摩洛哥beni - mal - khenifra地区艾滋病毒感染者抗逆转录病毒治疗依从性及其相关因素的评估

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Clinical Epidemiology and Global Health Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI:10.1016/j.cegh.2024.101872
Benaddi Mina , Sabour Alaoui Sanaa , Benksim Abdelhafid
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引用次数: 0

摘要

背景:人类免疫缺陷病毒(HIV)作为一种慢性感染的管理涉及抗逆转录病毒治疗(ART)的最佳依从性,这是由文献中目前提到的几个因素决定的。本研究旨在描述Beni-Mellal-Khenifra地区艾滋病毒感染者(PLHIV)对抗逆转录病毒治疗的依从性及其相关因素。材料与方法对2022年2月至7月在摩洛哥贝尼-梅拉尔地区医院就诊的160例艾滋病病毒感染者进行了横断面研究。参与者采用非概率抽样收集。采用简化药物依从性问卷(SMAQ)评估抗逆转录病毒治疗依从性。参与者的社会人口学和临床特征通过访谈者管理的问卷调查和医疗记录的咨询收集。采用二项logistic回归确定影响ART依从性的潜在因素。p <;0.05.结果hiv感染者抗逆转录病毒治疗依从率为73.1%。数据分析显示,与抗逆转录病毒治疗相关的因素为:治疗患者教育(OR = 0.217;95%CI[0.049-0.955])、治疗方案(OR = 0.155;95%CI[0.026-0.923])和病毒载量(OR = 0.43;95%ci =[0.007-0.284])。结论卫生策略应注重治疗性患者教育项目,并鼓励制药企业尽量减少抗逆转录病毒治疗方案的复杂性。
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Assessment of adherence to antiretroviral therapy and its related factors among people living with HIV in the region of Beni-Mellal-Khenifra, Morocco

Background

The management of the human immunodeficiency virus (HIV) as a chronic infection involves an optimal adherence to antiretroviral therapy (ART), which is determined by several factors as currently mentioned in the literature. This study aimed to describe the adherence to antiretroviral therapy among people living with HIV (PLHIV) and its related factors in the region of Beni-Mellal-Khenifra.

Materials and methods

A cross-sectional study was conducted on 160 PLHIV and attending the regional hospital of Beni-Mellal, Morocco between February and July 2022. Participants were collected using a non-probabilistic sampling. The adherence to ART was assessed using the simplified medication adherence questionnaire (SMAQ). The sociodemographic and clinical characteristics of the participants were collected through an interviewer-administered questionnaire and consultation of medical records. Binominal logistic regression was used to determine potential factors influencing the adherence to ART. Statistical significance was set at p < 0.05.

Results

the adherence rate to ART among PLHIV was of 73.1 %. The data analysis revealed the associated factors to antiretroviral therapy to be: therapeutic patient education (OR = 0.217; 95%CI [0.049–0.955]), treatment regimen (OR = 0.155; 95%CI [0.026–0.923]), and viral load (OR = 0.43; 95%CI = [0.007–0.284]).

Conclusion

the health strategies should focus on therapeutic patient education programs, and encourage drug industry to minimize the complexity of ART regimens.
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来源期刊
Clinical Epidemiology and Global Health
Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.60
自引率
7.70%
发文量
218
审稿时长
66 days
期刊介绍: Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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