Socio-Demographic, Economic and Clinical Predictors for HAART Adherence Competence in HIV-Positive Adults at Felege Hiwot Teaching and Specialized Hospital, North West Ethiopia

Awoke Seyoum Tegegne Department of Statistics, Bahir Dar University, Bahir Dar, EthiopiaCorrespondence: Awoke Seyoum TegegneDepartment of Statistics, Bahir Dar University, EthiopiaTel +251 918779451Email Bisrategebrail@yahoo.comBackground: Currently, around 36.7 million people in the world are livin...

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Autor principal:	Tegegne AS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	adherence haart adults socio-demographic economic clinical individual characteristics Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/203a7db920ba4c2fb0249f2b115e3851
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spelling	oai:doaj.org-article:203a7db920ba4c2fb0249f2b115e38512021-12-02T16:15:20ZSocio-Demographic, Economic and Clinical Predictors for HAART Adherence Competence in HIV-Positive Adults at Felege Hiwot Teaching and Specialized Hospital, North West Ethiopia1179-1373https://doaj.org/article/203a7db920ba4c2fb0249f2b115e38512021-07-01T00:00:00Zhttps://www.dovepress.com/socio-demographic-economic-and-clinical-predictors-for-haart-adherence-peer-reviewed-fulltext-article-HIVhttps://doaj.org/toc/1179-1373Awoke Seyoum Tegegne Department of Statistics, Bahir Dar University, Bahir Dar, EthiopiaCorrespondence: Awoke Seyoum TegegneDepartment of Statistics, Bahir Dar University, EthiopiaTel +251 918779451Email Bisrategebrail@yahoo.comBackground: Currently, around 36.7 million people in the world are living with HIV. Among these, 52% are living in sub-Saharan Africa. The main objective of this study was to identify socio-demographic economic and clinical factors associated with HAART adherence competence in successive visits among adult HIV patients after commencement of their treatment.Methods: A retrospective cohort study design was conducted on a random sample of 792 treatment attendants. The samples were selected using stratified random samples technique considering their residence area as strata. Secondary data were used in this study. Structural equation modeling (SEM) was applied to identify predictors of HAART adherence competence over time.Results: In this longitudinal study, factors affecting long-term HAART adherence competence in successive visits were identified. Among the predictors, marital status (mean = 3.97, variance = 0.6, p = 0.021), level of disclosure of the disease (mean = 6.24, variance = 0.29, p = 0.012), residence area (mean = 3.97, variance = 0.6, p = 0.021), level of education (mean = 2.04, variance= 0.81, p = 0.012), ownership of cell phone (mean = 2.99, variance = 0.68, p = 0.034), household income (mean = 6.37, variance = 0.53, p = 0.002), age of patients (mean = – 2.78, variance = 56.64, p = 0.023), sex of patients (mean = – 1.25, variance = 0.88, p = 0.036), weight (mean = – 2.89, 42.36, p = 0.001), initial CD4 cell count (mean = 2.57, variance = 158.48, p = 0.015) and WHO stages (mean = 2.37, variance = 0.78, p = 0.026) were directly associated with retention of medication care. On the other hand, medication care was significantly and independently associated with longitudinal adherence competence.Conclusion: The outcome variable in successive visits increased with the number of follow-up visits, but the rate of increase was different for different groups, such as urban and rural, and for those patients disclosing and not disclosing the disease to family members. An integrated health-related education should be given for non-adherent patients like rural residents, patients living without partners, patients with no cell phone and aged patients.Keywords: adherence, HAART, adults, socio-demographic, economic, clinical, individual characteristicsTegegne ASDove Medical Pressarticleadherencehaartadultssocio-demographiceconomicclinicalindividual characteristicsImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 749-758 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adherence haart adults socio-demographic economic clinical individual characteristics Immunologic diseases. Allergy RC581-607
spellingShingle	adherence haart adults socio-demographic economic clinical individual characteristics Immunologic diseases. Allergy RC581-607 Tegegne AS Socio-Demographic, Economic and Clinical Predictors for HAART Adherence Competence in HIV-Positive Adults at Felege Hiwot Teaching and Specialized Hospital, North West Ethiopia
description	Awoke Seyoum Tegegne Department of Statistics, Bahir Dar University, Bahir Dar, EthiopiaCorrespondence: Awoke Seyoum TegegneDepartment of Statistics, Bahir Dar University, EthiopiaTel +251 918779451Email Bisrategebrail@yahoo.comBackground: Currently, around 36.7 million people in the world are living with HIV. Among these, 52% are living in sub-Saharan Africa. The main objective of this study was to identify socio-demographic economic and clinical factors associated with HAART adherence competence in successive visits among adult HIV patients after commencement of their treatment.Methods: A retrospective cohort study design was conducted on a random sample of 792 treatment attendants. The samples were selected using stratified random samples technique considering their residence area as strata. Secondary data were used in this study. Structural equation modeling (SEM) was applied to identify predictors of HAART adherence competence over time.Results: In this longitudinal study, factors affecting long-term HAART adherence competence in successive visits were identified. Among the predictors, marital status (mean = 3.97, variance = 0.6, p = 0.021), level of disclosure of the disease (mean = 6.24, variance = 0.29, p = 0.012), residence area (mean = 3.97, variance = 0.6, p = 0.021), level of education (mean = 2.04, variance= 0.81, p = 0.012), ownership of cell phone (mean = 2.99, variance = 0.68, p = 0.034), household income (mean = 6.37, variance = 0.53, p = 0.002), age of patients (mean = – 2.78, variance = 56.64, p = 0.023), sex of patients (mean = – 1.25, variance = 0.88, p = 0.036), weight (mean = – 2.89, 42.36, p = 0.001), initial CD4 cell count (mean = 2.57, variance = 158.48, p = 0.015) and WHO stages (mean = 2.37, variance = 0.78, p = 0.026) were directly associated with retention of medication care. On the other hand, medication care was significantly and independently associated with longitudinal adherence competence.Conclusion: The outcome variable in successive visits increased with the number of follow-up visits, but the rate of increase was different for different groups, such as urban and rural, and for those patients disclosing and not disclosing the disease to family members. An integrated health-related education should be given for non-adherent patients like rural residents, patients living without partners, patients with no cell phone and aged patients.Keywords: adherence, HAART, adults, socio-demographic, economic, clinical, individual characteristics
format	article
author	Tegegne AS
author_facet	Tegegne AS
author_sort	Tegegne AS
title	Socio-Demographic, Economic and Clinical Predictors for HAART Adherence Competence in HIV-Positive Adults at Felege Hiwot Teaching and Specialized Hospital, North West Ethiopia
title_short	Socio-Demographic, Economic and Clinical Predictors for HAART Adherence Competence in HIV-Positive Adults at Felege Hiwot Teaching and Specialized Hospital, North West Ethiopia
title_full	Socio-Demographic, Economic and Clinical Predictors for HAART Adherence Competence in HIV-Positive Adults at Felege Hiwot Teaching and Specialized Hospital, North West Ethiopia
title_fullStr	Socio-Demographic, Economic and Clinical Predictors for HAART Adherence Competence in HIV-Positive Adults at Felege Hiwot Teaching and Specialized Hospital, North West Ethiopia
title_full_unstemmed	Socio-Demographic, Economic and Clinical Predictors for HAART Adherence Competence in HIV-Positive Adults at Felege Hiwot Teaching and Specialized Hospital, North West Ethiopia
title_sort	socio-demographic, economic and clinical predictors for haart adherence competence in hiv-positive adults at felege hiwot teaching and specialized hospital, north west ethiopia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/203a7db920ba4c2fb0249f2b115e3851
work_keys_str_mv	AT tegegneas sociodemographiceconomicandclinicalpredictorsforhaartadherencecompetenceinhivpositiveadultsatfelegehiwotteachingandspecializedhospitalnorthwestethiopia
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Socio-Demographic, Economic and Clinical Predictors for HAART Adherence Competence in HIV-Positive Adults at Felege Hiwot Teaching and Specialized Hospital, North West Ethiopia

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