Patient and Regimen Characteristics Associated with Self-Reported Nonadherence to Antiretroviral Therapy 英文参考文献.docVIP
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Patient and Regimen Characteristics Associated with Self-Reported Nonadherence to Antiretroviral Therapy 英文参考文献
PatientandRegimenCharacteristicsAssociatedwith
Self-ReportedNonadherencetoAntiretroviralTherapy
PatrickS.Sullivan*,MichaelL.Campsmith,GlennV.Nakamura,ElinB.Begley,JeffreySchulden,AllynK.Nakashima
CentersforDiseaseControlandPrevention,Atlanta,Georgia,UnitedStatesofAmerica
Background.Nonadherencetoantiretroviraltherapy(ARVT)isanimportantbehavioraldeterminantofthesuccessofARVT.
Nonadherence mayleadtovirological failure, andincreases theriskofdevelopmentofdrugresistance.Understanding the
prevalenceofnonadherenceandassociatedfactorsisimportanttoinformsecondaryHIVpreventionefforts.Methodology/
PrincipalFindings.Weuseddatafromacross-sectionalinterviewstudyofpersonswithHIVconductedin18U.S.statesfrom
2000–2004.Wecalculatedtheproportionofnonadherentrespondents(took,95%ofprescribeddosesinthepast48hours),
and the proportion of doses missed. We used multivariate logistic regression to describe factors associated with
nonadherence. Nine hundred and fifty-eight (16%) of 5,887 respondents reported nonadherence. Nonadherence was
significantly (p,0.05) associated with black race and Hispanic ethnicity; age ,40years; alcohol or crack use in the prior
12months;beingprescribed$4medications;livinginashelteroronthestreet;andfeeling‘‘blue’’$14ofthepast30days.
We found weaker associations with having both male-male sex and injection drug use risks for HIV acquisition; being
prescribedARVTfor$21months;andbeingprescribedaproteaseinhibitor(PI)-basedregimennotboostedwithritonavir.The
medianproportionofdosesmissedwas50%.Themostcommonreasonsformissingdoseswereforgettingandsideeffects.
Conclusions/Significance.Self-reportedrecentnonadherencewashighinourstudy.Ourdatasupportincreasedemphasis
onadherenceinclinicalsettings,andadditionalresearchonhowprovidersandpatientscanovercomebarrierstoadherence.
Citation: SullivanPS,CampsmithML,NakamuraGV,BegleyEB,SchuldenJ,etal(2007)PatientandRegimenCharacteristicsAssociatedwithSelf-
ReportedNonadherencetoAntiretroviralTherapy.PLoSONE2(6):e552.doi:10.1371
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