Prevalencia y factores asociados a falta de adherencia terapéutica al tratamiento antirretroviral en VIH/SIDA, Hospital Vicente Corral Moscoso, 2020 - 2021

Abstract

Background: lack of adherence to antiretroviral treatment is a global public health problem, the leading cause of treatment failure, virological failure, hospitalization and mortality associated with factors not identified locally. Objectives: to determine the prevalence and associated factors with lack of adherence to antiretroviral treatment in HIV / AIDS patients at the Vicente Corral Moscoso Hospital, 2020 - 2021. Methodology: cross-sectional analytical study in 165 patients with HIV / AIDS, the sampling was non-probabilistic for convenience who met the inclusion criteria; the Simplified Medication Adherence Questionnaire (SMAQ) assessed lack of adherence. The data were analyzed in the SPSS 15 program using the prevalence ratio (PR) to measure association with 95% CI and statistical significance p <0.05; the clauses "Agreement of Use and Confidentiality - HIV cases" guaranteed confidentiality with the approval of the bioethics committee. Results: the prevalence of non-adherence was 64.24%, the age between 18 - 35 years prevailed with 61.8%, 8 out of 10 people were male, most of them mixed-race, secondary education in half of the population, state 71.5% single civilian similar to those who had a job; the poor doctor-patient relationship was the only factor that showed an increase in probability but without statistical significance (PR: 1.56, 95% CI: 1.39 - 1.75, p: 0.288). Conclusions: more than half of the patients presented lack of adherence with the SMAQ questionnaire, the factor with an increase in probability without statistical significance was the poor doctor-patient relationship