1.125), female sex (OR = 2.452; 95% CI: 1.114 – 5.374) and family history of hypertension (OR = 3.678; 95% CI: 1.431 – 9.395). Conclusion: Almost half of the HIV-infected patients in Bahia presents with MS which seems to be driven by classical risk factors.

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