Adherence to antiretroviral treatment and associated factors in people living with HIV/AIDS in Quindío, Colombia

Introduction: HIV/AIDS is a chronic disease; therefore, recognizing which factors favor adherence to antiretroviral treatment is necessary. Objective: To determine the association between adherence to antiretroviral treatment and depression, anxiety, perception of social support and sociodemographic...

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Bibliographic Details
Main Authors: Deisy Viviana Cardona-Duque, Oscar Adolfo Medina-Pérez, Sandra Milena Herrera-Castaño, Paula Andrea Orozco-Gómez
Format: Article
Language:English
Published: Universidad Nacional de Colombia 2017-07-01
Series:Revista de la Facultad de Medicina
Subjects:
Online Access:https://revistas.unal.edu.co/index.php/revfacmed/article/view/55535
Description
Summary:Introduction: HIV/AIDS is a chronic disease; therefore, recognizing which factors favor adherence to antiretroviral treatment is necessary. Objective: To determine the association between adherence to antiretroviral treatment and depression, anxiety, perception of social support and sociodemographic variables in people living with HIV/AIDS in Quindío, Colombia. Materials and methods: An observational, cross-sectional study was performed in an intentional sample of 70 adults, who were applied the Morisky-Green questionnaire, the Beck Depression Inventory, the Beck Anxiety Inventory, the Medical Outcomes Study (MOS) Social Support Survey, and a sociodemographic survey. Univariate and bivariate analyzes were performed by calculating the odds ratio to determine association (p<0.05). Results: 57.1% of the participants reported low adherence to treatment, 30% had moderate or severe depressive symptoms, 71.4% scored minimal or mild anxiety levels, and 77.1% had a low perception of social support. A statistical association between depression (high levels tripled the risk of non-adherence) and self-report on how treatment is followed (excellent or good self-report increased by five times the probability of adherence) was found. Conclusion: Depression and self-report on compliance were associated with adherence to antiretroviral therapy. A comprehensive study on the perception of social support and cognitive variables, such as self-efficacy and risk perception, is highly recommended for people living with HIV/AIDS.
ISSN:0120-0011
2357-3848