All Issues >> 2017 >> Issue-12


Study of Socio Demographic Predictors of Adherence of Anti Retroviral Therapy (ART) among HIV Positive Patients – A Case Control Study

Author:Bhautik P Modi, Vaibhav Gharat, Prakash Patel, Sunil Nayak, Rachna Prasad, R K Bansal

Keywords:Anti-Retroviral Therapy (ART), Adherence, Pill count, Disclosure, Counselling

Type:Original Article

Abstract:"Introduction: After starting free Anti Retroviral Therapy (ART) in India, challenge has changed from gaining access to taking the treatment correctly and consistently in order to realize the rewards of im-proved health status, and reduced morbidity and mortality from HIV. This study was aimed to identify of socio-demographic risk factors responsible for non-adherence to ART. Methodology: This Case Control Study was conducted at ART centre where all patients with poor adherence percentage i.e. ? 95% of Treatment Adherence were denoted as ‘Case’ and good adherence percentage i.e. > 95% of Treatment Adherence were denoted as ‘Control’. The ‘Pill Count method’ was used to measure the adherence level. Results: Mean age of 104 cases and 208 unmatched controls was 36.29 years and 39.21 years respectively (p <0.05). Females were more common among cases than controls. Total 15.4% of cases and 7.7% of controls were from the rural area (OR: 2.18 (1.04 - 4.56) and p-Value < 0.05). Post-test counselling was not done in 10% of cases and 4% of controls. [OR: 2.66 (1.02 - 6.96)& p-Value < 0.05]. Conclusion: Poor adherence was more in younger, female, rural residence, low family income, disclosure of HIV positive status and patients undergone post test counselling.