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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Adherence as a predictor of sexual behaviors in people living with HIV/AIDS during the first year of antiretroviral therapy in rural cameroon: Data from stratall ANRS 12110/esther trial
PLoS ONE, Volume 7, No. 6, Article e36118, Year 2012
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Description
Objective: This study aims to investigate the time pattern of inconsistence condom use (ICU) during the first year of antiretroviral therapy (ART) and its relationship with treatment adherence in naïve HIV-infected adult patients. Methods: Data collection was nested within a longitudinal trial on HIV treatment. ICU was defined as reporting to have "never", "sometimes" or "nearly always" used condoms with one's main or casual partner(s) - either HIV-negative or of unknown HIV status in the three previous months. Adherence was defined as taking 100% of their ART prescribed doses in the 4 days before the visit and "not having interrupted treatment", even once, for more than two consecutive days during the 4 previous weeks. Mixed logistic regression was used to study the relationship between adherence and ICU. Results: Among the 459 patients enrolled, 212 (46%) during 334 visits reported to have had sexual intercourse at least once with their partner(s) - either HIV-negative or of unknown HIV status- during the first 12 months of ART. The proportion of ICU was 76%, 50% and 59% at month 0 (M0), month 6 (M6) and month 12 (M12), while 60% and 66% of patients were ART-adherent at M6 and M12, respectively. After adjustment for the frequency of sexual activity, type of sexual partner(s), perceived social class and desire for a child, patients adherent to ART were less likely to report ICU when compared with baseline (AOR [95% CI]: 0.38 [0.19-0.76]; P = 0.006). Conclusions: Adherence to ART is associated with a lower risk of ICU but this result needs to be interpreted carefully. As adherence behaviors are not only determined by problems with the healthcare systems but also by social barriers encountered by patients in their daily life, counseling should not only be ART adherence-centered but also patient-centered, including sexual risk minimization and psychosocial support. © 2012 Ndziessi et al.
Authors & Co-Authors
Ndziessi, Gilbert
France, Marseille
Sciences Economiques et Sociales de la Santé et Traitement de L'information Médicale
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
Boyer, Sylvie
France, Marseille
Sciences Economiques et Sociales de la Santé et Traitement de L'information Médicale
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
Kouanfack, Charles
Cameroon, Yaounde
Central Hospital of Yaounde Fmbs
Cohen, Julien
France, Marseille
Sciences Economiques et Sociales de la Santé et Traitement de L'information Médicale
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
Marcellin, Fabienne
France, Marseille
Sciences Economiques et Sociales de la Santé et Traitement de L'information Médicale
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
France, Paris
Inserm
Moatti, Jean Paul
France, Marseille
Sciences Economiques et Sociales de la Santé et Traitement de L'information Médicale
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
Delaporte, Éric
France, Montpellier
Ird Centre de Montpellier
France, Montpellier
Centre Hospitalier Universitaire de Montpellier
Spire, Bruno
France, Marseille
Sciences Economiques et Sociales de la Santé et Traitement de L'information Médicale
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
Laurent, Christian
France, Montpellier
Ird Centre de Montpellier
Carrieri, Patrizia
France, Marseille
Sciences Economiques et Sociales de la Santé et Traitement de L'information Médicale
France, Marseille
Aix Marseille Université
France, Marseille
Observatoire Regional de la Sante Provence-alpes-cote D'azur
Biwolé-Sida, Magloire
Cameroon, Yaounde
Central Hospital of Yaounde Fmbs
Koulla-Shiro, Sinata
Cameroon, Yaounde
Central Hospital of Yaounde Fmbs
Antyimi, P.
Cameroon, Yaounde
District Hospital
Bella Mbatonga, S.
Cameroon, Yaounde
District Hospital
Bikomo, M.
Cameroon, Yaounde
District Hospital
Molo Bodo, Y.
Cameroon, Yaounde
District Hospital
Ndi Ntang, S.
Cameroon, Yaounde
District Hospital
Ndoudoumou, P.
Cameroon, Yaounde
District Hospital
Ndzomo, L.
Cameroon, Yaounde
District Hospital
Ngolo, S. O.
Cameroon, Yaounde
District Hospital
Nkengue, M.
Cameroon, Yaounde
District Hospital
Nkoa,
Cameroon, Yaounde
District Hospital
Tchinda, Y.
Cameroon, Yaounde
District Hospital
Bourgeois, Anke
France, Montpellier
Ird Centre de Montpellier
Delaporte, Éric
France, Montpellier
Ird Centre de Montpellier
Laurent, Christian
France, Montpellier
Ird Centre de Montpellier
Peeters, Martine F.
France, Montpellier
Ird Centre de Montpellier
Laborde-Balen, Gabriéle
Cameroon, Yaounde
French Ministry of Foreign Affairs
Dontsop, M.
Cameroon, Yaounde
Institut de Recherche Pour le Developpement Cameroon
Kazé, S.
Cameroon, Yaounde
Institut de Recherche Pour le Developpement Cameroon
Mben, Jean Marc
Cameroon, Yaounde
Institut de Recherche Pour le Developpement Cameroon
Aghokeng, Avelin Fobang
Cameroon, Yaounde
Institute of Medical Research and Medicinal Plant Studies Yaounde
Edoul, M. G.
Cameroon, Yaounde
Institute of Medical Research and Medicinal Plant Studies Yaounde
Mpoudi-Ngolé, Eitel
Cameroon, Yaounde
Institute of Medical Research and Medicinal Plant Studies Yaounde
Tongo, Marcel
Cameroon, Yaounde
Institute of Medical Research and Medicinal Plant Studies Yaounde
Boyer, S.
France, Paris
Inserm
Carrieri, Maria Patrizia
France, Paris
Inserm
Moatti, Jean Paul
France, Paris
Inserm
Spire, Bruno
France, Paris
Inserm
Abé, Claude
Cameroon, Yaounde
Catholic University of Central Africa
Abega, Sévérin Cécile
Cameroon, Yaounde
Catholic University of Central Africa
Bonono, Cécile Rénée
Cameroon, Yaounde
Catholic University of Central Africa
Mimcheu, H.
Cameroon, Yaounde
Catholic University of Central Africa
Ngo Yebga, S.
Cameroon, Yaounde
Catholic University of Central Africa
Paul Bile, C.
Cameroon, Yaounde
Catholic University of Central Africa
Abada, S.
Cameroon, Yaounde
District Hospital
Abanda, T.
Cameroon, Yaounde
District Hospital
Baga, J.
Cameroon, Yaounde
District Hospital
Bilobi Fouda, P.
Cameroon, Yaounde
District Hospital
Etong Mve, P.
Cameroon, Yaounde
District Hospital
Fetse Tama, G.
Cameroon, Yaounde
District Hospital
Kemo, H.
Cameroon, Yaounde
District Hospital
Ongodo, A.
Cameroon, Yaounde
District Hospital
Tadewa, V.
Cameroon, Yaounde
District Hospital
Voundi, H. D.
Cameroon, Yaounde
District Hospital
Ambani, Annie Estelle
Cameroon, Yaounde
District Hospital
Atangana, M.
Cameroon, Yaounde
District Hospital
Biaback, J. C.
Cameroon, Yaounde
District Hospital
Kennedy, M.
Cameroon, Yaounde
District Hospital
Kibedou, H.
Cameroon, Yaounde
District Hospital
Kounga, F.
Cameroon, Yaounde
District Hospital
Maguip Abanda, M.
Cameroon, Yaounde
District Hospital
Mamang, E.
Cameroon, Yaounde
District Hospital
Mikone, A.
Cameroon, Yaounde
District Hospital
Tang, S.
Cameroon, Yaounde
District Hospital
Tchuangue, E.
Cameroon, Yaounde
District Hospital
Tchuenko, S.
Cameroon, Yaounde
District Hospital
Yakan, D.
Cameroon, Yaounde
District Hospital
Assandje, J.
Cameroon, Yaounde
District Hospital
Ebana, S.
Cameroon, Yaounde
District Hospital
Ebo'o, D.
Cameroon, Yaounde
District Hospital
Etoundi, D.
Cameroon, Yaounde
District Hospital
Ngama, G.
Cameroon, Yaounde
District Hospital
Mbarga Ango, P.
Cameroon, Yaounde
District Hospital
Mbezele, J.
Cameroon, Yaounde
District Hospital
Mbong, G.
Cameroon, Yaounde
District Hospital
Moung, C.
Cameroon, Yaounde
District Hospital
Ekotto, N.
Cameroon, Yaounde
District Hospital
Nguemba Balla, G.
Cameroon, Yaounde
District Hospital
Ottou, G.
Cameroon, Yaounde
District Hospital
Tigougmo, M.
Cameroon, Yaounde
District Hospital
Beyala, R.
Cameroon, Yaounde
District Hospital
Ebene, B.
Cameroon, Yaounde
District Hospital
Effemba, C.
Cameroon, Yaounde
District Hospital
Eyebe, F.
Cameroon, Yaounde
District Hospital
Hadjaratou, M. M.
Cameroon, Yaounde
District Hospital
Mbarga, T.
Cameroon, Yaounde
District Hospital
Metou, M.
Cameroon, Yaounde
District Hospital
Ndam, Mariama
Cameroon, Yaounde
District Hospital
Ngoa, B.
Cameroon, Yaounde
District Hospital
Ngock, E. B.
Cameroon, Yaounde
District Hospital
Obam, N.
Cameroon, Yaounde
District Hospital
Abomo, A. M.
Cameroon, Yaounde
District Hospital
Angoula, G.
Cameroon, Yaounde
District Hospital
Ekassi, E.
Cameroon, Yaounde
District Hospital
Essama,
Cameroon, Yaounde
District Hospital
Lentchou, J. J.
Cameroon, Yaounde
District Hospital
Mvilongo, I.
Cameroon, Yaounde
District Hospital
Statistics
Citations: 98
Authors: 98
Affiliations: 12
Identifiers
Doi:
10.1371/journal.pone.0036118
e-ISSN:
19326203
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cohort Study
Grounded Theory
Study Locations
Cameroon