Social factors related to poor antiretroviral adherence at the Mario Catarino Rivas Hospital

Abstract

Background Adherence is the patient's ability to engage successfully in the election, initiation and control of antiretroviral therapy (ART) allowing to maintain strict compliance.

Objective: to determine the socio-demographic factors involved in poor adherence to ART in pediatric HIV-infected patients who attended the Comprehensive Care Center (CAI) of the Hospital Mario Catarino Rivas (HNMCR) during the period from July to September 2015.

Patients and Methods: This is a quantitative, descriptive, cross-sectional study. There is a universe of 724 patients younger than 20 years with HIV on ART in HNMCR, there are 31 patients with viral load greater than 1000 copies / ml and more than 6 months of treatment. Patients with primary resistance TAR documented by genotype and patients who did not accept participate in the study were excluded. Information gathered through a survey that included socio-demographic and medical treatment variables. Data was analyzed with the EPIINFO and EXCEL software.

Results: 13 (42%) patients were male and 18 (58%) female. 20 (64%) patients had 13-18 years of age. It was found that 27 (87%) were cared for by relatives; mother 17 (63%), father 5 (18%), grandfather 3 (11%), cousin 1 (4%), Uncle 1 (4%). The reasons for no adherence were varied in each case; 20 reported that theyforgot to take the treatment and 7 reported that the child did not accept the drug.

Conclusions: teenagers are the ones who often have poor adherence to treatment, mainly because they forgot to take the treatment or did not agree to take the drug. These reasons can be influenced by interpersonal relations that exist with others of their age.

Acta Pediátrica Hondureña, Vol. 6, No. 2 /octubre 2015 a marzo 2016: 458-463