Follow-up management and adherence to antiretroviral therapy among people living with HIV/AIDS in Changsha City
YU Yang1, PENG Bi-hua2, HUANG Zhu-lin3, CHEN Xi4, WANG Min5, LUO Dan1
1. Xiangya School of Public Health, Central South University, Changsha, Hunan 410078, China; 2. Xiangya Hospital, Central South University, Changsha, Hunan 410008, China; 3. Changsha Municipal Center for Disease Control and Prevention, Changsha, Hunan 410004, China; 4. Hunan Provincial Center for Disease Control and Prevention, Changsha, Hunan 410005, China; 5. Institute for AIDS, the First Hospital of Changsha City, Changsha, Hunan 430100, China
Abstract：Objective To investigate the current status and related factors of follow-up management and adherence to antiretroviral therapy among HIV-infected/AIDS patients in Changsha City. Methods HIV-infected/AIDS patients who received antiretroviral therapy between March 1, 2013 and August 31, 2015 (the duration of treatment was 3-6 months) were selectedfrom Changsha Municipal Center for Disease Control and Prevention and HIV/AIDS designated hospitals in Changsha City to serve as continuous study subjects, and a total of 207 participants were enrolled. Community Programs for Clinical Research on AIDS Antiretroviral Medication Self-Report Questionnaire and the General Information Questionnaire were used to assess the levels of medication adherence. The data regarding CD4 detection Results and regular follow-up were extracted from the Comprehensive AIDS Prevention and Control Information System. Results Among the 207 participants, the rates of adherence to follow-up management, dosage of antiretroviral medication and follow-up management & medication were 96.6%, 87.0% and 75.4% respectively. Multivariate logistic analysis showed that patients with stable job (OR=2.30, 95%CI:1.06-4.98) and patients with combined therapeutic regimens (OR=5.49, 95%CI:2.15-14.02) had poor adherence. Conclusions The adherence to follow-up management in HIV-infected/AIDS patients in Changsha City is good, but their medication compliance needs to be improved; and hence, it is necessary to timely provide medication guidance and psychological support among them.
余阳, 彭碧华, 黄竹林, 陈曦, 王敏, 罗丹. 长沙市HIV感染者/AIDS病人对随访管理及治疗服务依从性调查[J]. 实用预防医学, 2019, 26(1): 22-25.
YU Yang, PENG Bi-hua, HUANG Zhu-lin, CHEN Xi, WANG Min, LUO Dan. Follow-up management and adherence to antiretroviral therapy among people living with HIV/AIDS in Changsha City. , 2019, 26(1): 22-25.
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2019, Vol. 26 
