Abstract

URIZAR, César A. et al. FACTORS ASSOCIATED WITH NON-ADHERENCE TO ANTIRETROVIRAL TREATMENT IN A HOSPITAL OF PARAGUAY. Rev Cient Cienc Méd [online]. 2020, vol.23, n.2, pp.166-174. ISSN 1817-7433.

Background: Highly active antiretroviral therapy (HAART) is the basis of treatment for patients with human immunodeficiency virus (HIV) infection and, today, the main concern regarding HIV control is effective adherence to treatment, for effective treatment and appropriate evaluation of therapeutic regimens in order to carry out corrective and strategic measures. Aim: Identify the associated factors to the lack of adherence to antiretroviral treatment in HIV patients that attend to the National Hospital of Itauguá on September 2016 Methods: Observational and analytical study, transverse cut, non-probabilistic sampling of consecutive cases. The study included 42 HIV patients under antiretroviral treatment of the Itaugua National Hospital. It used a demographic questionnaire and the SMAQ test to evaluate the treatment adherence. For data analysis, it was used Odd Ratio and p<0,05 was considered as significant. Results: 36 patients (86%) showed non-adherence to their treatment. It was found a significant association with adverse effects presence (OR: 8.29, IC95%: 1.25-54.71, p=0.044) and forgetting to take their medicine on weekends (OR:28.82, IC95%: I.45-556.I, p=0.003). Conclusion: The rate of non-adherence to antiretroviral treatment in patients was high, and the associated factors were the presence of adverse effects and forgetting to take the medication on weekends.

Keywords : Medication Adherence; Treatment Refusal; HIV.

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