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dc.contributor.advisorAhmed, Luai A.
dc.contributor.authorShigdel, Rajesh
dc.date.accessioned2013-10-04T08:57:21Z
dc.date.available2013-10-04T08:57:21Z
dc.date.issued2012-09-28
dc.description.abstractObjective: To determine the prevalence and predictors of antiretroviral therapy adherence among HIV/ AIDS patients in Kathmandu district. Methods: A cross-sectional study of 316 HIV-positive individuals receiving antiretroviral therapy from three ART sites in Kathmandu districts was done from January 2012 to February 2012. The participants were interviewed and answered questions about socio-demographic status and antiretroviral therapy during the past week. Participants were considered adherent if they reported taking ≥95% of their medication as prescribed. The association between explanatory variables and adherence was measured using logistic regression and was reported as odds ratio (OR) with 95% confidence interval. Results: Out of the 316 participants, 64.6% (n=201) were men and 35.4% (n=112) were women. The adherence prevalence of the study participants was 86.7% (n=274). The adherence prevalence in men and women were 84.3 % and 91%, respectively. Age (OR 1.04; 95% CI 1.00-1.09), time taken to reach ART center (OR 1.38; 95% CI 1.12-1.71), past illegal drugs use (OR 3.98; 95% CI 1.71-9.24), side effects (OR 4.88; 95% CI 1.09-21.8), were all independently and negatively associated with adherence. Whereas, use of reminder tools (OR 3.45; 95% CI 1.33-8.91) was independently and positively associated with adherence. Conclusion: The prevalence of adherence found in this study is encouraging. Age, time taken to reach ART center, side effects, illegal drugs use and not using reminder tools present barriers for adherence to ART. Improving adherence requires interventions which recognize these barriers. Key Words: Antiretroviral Therapy (ART), Adherence, Kathmandu, AIDS patientsen
dc.identifier.urihttps://hdl.handle.net/10037/5441
dc.identifier.urnURN:NBN:no-uit_munin_5142
dc.language.isoengen
dc.publisherUniversitetet i Tromsøen
dc.publisherUniversity of Tromsøen
dc.rights.accessRightsopenAccess
dc.rights.holderCopyright 2012 The Author(s)
dc.subject.courseIDHEL-3950en_US
dc.subjectAntiretroviral Therapy (ART)en
dc.subjectAdherenceen
dc.subjectKathmanduen
dc.subjectAIDS patientsen
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en
dc.subjectVDP::Medical disciplines: 700::Basic medical, dental and veterinary science disciplines: 710::Pharmacology: 728en
dc.subjectVDP::Medisinske Fag: 700::Basale medisinske, odontologiske og veterinærmedisinske fag: 710::Farmakologi: 728en
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en
dc.titleFactors associated with adherence to antiretroviral therapy in HIV-infected patients. A cross-sectional study in Kathmandu District, Nepalen
dc.typeMaster thesisen
dc.typeMastergradsoppgaveen


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