Show simple item record Aye, Win Lei Puckpinyo, Apa Peltzer, Karl 2019-09-25T09:47:36Z 2019-09-25T09:47:36Z 2017
dc.identifier.issn 1471-2458
dc.description Journal article published in the Journal of BMC Public Health (2017) 17:391 en_US
dc.description.abstract Background: The provision of Anti-Retroviral Therapy (ART) was started in Myanmar in 2005 in collaboration with the National AIDS Program and the private sector. Successful clinical management of HIV-infected patients is subject to optimal adherence. The aim of the study was to determine the prevalence of adherence to ART and identify factors associated with non-adherence to ART among HIV infected adults registered in a private sector setting in Mon State, Myanmar. Methods: This cross-sectional study was conducted with adults living with HIV receiving ART at an HIV outpatient clinic between April and May 2016. A total of three hundred People Living with HIV(PLHIV) were interviewed using a pretested and structured questionnaire. The 30 days Visual Analog Scale (VAS) adherence instrument was used to assess the level of adherence. Multivariable logistic regression analysis was used to determine factors associated with non-adherence to ART. Results: Among 300 patients (male 37.7% and female 62.3%, with a mean age of 41.3 years, standard deviation 8.7), 84% reported ≥95% adherence to ART in the past month. Among 16% of those reporting non-adherence, major reasons for skipping the medication were being busy (23%), being away from home (17.7%) and being forgetful (12.3%). In multivariable logistic rgeression, low behavioural skills on ART adherence (OR = 0.31, 95% CI: 0.10-0.94), tobacco use (OR = 3.22, 95% CI:1.28-8.12), having disclosed their HIV status (OR = 0.07, 95% CI: 0.01-0.69), having a partner who was not on ART (OR = 4.25, 95% CI: 1.70-10.64) and among men, having erectile dysfunction (OR = 15.14, 95% CI: 1.41-162.66) were significant associated with ART non-adherence. Conclusion: Non-adherence to ART was associated with individual moderating factors and behavioral skills. Priority measures such as addressing risk behaviour and behavioural change communication tailored to individual patients’ lifestyles requires comprehensive interventions to improve adherence. en_US
dc.format.extent 10 pages en_US
dc.language.iso en en_US
dc.publisher BMC Public Health en_US
dc.relation.requires Adobe Acrobat Reader en_US
dc.subject Anti-retroviral therapy en_US
dc.subject HIV infected adults en_US
dc.subject Myanmar en_US
dc.subject Non-adherence en_US
dc.subject.lcsh HIV-positive persons en_US
dc.title Non-adherence to anti-retroviral therapy among HIV infected adults in Mon State of Myanmar en_US
dc.type Article en_US

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