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Revista de la Facultad de Medicina
versão impressa ISSN 0120-0011
Resumo
CARDONA-DUQUE, Deisy Viviana; MEDINA-PEREZ, Óscar Adolfo; HERRERA-CASTANO, Sandra Milena e OROZCO-GOMEZ, Paula Andrea. Adherence to antiretroviral treatment and associated factors in people living with HIV/AIDS in Quindío, Colombia. rev.fac.med. [online]. 2017, vol.65, n.3, pp.403-410. ISSN 0120-0011. https://doi.org/10.15446/revfacmed.v65n3.55535.
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% ofthe 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.
Palavras-chave : HIV; Antiretroviral Therapy Highly Active; Medication Adherence; Depression; Anxiety; Social Support (MeSH).