Factors Associated with Adherence of Highly Active Antiretroviral Therapy among Adult HIV/AIDS Patients in Mekelle Hospital Northern Ethiopia
Science Journal of Public Health
Volume 2, Issue 4, July 2014, Pages: 367-372
Received: Jul. 7, 2014; Accepted: Jul. 23, 2014; Published: Jul. 30, 2014
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Authors
Kiday Hailasillassie, School of Public Health, Reproductive Health and Nutrition team, Mekelle University, Mekelle, Ethiopia
Belachew Etana, School of Public Health, Health service Management Team, Mekelle University, Mekelle, Ethiopia
Mussie Alemayehu, School of Public Health, Reproductive Health and Nutrition team, Mekelle University, Mekelle, Ethiopia
Girmatsion Fisseha, School of Public Health, Reproductive Health and Nutrition team, Mekelle University, Mekelle, Ethiopia
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Abstract
Background: Drug adherence is the most important in progression of disease among HIV positive individuals under antiretroviral treatment. Besides, it is the main factor for survival. So the objective was to assess factors association with adherence of ART among adult people living with HIV/AIDS. Methods: A cross-sectional study was carried out among adult PLWHA attending HAART at Mekelle Hospital during June 2012. A total of 422 participants were recruited by systemic random sampling by daily patient load of ART clinic. Standard questionnaire was used to collect data after we pre-tested. The data was entered in to a computer by Epi-data 3.1 and analyzed using SPSS 20. Bivariate and multiple logistic regression analysis were done to determine factors associated with drug adherence. Odds ratio with their 95% confidence intervals and p-values less than 0.05 was considered as statistically significant association. Result: a total 403 people living on with HIV/AIDS were responded to the study with 95% response rate. The mean age of participants was 38.44 years and on average they were on ART for 3 years and 5 months on ART. A total adherence level was 63.4% and HIV positive who had their own income (2.1 95% CI: 1.2, 3.9), urban residence (2.3 95% CI: 1.2, 4.5) and being diagnosed in Mekelle Hospital (1.8 95% CI: 1.2, 2.9) were independently predicts HAART adherence. Conclusion: Drug adherence level was very low in Mekelle hospital and patients place of residence, economic status and being diagnosed in Mekelle hospital were independent predictors for adherence. So, awareness creation for rural residence and income generation method should be created to increase adherence level.
Keywords
Drug Adherence, HAART, HIV Patients, Northern Ethiopia
To cite this article
Kiday Hailasillassie, Belachew Etana, Mussie Alemayehu, Girmatsion Fisseha, Factors Associated with Adherence of Highly Active Antiretroviral Therapy among Adult HIV/AIDS Patients in Mekelle Hospital Northern Ethiopia, Science Journal of Public Health. Vol. 2, No. 4, 2014, pp. 367-372. doi: 10.11648/j.sjph.20140204.30
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