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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Adherence to antiretroviral treatment in HIV-positive patients in the Cameroon context: Promoting the use of medication reminder methods
Journal of Acquired Immune Deficiency Syndromes, Volume 57, No. SUPPL. 1, Year 2011
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Description
Objectives: Antiretroviral treatment (ART) scale-up in sub-Saharan Africa has made it possible to investigate the maintenance of adherence to HIV medications. We describe here adherence to ART and identify its correlates in the Cameroonian context. Design: Prospective cohort study in 9 rural district hospitals. Methods A mixed logistic regression model was used to identify factors associated with adherence to ART in 401 patients with data prospectively collected on adherence. Results: Although 73% of patients were adherent after the first month on ART, this proportion decreased to 61% after 24 months. After adjustment for known factors of adherence to ART (such as knowledge, motivation and side-effects), patients who reported willingness to start ART before initiation, those who were satisfied with information provided by their physicians, and those who implemented reminder methods for ART intake {eg, using an alarm clock, mobile phone, or watch [odds ratio (95% confidence interval)] = 2.45 (1.58 to 3.79), but also the help of a relative to remind them or other methods} were more likely to be adherent to ART. Conclusions: Besides highlighting some correlates already known to have an impact on adherence to ART, our findings also underline the need to reinforce the counseling component of follow-up through innovative methods. Accordingly, training and implementation research should encourage the use of medication reminder methods, such as mobile phones, to assure adherence over time and improve long-term response to ART. Copyright © 2011 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Perrine, Roux
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
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
Delaporte, Éric
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
Laurent, Christian
France, Montpellier
Ird Centre 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
Statistics
Citations: 41
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.1097/QAI.0b013e318222b5c2
ISSN:
15254135
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Case-Control Study
Study Approach
Quantitative
Study Locations
Cameroon